Elder NC, McEwen TR, Flach JM, et al. Ann Fam Med. 2009;7:343-51.
This study evaluated contributing factors to effective test management systems and identified safety awareness and technological adoption as two themes worthy of greater attention in system design.
This supplement discusses Australian efforts to improve handover safety with emphasis on flexible standardization, communication improvement, and information sharing tactics.
After several pediatric visits, parents of a newborn with low output and weight loss contact a lactation consultant, who discovered that ankyloglossia (tongue-tie) was preventing the infant from receiving adequate intake from breastfeeding.
A woman with a fractured right foot receives spinal anesthesia and nearly has surgery for trimalleolar fracture and dislocation of the left ankle. Only immediately prior to surgery did the team realize that the x-ray was not hers.