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| The first 150 words of the full text of this article appear below. |
Handovers (handoffs) and patient safety: a call for solutions
Four papers in this issue highlight the importance of better communication between shifts of resident trainees in teaching settings. A report from the US describes anew the hazards that accompany poorly communicated handoffs, emphasises the importance of anticipating potential problems and advances recommendations for timeliness and focus on context. A second report challenges academic settings to invite the patient into the process and places an emphasis on professional responsibility—from "not my patient" to "every patient is my patient". A provocative commentary, which is anchored in experience from non-healthcare, high-risk organisations such as nuclear submarines and space missions, advises parsimony, flexibility and emphasis on situation complexity. Finally, an editorial calls for timely implementation of these and other experience-based recommendations to improve handovers in teaching settings.
See pp 2, 4, 6, 11
System changes reduce adverse drug events in the VA system
Root cause analyses (RCAs) of adverse drug events (ADEs) generally are conducted for serious ADEs in the
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