Journal Article
Study

Operating room to intensive care unit handoffs and the risks of patient harm.

McElroy LM, Collins KM, Koller FL, et al. Surgery. 2015;158:588-94.

This research group performed a failure mode and effect analysis to study handoffs between the operating room and the intensive care unit for liver transplant patients at a large academic medical center. The authors identified 81 process failures and outlined recommendations to mitigate many of these risks.