Patient Safety Science & Technology Summit 2014

1. Patient Safety Science & Technology Summit2014

2. Tamra E. Minnier, RN, MSN, FACHE • Chief Quality Officer, University of Pittsburgh Medical Center

3. An estimated 80 percent of serious medical errors involve miscommunication between caregivers during transfer or hand-off

4. Breakdown in communication was the leading root cause of sentinel events reported to The Joint Commission between 1995 and 2006

5. While some hospitals incorporate mnemonics and tools for handoff communications, there are currently no universally adopted standards. As a result, they are very seldom followed

7. Patient Safety Science & Technology Summit2014

8. Mignon Benjamin, MD Kerry O’Connell Patrick J. Dunne Laura Winner Michael J. Fosina, MPH, FACHE M. Narendra Kini, MD Family Practice Physician, Bartlett Regional Hospital, Southeast Medical Clinic, Juneau, Alaska Patient Advocate Registered Respiratory Therapist, Representing the American Assc. for Respiratory (AARC), Patient Safety Project Manager for AARC Director of Lean Sigma Deployment, Armstrong Institute for Patient Safety and Quality, Johns Hopkins School of Medicine Sr. Vice President & Chief Operating Officer, New York-Presbyterian Lower Manhattan Hospital President & CEO, Miami Children's Hospital Hand-off Communications Panel

9. Hand-off Communications

10. Patient Safety Science & Technology Summit2014