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- Title
Automated electronic reminders to prevent miscommunication among primary medical, surgical and anaesthesia providers: a root cause analysis.
- Authors
Freundlich, Robert E; Grondin, Louise; Tremper, Kevin K; Saran, Kelly A; Kheterpal, Sachin
- Abstract
In this case report, the authors present an adverse event possibly caused by miscommunication among three separate medical teams at their hospital. The authors then discuss the hospital's root cause analysis and its proposed solutions, focusing on the subsequent hospital-wide implementation of an automated electronic reminder for abnormal laboratory values that may have helped to prevent similar medical errors.
- Publication
BMJ quality & safety, 2012, Vol 21, Issue 10, p850
- ISSN
2044-5423
- Publication type
Journal Article
- DOI
10.1136/bmjqs-2011-000666