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Cases & Commentaries
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Stephanie Mueller, MD, MPH; February 2019
To transfer a man with possible sepsis to a hospital with subspecialty and critical care, a physician was unaware of a formal protocol and called a colleague at the academic medical center. The colleague secured a bed, and the patient was sent over. However, neither clinical data nor the details of the patient's current condition were transmitted to the hospital's transfer center, and the receiving physician booked a general ward bed rather than an ICU bed. When the patient arrived, his mentation was altered and breathing was rapid. The nurse called the rapid response team, but the patient went into cardiac arrest.
Journal Article > Study
Zendejas B, Ali SM, Huebner M, Farley DR. J Surg Educ. 2011;68:465-471.
General surgery residents strongly preferred signing out patients in person rather than by videoconferencing or other electronic modalities, but in this simulation study, signout accuracy was suboptimal in all methods tested.