Today’s Wall Street Journal (paid registration required) has a page-1 story about patient handoffs. While it starts with a U.K.-based item, I was particularly intrigued about the handoff processes used at the U.S. hospitals.

According to the article, the Blout Memorial Hospital (Tennessee) uses a 4-step process called Nuts (Names, Unique Issues, Tubes and Safety).

Kaiser has their handoff based on change-of-command on submarines.

The other two are also interesting: At Trinity medical (Illinois), caregivers use a physical baton made of plastic which contains the patient data and is passed around. At St. Joseph’s California) they use a question. and-answer session called “Ticket to Ride.” The questions about patient meds have to be answered correctly before the handoff can occur.

The article mentions how there will be more and more patient handoffs (staff shortages etc.) – and then returns back to the UK main story which was not that interesting to me.


This blog will try to discuss methods and approaches towards improving patient safety.

The focus will be primarily on bedsides in hospitals with extensions into home-based health monitors.

We will surely get into specifics about technology, including where it makes sense and where it does not.

Business aspects will not get ignored, although some aspects of this blog on safety and error prevention go beyond the proverbial and typical ROI analysis.

To answer the question in the title, many will surely care because, conceptually, all- doctors, admin, nurses, patients- are  supportive and will like to improve (or prevent degradation of) systems that affect patient care. And also, because this forum selects a smaller area from the vast topic of overall patient safety.

And so starts this blog,

 All suggestions , comments and (especially) criticism invited;