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Slide Presentation of the 2007 Annual Meeting of AHRQ

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

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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

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