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Value by Design: Developing Clinical Microsystems to Achieve Organizational Excellence, Second Edition by Joel S. Lazar, Marjorie M. Godfrey, Paul B. Batalden, Eugene C. Nelson

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Chapter Seven ACTION GUIDE

As noted in Chapter Seven, acute care has many handoffs and transitions in the patient's course of care. In these white spaces the patient is at risk for transfer of incomplete, inaccurate, or absent information specific to the patient's unique needs and plan of care. Transition from ambulatory care to emergency medical systems such as an ambulance with trained staff and then to emergency departments requires exquisite communication and advance planning of the handoff processes.

Chapter Five offers standardized tools to support communication and handoffs between units including "SBAR" and "I PASS the BATON."

Figure AG7.1 is designed to help clinical microsystems reflect on the numbers and types of handoffs the microsystem ...

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