a handoff is not a telegram an understanding of the patient is co-constructed切换不是电报病人co-constructed的理解.pdfVIP

Cohen et al. Critical Care 2012, 16:303 /content/16/1/303 V I E W P O I N T A handof is not a telegram: an understanding of the patient is co-constructed 1 2 3 Michael D Cohen* , Brian Hilli goss a nd André Carlos Kajdacsy-Balla Amaral* of the quality of the care provided by cross-covering Abstract teams and an analysis of episodes resulting in malpractice Hospital handof s are believed to be a key locus of suits suggest an association between handoff s and un- communication breakdown that can endanger patient wanted outcomes. A twofold increase in preventable safety and undermine quality of care. Substantial new adverse events has been demonstrated in patients being ef orts to better understand handof s and to improve covered by on-call physicians belonging to a team handof practices are under way. Many such ef orts diff erent from the daytime care team [6]. Handoff s were appear to be seriously hampered, however, by an implicated in 28% of surgical errors [7] and in 20% to 24% underlying presumption that the essential function of malpractice claims in health-care settings such as of a handof is one-way information transmission. ambulatory care [8] and emergency [9] departments. Here, we examine social science literature that h is concern with accurate and complete information supports a richer framing of handof conversations, transfer has been a central focus of ha