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PSNet: Patient Safety Network
Journal Article
Study

Failures in communication and information transfer across the surgical care pathway: interview study.

Nagpal K, Arora S, Vats A, et al. BMJ quality & safety. 2012;21:843-9.

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.