Rates of Medical Errors and Preventable Adverse Events among Hospitalized Children Following Implementation of a Resident Handoff Bundle.¶
Starmer, A. J., Sectish, T. C., Simon, D. W., Keohane, C., McSweeney, M. E., Chung, E. Y., Yoon, C. S., et al. (2013). Rates of Medical Errors and Preventable Adverse Events among Hospitalized Children Following Implementation of a Resident Handoff Bundle. JAMA, 310(21), 2262-2270.
Cited by¶
1 citation across 1 artifact.
Each citation links to the sentence it supports in the citing article.
Primes¶
- Boundary State Loss
- In healthcare shift change, a nurse signs out a patient list through a structured handoff form that captures vitals, medications, and pending labs but not the gestalt of "this patient looks worse than her chart says"; adverse events spike at shift boundaries.
This sourceDocuments elevated adverse-event rates at shift-change handoffs and their reduction via a structured handoff bundle (I-PASS).
Supported in partVerified against the work's full text
Starmer et al. tie poor handoffs to errors and adverse events, but report no spike at shift boundaries and no analysis of lost gestalt.
“demonstrating an objective relationship between poor handoffs, errors, and preventable adverse events.”
- In healthcare shift change, a nurse signs out a patient list through a structured handoff form that captures vitals, medications, and pending labs but not the gestalt of "this patient looks worse than her chart says"; adverse events spike at shift boundaries.
Verification¶
Does it exist? Confirmed. This work's DOI resolves to a registered record, which fixes its identity. That is all it fixes.
Does it back the claim? Read against the text for 1 of 1 citation: 1 supported in part. Each verdict is shown under its citation below, with what in the work backs the sentence.
Support is checked per citation rather than per work — the same source can be cited soundly in one article and wrongly in another. Per-citation recording began recently, so a citation with no recorded check is a gap in the record rather than evidence it went unchecked.
See how references were verified.
Registry ID ref:ae6f9a90cb5b · see in the full table