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Christopher Fee, MD; February-March 2009
Interrupted during a telephone handoff, an ED physician, despite limited information, must treat a patient in respiratory arrest. The patient is stabilized and transferred to the ICU with a presumed diagnosis of aspiration pneumonia and septic shock. Later, ICU physicians obtain further history that leads to the correct diagnosis: pulmonary embolism.
Journal Article > Study
Exploring emergency physician–hospitalist handoff interactions: development of the Handoff Communication Assessment.
Apker J, Mallak LA, Applegate EB 3rd, et al. Ann Emerg Med. 2010;55:161-170.
This study reports on the development of a tool to assess the content and structure of handoff communications between emergency physicians and hospitalists. The authors found that the handoff communication was mostly "one-way," consisting primarily of information exchange without interactive questions and answers.