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Journal Article > Commentary
Key performance outcomes of patient safety curricula: root cause analysis, failure mode and effects analysis, and structured communications skills.
Fassett WE. Am J Pharm Educ. 2011;75:164.
Journal Article > Study
Improving the quality of the surgical morbidity and mortality conference: a prospective intervention study.
Mitchell EL, Lee DY, Arora S, et al. Acad Med. 2013;88:824-830.
Journal Article > Review
Review article: improving the hospital clinical handover between paramedics and emergency department staff in the deteriorating patient.
Dawson S, King L, Grantham H. Emerg Med Australas. 2013;25:393-405.
Handoffs between care settings can lead to adverse events. This literature review analyzed 17 studies of handoffs between prehospital first responders and emergency department (ED) staff. Safety gaps detected included communication barriers, lack of a structured communication tool, and unclear identification of the receiving clinical staff. The authors suggest that a structured handoff tool could improve first responder–ED handoffs. A past AHRQ WebM&M commentary discussed communication failures between providers and highlighted a need for standard handoff protocols.