A term used to refer to information mistakes at handoffs.
The term "gap error" refers to information errors that occur as a result of information transmission or handoff between persons and groups. This might happen during shift changes or when work is delegated and information has to be shared among the individuals involved.
A handoff is defined as the transfer of patient information and knowledge, as well as authority and responsibility, from one clinician or team of clinicians to another during care transitions throughout the continuum.
It is critical to keep clear and exact information among the appropriate personnel in order to ensure quality program and process improvement initiatives in a hospital. Gap errors are mistakes that occur when the value of a cell does not fit within the range of values provided in the other cells of the same set of conditions. Thus, these gaps are examined by looking for values that cause a conflict within the established ranges.
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