In your initial post, answer the following questions using the scenario below: Multiple factors contributed to the problem in this case. Identify as many distinct factors as you can. Using your list, develop some strategies to reduce the likelihood of a recurrence. Why do you think hospital handoff problems continue? As a hospital administrator, what would you do if this case had occurred in your hospital? Include at least one or two APA in-text citations and references Scenario: Improper handoffs are a huge concern for many organizations. Midwest University Medical Center has 45,000 admissions yearly with half of them taking place in the emergency department. Mr. Saunders: Mr. Saunders is a 61-year-old male with a history of smoking. He was admitted last night complaining of shortness of breath and an irregular heartbeat. He has missed one dose of each of his home medications due to his stay in the emergency department, and he is somewhat dehydrated. He is complaining of pain and nausea this morning, and he is irritated with the doctors and nurses. Dr. Anita Henderson: Dr. Anita Henderson is perplexed; she has received a page from a nurse regarding a patient named Mr. Saunders, but he is not listed on her roster. Dr. Calvin Lee: Dr. Calvin Lee was involved with this patient's care. Some uncertainty was present because the patient had both emphysema (requiring pulmonary care) and cardiac concerns (requiring cardiology care.) Pulmonary: Or. Lee called the pulmonary department because he thought Mr. Saunders' abnormal rhythm might be due to his emphysema. But pulmonary thought there were two separate issues and wanted Mr. Saunders admitted to cardiology to get his heart rate under control before providing a consult. Cardiology: Dr. Lee called the cardiology department, but they insisted that Mr. Saunders has a pulmonary problem and that his irregular heartbeat is just a side victim. They felt that he would spend four days in their department recovering from emphysema, which would be inappropriate.

In your initial post, answer the following questions using the scenario below: Multiple factors contributed to the problem in this case. Identify as many distinct factors as you can. Using your list, develop some strategies to reduce the likelihood of a recurrence. Why do you think hospital handoff problems continue? As a hospital administrator, what would you do if this case had occurred in your hospital? Include at least one or two APA in-text citations and references Scenario: Improper handoffs are a huge concern for many organizations. Midwest University Medical Center has 45,000 admissions yearly with half of them taking place in the emergency department. Mr. Saunders: Mr. Saunders is a 61-year-old male with a history of smoking. He was admitted last night complaining of shortness of breath and an irregular heartbeat. He has missed one dose of each of his home medications due to his stay in the emergency department, and he is somewhat dehydrated. He is complaining of pain and nausea this morning, and he is irritated with the doctors and nurses. Dr. Anita Henderson: Dr. Anita Henderson is perplexed; she has received a page from a nurse regarding a patient named Mr. Saunders, but he is not listed on her roster. Dr. Calvin Lee: Dr. Calvin Lee was involved with this patient's care. Some uncertainty was present because the patient had both emphysema (requiring pulmonary care) and cardiac concerns (requiring cardiology care.) Pulmonary: Or. Lee called the pulmonary department because he thought Mr. Saunders' abnormal rhythm might be due to his emphysema. But pulmonary thought there were two separate issues and wanted Mr. Saunders admitted to cardiology to get his heart rate under control before providing a consult. Cardiology: Dr. Lee called the cardiology department, but they insisted that Mr. Saunders has a pulmonary problem and that his irregular heartbeat is just a side victim. They felt that he would spend four days in their department recovering from emphysema, which would be inappropriate.