Slide Presentation of the 2007 Annual Meeting of AHRQ

Communication During Post-operative Patient Hand-off in the Pediatric Intensive Care Unit

Mistry KP, Landrigan CP, Goldmann DA, Bates DW. Critical Care Medicine 2005;33:A12.

• Audio recording and analysis of 150 post-op sign-outs
• 100% of sign-outs contained at least one error