Operating room to intensive care unit handoffs and the risks of patient harm.
McElroy LM, Collins KM, Koller FL, et al. Surgery. 2015 Jun 8; [Epub ahead of print].
This research group performed a failure mode and effect analysis to study handoffs between the operating room and the intensive care unit for liver transplant patients at a large academic medical center. The authors identified 81 process failures and outlined recommendations to mitigate many of these risks.
A hospital races to learn lessons of Ferrari pit stop.
Naik G. Wall Street Journal. November 14, 2006:A1. [reprinted on Post-gazette.com].
Medmarx Data Report: A Chartbook of Medication Error Findings from the Perioperative Settings from 1998-2005.
Rockville, MD: United States Pharmacopeia; 2007.
Pilot implementation of a perioperative protocol to guide operating room-to-intensive care unit patient handoffs.
Petrovic MA, Aboumatar H, Baumgartner WA, et al. J Cardiothorac Vasc Anesth. 2012;26:11-16.
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Surgeon-reported conflict with intensivists about postoperative goals of care.
Paul Olson TJ, Brasel KJ, Redmann AJ, Alexander GC, Schwarze ML. JAMA Surg. 2013;148:29-35.