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Slide Presentation of the 2007 Annual Meeting of AHRQ

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Problems in Care Continuity

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  • 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)

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