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Slide Presentation of the 2007 Annual Meeting of AHRQ

Problems in Care Continuity

Night float admission patients had longer LOS and more tests ordered (Lofgren, et al. J Gen Intern Med 1990)
Work hour limits and presumed resulting discontinuities associated with increased hospital complications and test ordering (Laine, et al. JAMA 1993)
Cross coverage associated with an increased risk of errors (OR 6.0) (Petersen, et al. Ann Int Med 1994)
- Signout errors an be improved substantially with structured sign out (Petersen, et al. Joint Comm J on QI 1998)