Sentinel Event Alert 58: Inadequate Hand-off Communication¶
The Joint Commission. (2017). Sentinel Event Alert 58: Inadequate Hand-off Communication: Inadequate Hand-off Communication.
Cited by¶
1 citation across 1 artifact.
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Primes¶
- Custody Transfer
- In hospital care, structured handoff protocols are explicit acceptance rituals for patient responsibility, and missing handoffs are a leading cause of adverse events.
This sourceDefines a patient handoff as a transfer and acceptance of patient care and responsibility achieved through effective communication, establishes structured handoff protocols (standardized content, read-back/confirmation) as acceptance rituals, and identifies inadequate handoffs as a contributing factor to adverse events including medication errors, complications, and death.
- In hospital care, structured handoff protocols are explicit acceptance rituals for patient responsibility, and missing handoffs are a leading cause of adverse events.
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