Handoffs are an unavoidable reality for patients in hospitals.
Yet every year, clinician miscommunication contributes to approximately one-third of serious inpatient medical errors, resulting in an estimated 250 000 preventable deaths annually in US hospitals. Handoffs during transitions of care represent a significant proportion of inter-clinician communication and are particularly susceptible to error. The Joint Commission and the Accreditation Council for Graduate Medical Education have identified handoff communication as a key target for national quality improvement and patient safety efforts.Read More
As part of the HITECH act, the federal government spent over $35 billion to incentivize the adoption of electronic health records (EHR).
Unfortunately, HITECH failed to mandate that these EHRs interoperate with other technologies. The result: 98% of all eligible hospitals have now demonstrated meaningful use of certified health IT, but health information is rarely exchanged without clinicians having to sign out of one system and into another.Read More
40% of patients experience an insulin dosing error during their hospital stay, according to the 2017 National Diabetes Inpatient Audit. This constitutes a significant patient safety issue. Insulin can cause harm when used in error, and the Institute for Safe Medication Practices (ISMP) has classified all forms of insulin (subcutaneous and IV) as high-alert medications.Read More