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Graduate Medical Education and Patient Safety
TO THE EDITOR:
In their recent Quality Grand Rounds article, Shojania and colleagues (1) described a case in which problems in communication and supervision among and between residents and an attending physician led to the possibly preventable death of an 88-year-old woman with intestinal obstruction. The authors suggested how one might minimize sign-out and handoff problems, reduce tension between service and supervision, and encourage trainees to call for help.
The case description noted that a fourth-year medical …
