I agree that we in EM really can’t know what to make of the study, even though it is one of the most high profile analyses of the subject on record. They used a huge multi-faceted package involving the whole department for a process occurring in a semi-controlled setting with fairly differentiated patients. Tough subject to study, but EM needs put together a lot more work on this!!
EM in 5 
Great video on a vital topic.
I wrote a blog on the importance of handoffs in the ED, and looked at some recent literature on the topic
http://www.ponderingem.com/2015/01/pondering-em-journal-club-changes-in.html
Great review! Thanks for sharing!
I agree that we in EM really can’t know what to make of the study, even though it is one of the most high profile analyses of the subject on record. They used a huge multi-faceted package involving the whole department for a process occurring in a semi-controlled setting with fairly differentiated patients. Tough subject to study, but EM needs put together a lot more work on this!!