Failures in communication and information transfer across the surgical care pathway: interview study.
Nagpal K, Arora S, Vats A, et al. Failures in communication and information transfer across the surgical care pathway: interview study. BMJ Qual Saf. 2012;21(10):843-9.
This qualitative study found considerable evidence for communication failures between clinicians at each stage of the surgical pathway. A surgical checklist has been shown to improve patient safety, in part by using structured handoffs to avoid communication issues.