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December 21, 2005



All great points. My personal experience of an ER visit proved some very same flaws in a hand-off. The doctors changed shifts and so the one that got me while I first went in was not the same when I was discharged. The discharge doctor was looking over my records and test results and using a lot of "Uh..."s Nothing serious in my case of course, but at the very least it was discomforting to me.


Reducing Errors in Health Care:
AHRQ research has shown that medical errors may result most frequently from systems errors—organization of health care delivery and how resources are provided in the delivery system.

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