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Search results for "Human Factors Engineering"
Journal Article > Commentary
Arora V, Johnson J. Jt Comm J Qual Patient Saf. 2006;32:646-655.
The authors describe an educational module to train residents on a structured hand-off process and the characteristics that made their program successful.
Cases & Commentaries
- Web M&M
Bernard Lo, MD; September 2006
An elderly woman who had a DNR in place took a fall that required her to have surgery. Discussion with the patient's health care proxy led to the DNR order being suspended during surgery, with the understanding that it would be reinstated postoperatively. Several days later, a nurse noticed that patient remained 'full code' because the DNR had not been restored.