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RISK MANAGEMENT PUBLICATION

Don't Fumble the Hand-off

March 2022

Failed hand-offs are a common cause of patient injuries that prompt malpractice claims. Hand-offs occur all along the continuum of patient care, and any member of the healthcare team can make a difference in increasing hand-off safety. Patient safety and medical liability risk management depend on a combination of accurate information transfer and clear establishment of patient responsibility and authority at each hand-off. Utilizing the risk reduction strategies presented in this month’s Claims Rx can improve hand-off communications, which can lead to fewer patient injuries, fewer malpractice lawsuits, and greater patient satisfaction.

CASE ONE
Physician Hand-offs of Admitted Patients

CASE TWO
Hand-off between Obstetrician and On-Call Obstetrician during Labor

CASE THREE
Hand-offs of Patients from the ED to an Inpatient Unit with ED Boarding of Admitted Patients

CASE FOUR
Hand-off between Nurses during Temporary Relief of Coverage

CASE FIVE
Outpatient Hand-offs

CASE SIX
Hand-off from a Skilled Nursing Facility to a Hospital

 

March 2022
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