Study: Morning handover often misses clinically important issues

A study, published in JAMA Internal Medicine, examined morning handover from the overnight trainee to the daytime team and found that on-call trainees omit numerous clinically important issues when handing over.

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Study participants included on-call third-year medical students and first-and second-year residents. Researchers identified and examined clinically important overnight issues in the completeness of morning handover.

The study found 141 clinically important overnight issues during 26 days of observation. The on-call trainee omitted 40.4 percent of clinically important issues during morning handover and did not document any information in the patient’s medical record for 85.8 percent of these issues.

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