TQIP mortality reporting system case reports: Unanticipated mortality due to communication and handoff failures.
case_series · Level IV
Where this comes from
- Record sourced from PubMed, PMID 36737856.
- Also identified by DOI 10.1097/TA.0000000000003886.
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Abstract
The TQIP Mortality Reporting System is an online anonymous case reporting system designed to share experiences from rare events that may have contributed to unanticipated mortality at contributing trauma centers. The TQIP Mortality Reporting System Working group monitors submitted cases and organizes them into emblematic themes. This report summarizes unanticipated mortality from two cases of failure of communication and handoff, and presents strategies to mitigate these events locally with the hope of decreasing unanticipated mortality nationwide.
Medical subject headings
- Patient Handoff