Handoffs and fumbles. | PSNet

Provide Feedback |

Register

Book/Report

Handoffs and fumbles.

March 27, 2005

Wachter RM, Shojania KG. Chapter in: Wachter RM, Shojania KG. Internal Bleeding: The Truth Behind America's Terrifying Epidemic of Medical Mistakes. New York, NY: Rugged Land, LLC; 2004.

Personal stories illustrate the systems issues that contribute to mismanagement of patients as they move from provider to provider throughout the health care system.

Free full text (registration required)

Related Resources From the Same Author(s)

Internal Bleeding: The Truth Behind America's Terrifying Epidemic of Medical Mistakes. Updated edition.

June 12, 2007

Diagnosis: Reducing Errors and Improving Quality.

November 2, 2022

Understanding Patient Safety, Third Edition.

January 9, 2018

Learning how to learn: compliance with patient safety alerts in the NHS.

June 12, 2013

Mirror, Mirror: Comparing Health Systems Across Countries.

September 19, 2024

Temporal trends in patient safety in the Netherlands: reductions in preventable adverse events or the end of adverse events as a useful metric?

September 9, 2015

The Digital Doctor: Hope, Hype, and Harm at the Dawn of Medicine's Computer Age.

November 3, 2015

Striving for high reliability in healthcare: a qualitative study of the implementation of a hospital safety programme.

June 22, 2022

The High Costs of Weak Compliance With the New York State Hospital Adverse Event Reporting and Tracking System.

March 25, 2009

Looking back on the history of patient safety: an opportunity to reflect and ponder future challenges.

November 3, 2021

View More

Related Resources

Medication Safety in Key Action Areas.

July 10, 2019

New Horizons in Patient Safety: Understanding Communication: Case Studies for Physicians.

November 19, 2018

Field Guide to Collaborative Care: Implementing the Future of Health Care.

January 5, 2017

Health Literacy: A Prescription to End Confusion.

July 8, 2016

There and Home Again, Safely.

March 11, 2015

An Avoidable Death of a Three-year-old Child from Sepsis.

July 16, 2014

Improving Communication During Transitions of Care.

May 28, 2014

Order from Chaos: Accelerating Care Integration.

November 7, 2012

How-to Guides: Improving Transitions from the Hospital to Reduce Avoidable Rehospitalizations.

August 8, 2012

Improving Patient Safety Through Informed Consent for Patients with Limited Health Literacy.

July 16, 2009

View More

See More About The Topic

Health Care Providers

Discontinuities, Gaps, and Hand-Off Problems

To sign up for updates or to access your subscriber preferences, please enter your email address below.

5600 Fishers Lane
Rockville, MD 20857
Telephone: (301) 427-1364