Hand-off Communications.
DeRosier JM, Stalhandske E, Bagian JP, et al. Using health care Failure Mode and Effect Analysis: the VA National Center for Patient Safety's prospective risk analysis system.
The Joint Commission Center for Transforming Healthcare aims to use rigorous quality improvement methodologies to tackle pervasive quality and safety issues. This article details the early progress of the Center's second major initiative, improving handoff communication.