@article {Freundlich850, author = {Robert E Freundlich and Louise Grondin and Kevin K Tremper and Kelly A Saran and Sachin Kheterpal}, title = {Automated electronic reminders to prevent miscommunication among primary medical, surgical and anaesthesia providers: a root cause analysis}, volume = {21}, number = {10}, pages = {850--854}, year = {2012}, doi = {10.1136/bmjqs-2011-000666}, publisher = {BMJ Publishing Group Ltd}, abstract = {In this case report, the authors present an adverse event possibly caused by miscommunication among three separate medical teams at their hospital. The authors then discuss the hospital{\textquoteright}s root cause analysis and its proposed solutions, focusing on the subsequent hospital-wide implementation of an automated electronic reminder for abnormal laboratory values that may have helped to prevent similar medical errors.}, issn = {2044-5415}, URL = {https://qualitysafety.bmj.com/content/21/10/850}, eprint = {https://qualitysafety.bmj.com/content/21/10/850.full.pdf}, journal = {BMJ Quality \& Safety} }