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.
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