BMJ quality & safety
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BMJ quality & safety · Dec 2017
Effects of the I-PASS Nursing Handoff Bundle on communication quality and workflow.
Handoff communication errors are a leading source of sentinel events. We sought to determine the impact of a handoff improvement programme for nurses. ⋯ Implementation of the I-PASS Nursing Handoff Bundle was associated with widespread improvements in the verbal handoff process without a negative impact on nursing workflow. Implementation of I-PASS for nurses may therefore have the potential to significantly reduce medical errors and improve patient safety.
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BMJ quality & safety · Dec 2017
Multicenter Study Observational StudyPatients' and providers' perceptions of the preventability of hospital readmission: a prospective, observational study in four European countries.
Because of fundamental differences in healthcare systems, US readmission data cannot be extrapolated to the European setting: To investigate the opinions of readmitted patients, their carers, nurses and physicians on predictability and preventability of readmissions and using majority consensus to determine contributing factors that could potentially foresee (preventable) readmissions. ⋯ There is no consensus between readmitted patients, their carers and treating professionals about predictability and preventability of readmissions, nor associated risk factors. A readmitted patient reporting not feeling ready for discharge at index admission was strongly associated with preventability/predictability. Therefore, healthcare workers should question patients' readiness to go home timely before discharge.