Background: Transitions of care are known to be high-risk times in healthcare, largely due to communication errors between providers. Prior studies have shown a direct relationship between poor signout practices and adverse events. Verbal handoff tools, such as I-PASS, have been created in efforts to facilitate the signout process. An important aspect of the handoff [...]

Case Presentation: A 28-year-old woman with sickle cell disease and chronic pain who required inpatient care several times yearly presented with worsening nausea, emesis and uncontrolled pain to the emergency department (ED). Symptoms were typical of prior pain crises. The patient followed regularly with a hematologist undergoing monthly red blood cell exchange transfusions. In the [...]