Automated electronic reminders to prevent miscommunication among primary medical, surgical and anaesthesia providers: a root cause analysis.

Robert E Freundlich; Louise Grondin; Kevin K Tremper; Kelly A Saran; Sachin Kheterpal

Commentary

Automated electronic reminders to prevent miscommunication among primary medical, surgical and anaesthesia providers: a root cause analysis.

August 22, 2012

Freundlich RE, Grondin L, Tremper KK, et al. BMJ Qual Saf. 2012;21(10):850-4.

View more articles from the same authors.

This case report describes root cause analysis of a sentinel event and interventions that were implemented as a result, notably a laboratory reminder system.

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Diagnostic Errors

Discontinuities, Gaps, and Hand-Off Problems

Automated electronic reminders to prevent miscommunication among primary medical, surgical and anaesthesia providers: a root cause analysis.

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