Journal Article

Development and validation of a taxonomy of adverse handover events in hospital settings.

Andersen HB, Siemsen IMD, Petersen LF, et al. Cognition, Technology & Work. 2014;17.

Patient handoffs are a common source of adverse events, often due to communication failures, particularly for tests that are pending at discharge. This research group used incident reports, interviews, and root cause analysis reports to create and validate a taxonomy for classifying adverse events related to patient handovers.