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In This Issue of JAMA
December 4, 2013


JAMA. 2013;310(21):2221. doi:10.1001/jama.2013.5442

Edited by Robert Golub, MD

For JAMA readers who enjoy fine art on the cover, we herewith present an homage to the early 20th-century artist Cassius Marcellus Coolidge. Although his works had titles such as A Friend in Need and A Bold Bluff, collectively his oeuvre is most commonly referred to as Dogs Playing Poker. While the subjects of his paintings also included such diverse topics as ballroom dances and the courtroom, the editors are not aware of any pieces that focused on medical education and provide this cover to fill that gap.

In a prospective before-and-after intervention study involving 84 pediatric resident physicians and 1255 inpatient admissions, Starmer and colleagues found that implementation of a multifaceted resident handoff program that included standardized communication and handoff training was associated with a significant reduction in medical errors and preventable adverse events among hospitalized children—without adverse changes in resident workflow. In an Editorial, Horwitz discusses the evidence that improving handoffs can reduce harm to patients.