Abstract
Reductions in residency work hours during the past 20 years have resulted in a corresponding increase in both the number of transitions of care and the chances of medical errors related to such transitions.1 Despite considerable efforts to improve the house staff handoff process,2-13 problems remain.7,14 Recent studies demonstrate that an alarming proportion of handoffs continue to omit important information, contain erroneous information, and lack a standardized structure.14,15 Of note, although lack of supervision was one of the main problems that led to the implementation of 405 regulations in New York and similar regulations elsewhere, the idea of faculty supervision of the sign-out process has received little attention.
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