Does improving handoffs reduce medical error rates?

JAMA

Volumn 310, Issue 21, 2013, Pages 2255-2256

  Horwitz, Leora I ^a,b  

^a YALE UNIVERSITY SCHOOL OF MEDICINE   (United States)

^b YALE NEW HAVEN HOSPITAL   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ADVERSE OUTCOME; CLINICAL HANDOVER; EDITORIAL; HARM REDUCTION; HOSPITAL CARE; HUMAN; MEDICAL ERROR; OUTPATIENT CARE; PATIENT SAFETY; PRIORITY JOURNAL; TEAMWORK; TOTAL QUALITY MANAGEMENT; UNITED STATES; VERBAL COMMUNICATION;

EID: 84889049988     PISSN: 00987484     EISSN: 15383598     Source Type: Journal    
DOI: 10.1001/jama.2013.281827     Document Type: Editorial

References (16)

1. Essentials of an approved internship. JAMA. 1965;194(13):117-127.
2. CMS.gov. Medicare & Medicaid statistical supplement, Table 5.1 - discharges, total days of care, total charges, and program payments for Medicare beneficiaries discharged from short-stay hospitals, by type of entitlement: calendar years 1972-2010. http://www.cms.gov/Research-Statistics-Data-and- Systems/Statistics-Trends-and-Reports/MedicareMedicaidStatSupp/2011.html. Accessed October 28, 2013.
3. US Food and Drug Administration. Summary of NDA approvals & receipts, 1938 to the present. http://www.fda.gov/AboutFDA/WhatWeDo/History/ ProductRegulation/SummaryofNDAApprovalsReceipts1938tothepresent/default.htm. Accessed October 28, 2013.
4. European Union. Directive 2003/88/EC of the European Parliament and of the Council of 4 November 2003 concerning certain aspects of the organisation of working time. Offi J Eur Communities. 2003;137(2):299(9).
5. Moonesinghe SR, Lowery J, Shahi N, Millen A, Beard JD. Impact of reduction in working hours for doctors in training on postgraduate medical education and patients' outcomes: systematic review. BMJ. 2011;342:d1580.
6. Cohen MD, Hilligoss PB. The published literature on handoffs in hospitals: deficiencies identified in an extensive review. Qual Saf Health Care. 2010;19(6):493-497.
7. Riesenberg LA, Leitzsch J, Little BW. Systematic review of handoff mnemonics literature. Am J Med Qual. 2009;24(3):196-204.
8. Li P, Ali S, Tang C, Ghali WA, Stelfox HT. Review of computerized physician handoff tools for improving the quality of patient care. J Hosp Med. 2013;8(8):456-463.
9. Starmer AJ, Sectish TC, Simon DW, et al. Rates of medical errors and preventable adverse events among hospitalized children following implementation of a resident handoff bundle. JAMA. doi:10.1001/jama.2013.281961.
10. Neily J, Mills PD, Young-Xu Y, et al. Association between implementation of a medical team training program and surgical mortality. JAMA. 2010;304(15):1693-1700.
11. Horwitz LI, Moin T, Krumholz HM, Wang L, Bradley EH. What are covering doctors told about their patients? analysis of sign-out among internal medicine house staff. Qual Saf Health Care. 2009;18(4):248-255.
12. Brown CA, Lilford RJ. The stepped wedge trial design: a systematic review. BMC Med Res Methodol. 2006;6:54.
13. I-PASS. Better handoffs; safer care. http://www.ipasshandoffstudy.com/. Accessed October 20, 2013.
14. Accreditation Council for Graduate Medical Education. Common Program Requirements. http://www.acgme-2010standards.org/pdf/Common-Program- Requirements-07012011.pdf. Accessed August 23, 2011.
15. Dhaliwal G, Hauer KE. The oral patient presentation in the era of night float admissions: credit and critique. JAMA. doi:10.1001/jama.2013.282322.
16. Escobar GJ, LaGuardia JC, Turk BJ, Ragins A, Kipnis P, Draper D. Early detection of impending physiologic deterioration among patients who are not in intensive care: development of predictive models using data from an automated electronic medical record. J Hosp Med. 2012;7(5):388-395.