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	<title>Comments on: Patient handoffs</title>
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	<link>http://www.kevinmd.com/blog/2008/09/patient-handoffs.html</link>
	<description>medical blog</description>
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		<title>By: Anonymous</title>
		<link>http://www.kevinmd.com/blog/2008/09/patient-handoffs.html/comment-page-1#comment-87428</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Fri, 26 Sep 2008 00:53:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2008/09/patient-handoffs.html#comment-87428</guid>
		<description>Excuse me, the gall bladder study was in fact a study with real data, not a survey, which is the detritus of all empirical research.</description>
		<content:encoded><![CDATA[<p>Excuse me, the gall bladder study was in fact a study with real data, not a survey, which is the detritus of all empirical research.</p>
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		<title>By: Anonymous</title>
		<link>http://www.kevinmd.com/blog/2008/09/patient-handoffs.html/comment-page-1#comment-87417</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Thu, 25 Sep 2008 14:52:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2008/09/patient-handoffs.html#comment-87417</guid>
		<description>A single-institution study is an anecdote?  Ironic that anon cites another single-institution study as counterpoint.  The following 2 studies are the real deal.  Nothing beats national data when you&#039;re trying to evaluate the effect of a national intervention.&lt;br/&gt;&lt;br/&gt;http://jama.ama-assn.org/cgi/content/abstract/298/9/975?ct&lt;br/&gt;&lt;br/&gt;http://jama.ama-assn.org/cgi/content/short/298/9/984</description>
		<content:encoded><![CDATA[<p>A single-institution study is an anecdote?  Ironic that anon cites another single-institution study as counterpoint.  The following 2 studies are the real deal.  Nothing beats national data when you&#8217;re trying to evaluate the effect of a national intervention.</p>
<p><a href="http://jama.ama-assn.org/cgi/content/abstract/298/9/975?ct" rel="nofollow">http://jama.ama-assn.org/cgi/content/abstract/298/9/975?ct</a></p>
<p><a href="http://jama.ama-assn.org/cgi/content/short/298/9/984" rel="nofollow">http://jama.ama-assn.org/cgi/content/short/298/9/984</a></p>
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		<title>By: Anonymous</title>
		<link>http://www.kevinmd.com/blog/2008/09/patient-handoffs.html/comment-page-1#comment-87413</link>
		<dc:creator>Anonymous</dc:creator>
		<pubDate>Wed, 24 Sep 2008 19:34:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2008/09/patient-handoffs.html#comment-87413</guid>
		<description>Anecdotes are not data.  Why do doctors refuse to believe this?&lt;br/&gt;&lt;br/&gt;Evidence suggests hour limits better for patients.&lt;br/&gt;&lt;br/&gt;http://www.medicalnewstoday.com/articles/121683.php</description>
		<content:encoded><![CDATA[<p>Anecdotes are not data.  Why do doctors refuse to believe this?</p>
<p>Evidence suggests hour limits better for patients.</p>
<p><a href="http://www.medicalnewstoday.com/articles/121683.php" rel="nofollow">http://www.medicalnewstoday.com/articles/121683.php</a></p>
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		<title>By: Charles R.</title>
		<link>http://www.kevinmd.com/blog/2008/09/patient-handoffs.html/comment-page-1#comment-87410</link>
		<dc:creator>Charles R.</dc:creator>
		<pubDate>Wed, 24 Sep 2008 18:12:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2008/09/patient-handoffs.html#comment-87410</guid>
		<description>Would not better, more specific, easily-scanned, electronic patient records help?</description>
		<content:encoded><![CDATA[<p>Would not better, more specific, easily-scanned, electronic patient records help?</p>
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		<title>By: Ileana</title>
		<link>http://www.kevinmd.com/blog/2008/09/patient-handoffs.html/comment-page-1#comment-87409</link>
		<dc:creator>Ileana</dc:creator>
		<pubDate>Wed, 24 Sep 2008 18:11:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2008/09/patient-handoffs.html#comment-87409</guid>
		<description>Or they can start standardizing their handoff process and making it better suited to changing shifts. &lt;br/&gt;&lt;br/&gt;I know they are overworked and it&#039;s difficult to add yet another improvement process in the mix, but in the long run, you guys need to understand that residents need a life too and better rested residents with better handoff processes will eventually lead to fewer mistakes than before the 80 hours/week threshold.</description>
		<content:encoded><![CDATA[<p>Or they can start standardizing their handoff process and making it better suited to changing shifts. </p>
<p>I know they are overworked and it&#8217;s difficult to add yet another improvement process in the mix, but in the long run, you guys need to understand that residents need a life too and better rested residents with better handoff processes will eventually lead to fewer mistakes than before the 80 hours/week threshold.</p>
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		<title>By: ERP</title>
		<link>http://www.kevinmd.com/blog/2008/09/patient-handoffs.html/comment-page-1#comment-87408</link>
		<dc:creator>ERP</dc:creator>
		<pubDate>Wed, 24 Sep 2008 17:16:00 +0000</pubDate>
		<guid isPermaLink="false">http://clients.emmense.com/kevinmd/2008/09/patient-handoffs.html#comment-87408</guid>
		<description>This is the time in the ER where most errors occur. Signout.  Unfortunately, working 24 hours a day until the patient is discharged or dies is not a good option.</description>
		<content:encoded><![CDATA[<p>This is the time in the ER where most errors occur. Signout.  Unfortunately, working 24 hours a day until the patient is discharged or dies is not a good option.</p>
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