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Steven J. Henkind, MD, PhD; J. Christopher Sinnett, MA, MBA

JAMA. 2008;300(14):1691-1693.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

It is 7:45 AM at a hospital in New York City and the clinical staff is changing shifts. The departing house staff is signing out: "Mr Jones is a 55-year-old white man with a history of coronary artery disease, admitted with a chief complaint of crushing chest pain. Cardiac enzymes are pending, but the ECG shows 5 mm of ST elevation and T-wave inversion in leads V5 and V6. Mr Jones is being taken to the cath lab for possible angioplasty. . . . "

Two hundred miles to the east, conditions are deteriorating: seas have built to 8 to 10 feet and the barometer has dropped 0.03 inches during the past hour. The time is 0745 and change of watch is occurring on board the US Coast Guard's (USCG’s) tall ship Eagle. The navigator of the watch reports: "We're steering 145°; the . . . [Full Text of this Article]

Information Handoffs and Shift Changes

Author Affiliations: The CCI Group,Larchmont, New York (Dr Henkind); and the US Coast Guard Barque Eagle, US Coast Guard, New London, Connecticut (Mr Sinnett).

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