TY - JOUR T1 - Automated electronic reminders to prevent miscommunication among primary medical, surgical and anaesthesia providers: a root cause analysis JF - BMJ Quality & Safety JO - BMJ Qual Saf SP - 850 LP - 854 DO - 10.1136/bmjqs-2011-000666 VL - 21 IS - 10 AU - Robert E Freundlich AU - Louise Grondin AU - Kevin K Tremper AU - Kelly A Saran AU - Sachin Kheterpal Y1 - 2012/10/01 UR - http://qualitysafety.bmj.com/content/21/10/850.abstract N2 - 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'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. ER -