Patient handovers between doctors are unstructured and haphazard and may be putting patients at risk, a survey of house officers on call in general surgery in 17 hospitals in Wales found. The investigators, who wrote to the BMJ with their findings, said that doctors were sometimes left unaware of patients' conditions or even that patients had been admitted at all. Ludger Barthelmes, one of the investigators, told the BBC, “It became clear that the handover is not structured in any way. It's haphazard and done without supervision” (www.bbc.co.uk).
Doctors who supervise medical students are far less influenced by cognitive bias in a treatment scenario with multiple alternatives than those who do not supervise, a study in the United States has found. Situations with multiple alternative choices can make it more difficult to reach a decision, resulting in choice deferral. In the study, those doctors who supervised medical students behaved differently