Utilizing information technology to mitigate the handoff risks caused by resident work hour restrictions.

Joseph Bernstein; Duncan C. MacCourt; Dan M. Jacob; Samir Mehta

Commentary

Utilizing information technology to mitigate the handoff risks caused by resident work hour restrictions.

May 26, 2010

Bernstein J, MacCourt DC, Jacob DM, et al. Clin Orthop Relat Res. 2010;468(10):2627-32.

View more articles from the same authors.

This article advocates for computer-based expert systems to enhance communication and data sharing during handoffs.

PubMed citation

Available at

Related Resources From the Same Author(s)

Medical error reduction and tort reform through private contractually-based quality medicine societies.

March 17, 2010

A perfect storm averted: flawed systems, a dropped ball, and cognitive biases delay a critical diagnosis.

November 2, 2022

New U.S. health crisis looms as patients without COVID-19 delay care.

July 29, 2020

Innovation in safety, and safety in innovation.

January 29, 2014

Defining the landscape of patient harm after osteopathic manipulative treatment: synthesis of an adverse event model.

December 13, 2023

Prospective error recording in surgery: an analysis of 1108 elective neurosurgical cases.

August 15, 2007

Relationship of incorrect dosing of fibrinolytic therapy and clinical outcomes.

April 27, 2005

Adherence to Surgical Care Improvement Project measures and the association with postoperative infections.

June 30, 2010

A data-driven approach to evaluate barcode-assisted medication preparation alerts at a large academic medical center.

August 2, 2023

Early warning systems: the next level of rapid response.

January 25, 2012

Diagnostic error: untapped potential for improving patient safety?

August 13, 2014

Crime in the workplace, part 1.

October 24, 2007

Effect of a real-time pediatric ICU safety bundle dashboard on quality improvement measures.

September 2, 2015

A decade of health information technology usability challenges and the path forward.

February 13, 2019

Using information to optimize medical outcomes.

June 17, 2009

Preventing pressure ulcers: the goal is zero.

October 17, 2007

Is consent required for publication of medical errors?

November 9, 2005

Finding the right balance: an evidence-informed guidance document to support the re-opening of Canadian nursing homes to family caregivers and visitors during the coronavirus disease 2019 pandemic.

October 28, 2020

The influence of the availability heuristic on physicians in the emergency department.

November 17, 2021

The 100,000 Lives Campaign: setting a goal and a deadline for improving health care quality.

January 25, 2006

Safe but sound: patient safety meets evidence-based medicine.

April 12, 2006

Wrong-site craniotomy: analysis of 35 cases and systems for prevention.

September 15, 2010

How to incorporate quality improvement and patient safety projects in your training.

May 23, 2018

Is communication improved with the implementation of an obstetrical version of the World Health Organization safe surgery checklist?

November 9, 2016

Patient Safety in the Traditional and Evolving Nontraditional Office Setting

October 2, 2019

Embedding quality improvement and patient safety - the UCLA value analysis experience.

April 18, 2007

How surgical trainees handle catastrophic errors: a qualitative study.

July 1, 2015

A qualitative study of systems-level factors that affect rural obstetric nurses' work during clinical emergencies.

February 21, 2024

Beyond 'find and fix': improving quality and safety through resilient healthcare systems.

April 15, 2020

Interruptions and medication administration in critical care.

July 29, 2015

Systems-level factors affecting registered nurses during care of women in labor experiencing clinical deterioration.

April 20, 2022

Prevention of failure to rescue in obstetric patients: a realist review.

November 10, 2021

The potential for leveraging machine learning to filter medication alerts.

May 4, 2022

Automated adverse event detection collaborative: electronic adverse event identification, classification, and corrective actions across academic pediatric institutions.

December 18, 2013

Charges and lengths of stay attributable to adverse patient-care events using pediatric-specific quality indicators: a multicenter study of freestanding children's hospitals.

June 11, 2008

Active-shooter response at a health care facility.

September 19, 2018

Organizational learning in hospitals: a realist review.

August 21, 2019

Peer support and second victim programs for anesthesia professionals involved in stressful or traumatic clinical events.

February 21, 2024

Emergent CSCW systems: the resolution and bandwidth of workplaces.

August 2, 2006

Overuse of medical imaging and its radiation exposure: who’s minding our children?

September 28, 2016

The relationships among work stress, strain and self-reported errors in UK community pharmacy.

March 19, 2014

Patient safety systems in the primary health care of diabetes—a story of missed opportunities?

