SPatient care is littered with many potential hazards that all members of the surgical team must be aware of and attempt to prevent. In some situations, safer systems need to be developed, and in others, better compliance with safety tools and best practices is needed. As a result of the necessary changeover of health care providers throughout a patient’s stay, discontinuity can result during the exchange of patient information, potentially leading to medical errors. Patient transfers occur at multiple times (eg, shift changes, relief for breaks, lunch, dinner) and during several points of care (eg, hand-over reporting among nursing units, reporting of pertinent patient data among departments).1 The patient is more vulnerable to the incidence of error in the surgical setting than in other settings because of the multiple hand overs that occur throughout the preoperative, intraoperative, and postoperative phases of care.2
SPatient care is littered with many potential hazards that all members of the surgical team must be aware of and attempt to prevent. In some situations, safer systems need to be developed, and in others, better compliance with safety tools and best practices is needed. As a result of the necessary changeover of health care providers throughout a patient’s stay, discontinuity can result during the exchange of patient information, potentially leading to medical errors. Patient transfers occur at multiple times (eg, shift changes, relief for breaks, lunch, dinner) and during several points of care (eg, hand-over reporting among nursing units, reporting of pertinent patient data among departments).1 The patient is more vulnerable to the incidence of error in the surgical setting than in other settings because of the multiple hand overs that occur throughout the preoperative, intraoperative, and postoperative phases of care.2
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