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- W2714034870 abstract "Background: Multiple studies have documented that poor patient handovers are a source of medical errors and increased morbidity. Key portions of any patient handover process are communication of demographic information, the major events in a patient’s clinical course, anticipated events, and necessary tasks. Verbal communication, although essential to the handover process, is not enough to ensure adequate dissemination of information. Methods: As part of a quality initiative at our home institution, we sought to develop a handover system that utilized our medical record system, was integrated across our forms of documentation, and facilitated handovers among residents, fellows, and faculty. The purpose of our study was to first develop the system and then document any improvement in adverse events or handover errors with the new system. Results: The frequency of new information discovered on morning rounds not communicated by on-call residents decreased significantly from 3.2±1.82 to 2.0±0 (37.5% reduction). Appropriate overnight care by on-call residents increased from 8.0±1.10 to 8.9±0.53 (11.25% improvement). Conclusions: Integration of a printed or electronic handover tool into the daily workflow of those directly caring for patients and into the electronic medical record to allow for seamless updating of patient information is important to improve communication." @default.
- W2714034870 created "2017-06-30" @default.
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- W2714034870 date "2015-11-01" @default.
- W2714034870 modified "2023-09-26" @default.
- W2714034870 title "Development of an orthopaedic handover system to improve communication for inpatient care" @default.
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- W2714034870 doi "https://doi.org/10.1097/bco.0000000000000280" @default.
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