November 17, 2010

Before you make that big decision...

July 20, 2011

Evidence for anchoring bias during physician decision-making.

July 12, 2023

Special report: COVID deepens the other opioid crisis - a shortage of hospital painkillers.

June 24, 2020

Improving process while changing practice: FMEA and medication administration.

March 12, 2008

Use of error management theory to quantify and characterize residents' error recovery strategies.

January 15, 2020

Application of the human factors analysis and classification system methodology to the cardiovascular surgery operating room.

April 11, 2007

Disruptions in surgical flow and their relationship to surgical errors: an exploratory investigation.

November 21, 2007

Making patient safety event data actionable: understanding patient safety analyst needs.

October 4, 2017

Emergency department monitor alarms rarely change clinical management: an observational study.

September 16, 2020

Assessment of the potential impact of a reminder system on the reduction of diagnostic errors: a quasi-experimental study.

May 17, 2006

The impact of improving teamwork on patient outcomes in surgery: a systematic review.

May 2, 2018

Analysis of deaths related to anesthesia in the period 1996-2004 from closed claims registered by the Danish Patient Insurance Association.

May 30, 2007

A new frontier in patient safety.

June 1, 2011

Improving patient safety using interactive, evidence-based decision support tools.

December 14, 2005

Impact of a pharmacist-facilitated hospital discharge program: a quasi-experimental study.

December 2, 2009

Medication errors and trainees: advice for learners and organizations.

October 4, 2017

Nurse workarounds in the electronic health record: an integrative review.

August 12, 2020

Zero harm in health care.

March 18, 2020

Factors associated with potentially missed diagnosis of appendicitis in the emergency department.

April 8, 2020

Disaster ergonomics: human factors in COVID-19 pandemic emergency management.

August 19, 2020

Prescribing patterns of heart failure-exacerbating medications following a heart failure hospitalization.

February 12, 2020

Digital health and patient safety.

April 27, 2016

Nursing interventions to reduce medication errors in paediatrics and neonates: systematic review and meta-analysis.

December 8, 2021

Reducing failure to rescue rates in a paediatric in-patient setting: a 9-year quality improvement study.

November 24, 2021

Antibiotic prescribing in ambulatory pediatrics in the United States.

January 11, 2012

In search of common ground in handoff documentation in an intensive care unit.

May 23, 2012

Designing a safer process to prevent retained surgical sponges: a healthcare failure mode and effect analysis.

August 17, 2011

Understanding patient safety performance and educational needs using the 'Safety-II' approach for complex systems.

December 14, 2016

Understanding and responding when things go wrong: key principles for primary care educators.

September 28, 2016

Enhanced detection of blood bank sample collection errors with a centralized patient database.

February 18, 2009

Economic outcomes associated with safety interventions by a pharmacist–adjudicated prior authorization consult service.

May 29, 2019

Structured communication for patient safety in emergency medical services: a legal case report.

May 19, 2010

Considering chance in quality and safety performance measures: an analysis of performance reports by boards in English NHS trusts.

January 18, 2017

Increasing vigilance on the medical/surgical floor to improve patient safety.

February 21, 2007

Examining the relationship between nurse fatigue, alertness, and medication errors.

April 3, 2024

Use of a daily goals checklist for morning ICU rounds: a mixed-methods study.

April 30, 2014

Patient safety in geriatrics: a call for action.

December 15, 2010

Adverse events in medicine: easy to count, complicated to understand, and complex to prevent.

September 9, 2009

Association of unexpected newborn deaths with changes in obstetric and neonatal process of care.

January 20, 2021

Review of medication error sources associated with inpatient subcutaneous insulin: recommendations for safe and cost-effective dispensing practices.

August 24, 2022

Association of perceived medical errors with resident distress and empathy: a prospective longitudinal study.

September 6, 2006

Decoding laboratory test names: a major challenge to appropriate patient care.

January 16, 2013

Avoiding wrong site surgery: a systematic review.

May 26, 2010

Engaging the patient and family in the surgical safety process utilizing SafeStart.

August 28, 2019

Impact of preoperative briefings on operating room delays.

November 26, 2008

Errors and the burden of errors: attitudes, perceptions, and the culture of safety in pediatric cardiac surgical teams.

April 30, 2008

Prevalence and sources of duplicate information in the electronic medical record.

October 12, 2022

Reliability evaluation of the adapted National Coordinating Council Medication Error Reporting and Prevention (NCC MERP) index.

