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PSNet: Patient Safety Network
Journal Article

Insensible losses: when the medical community forgets the family.

Elias P. Health affairs (Project Hope). 2015;34:707-10.

Care transitions are a vulnerable time for patients, and handoff improvement is a national patient safety priority. This commentary relates how a medical student's experience with handing off a patient to an intensive care unit touches on hierarchy and a missed opportunity for transparent and family-centered communication. A past AHRQ WebM&M perspective discusses problems with inpatient handovers and recommends strategies to enhance handoff quality.