Results
The real gain for patients was safety. Results showed that the new handover procedure had broken a link between technical and informational errors. Before the new handover protocol, approximately 30 percent of patient errors occurred in both equipment and information. Afterward, only 10 percent occurred in both areas.
This case study is excerpted from chapter 10 of Benchmarking for Hospitals: Achieving Best-in-Class Performance Without Having to Reinvent the Wheel, by Victor E. Sower, Jo Ann Duffy, and Gerald Kohers.
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