June 13, 2007

Institutional COVID-19 protocols: focused on preparation, safety, and care consolidation.

September 30, 2020

Preventing adverse events in cataract surgery: recommendations from a Massachusetts expert panel.

August 8, 2018

Real-time automated paging and decision support for critical laboratory abnormalities.

August 17, 2011

Automatic detection of omissions in medication lists.

August 24, 2011

Impact of critical event checklists on anaesthetist performance in simulated operating theatre emergencies.

July 31, 2019

Use of nondisclosure agreements in medical malpractice settlements by a large academic health care system.

May 27, 2015

Clinical reasoning as a core competency.

October 30, 2019

Reporting near-miss events in nursing homes.

April 19, 2006

Implementation of a surgical safety checklist and postoperative outcomes: a prospective randomized controlled study.

April 29, 2015

Development and interrater agreement of a novel classification system combining medical and surgical adverse event reporting.

April 19, 2023

Related Resources

Patient Safety Innovations

Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer

July 31, 2023

Patient Safety Innovations

Remote Response Team and Customized Alert Settings Help Improve Management of Sepsis

May 31, 2023

I-PASS Mentored Implementation Handoff Curriculum: implementation guide and resources.

March 10, 2019

WebM&M Cases

Written Signout: It Only Works If You Use The Right One

November 1, 2018

A QI initiative: implementing a patient handoff checklist for pediatric hospitalist attendings.

February 8, 2017

Physician transition of care: benefits of I-PASS and an electronic handoff system in a community pediatric residency program.

June 22, 2016

Targeting improvements in patient safety at a large academic center: an institutional handoff curriculum for graduate medical education.

September 17, 2014

Development, implementation, and dissemination of the I-PASS Handoff Curriculum: a multisite educational intervention to improve patient handoffs.

June 25, 2014

Inpatient safety outcomes following the 2011 residency work-hour reform.

April 2, 2014

From heroism to safe design: leveraging technology.

February 12, 2014

Developing a medical emergency team running sheet to improve clinical handoff and documentation.

December 11, 2013

October 23, 2013

Residency schedule, burnout and patient care among first-year residents.

September 4, 2013

Teaching hospital five-year mortality trends in the wake of duty hour reforms.

August 7, 2013

A systematic review of the literature on the evaluation of handoff tools: implications for research and practice.

June 26, 2013

Measuring handoff quality in labor and delivery: development, validation, and application of the Coordination of Handoff Effectiveness Questionnaire (CHEQ).

May 8, 2013

Duty hour reform in a shifting medical landscape.

April 24, 2013

Effects of the 2011 duty hour reforms on interns and their patients: a prospective longitudinal cohort study.

April 3, 2013

Paper- and computer-based workarounds to electronic health record use at three benchmark institutions.

April 3, 2013

Implementing peer evaluation of handoffs: associations with experience and workload.

February 27, 2013

Mitigating error vulnerability at the transition of care through the use of health IT applications.

February 20, 2013

Residents' duty hours—toward an empirical narrative.

December 5, 2012

Stakeholder perspectives on handovers between hospital staff and general practitioners: an evaluation through the microsystems lens.

November 28, 2012

Implementing AORN recommended practices for transfer of patient care information.

November 14, 2012

Who's covering our loved ones: surprising barriers in the sign-out process.

October 24, 2012

Duty hours, quality of care, and patient safety: general surgery resident perceptions.

October 3, 2012

Achieving the 'perfect handoff' in patient transfers: building teamwork and trust.

August 8, 2012

Research on nursing handoffs for medical and surgical settings: an integrative review.

July 25, 2012

Improving Transitions of Care: Hand-off Communications.

July 18, 2012

An institution-wide handoff task force to standardise and improve physician handoffs.

June 27, 2012

See More About The Topic

Hospitals

Quality and Safety Professionals

Information Professionals

Safety Scientists

General Internal Medicine

Utilizing information technology to mitigate the handoff risks caused by resident work hour restrictions.

Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer

Remote Response Team and Customized Alert Settings Help Improve Management of Sepsis

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Utilizing information technology to mitigate the handoff risks caused by resident work hour restrictions.

Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer

Remote Response Team and Customized Alert Settings Help Improve Management of Sepsis

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Submit Your Innovations

Continue as a Guest

Continue Logged In

Submit Your Innovations

Continue as a Guest

Continue logged in

New Users to the PSNet site