Handoffs: What Got Lost at Shift Change | Ep 94

Lexcura Clinical Insights · Oct 29, 2026 · 16m

Episode four of the emergency department series is handoffs: the transfer of responsibility from one clinician to another, which in the ED happens at every shift change, every triage-to-room transition, every PA-to-attending review, and every admission.

Michelle Carroll is direct about what makes these cases hard. The handoff itself is usually not documented. Two physicians go through the board at 7 a.m., one says a few sentences about each patient, the other nods, and the only record is a provider-change entry on the tracking log. By deposition, both have a version of what was said.

So the…