PATIENT SAFETY PRIMERS
Discontinuities, Gaps, and Hand-Off Problems (18)
Medication Safety (2)
Medical Complications (1)
Surgical Complications (4)
North America (29)
Journal Article (23)
Newspaper/Magazine Article (3)
Special or Theme Issue (1)
Epidemiology of Errors and Adverse Events (3)
Active Errors (2)
Latent Errors (1)
Approach to Improving Safety
Health Care Providers (25)
Health Care Executives and Administrators (22)
Non-Health Care Professionals (9)
Setting of Care
Residential Facilities (1)
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Perinatal SBAR Tools.
Institute for Healthcare Improvement.
Enhancing Patient Safety During Hand-Offs: Standardized communication and teamwork using the 'SBAR' method.
Hohenhaus S, Powell S, Hohenhaus JT. Am J Nurs. 2006;106:72A-72B.
Patterns of communication breakdowns resulting in injury to surgical patients.
Greenberg CC, Regenbogen SE, Studdert DM, et al. J Am Coll Surg. 2007;204:533-540.
SBAR M&M: a feasible, reliable, and valid tool to assess the quality of, surgical morbidity and mortality conference presentations.
Mitchell EL, Lee DY, Arora S, et al. Am J Surg. 2012;203:26-31.
SPECIAL OR THEME ISSUE
Obstetric Quality and Safety.
J Healthc Qual. 2009;31:3-52.
Staying safe: simple tools for safe surgery.
Karl RC. Bull Am Coll Surg. April 2007;92:16-22.
Evaluation of a problem-specific SBAR tool to improve after-hours nurse-physician phone communication: a randomized trial.
Joffe E, Turley JP, Hwang KO, Johnson TR, Johnson CW, Bernstam EV. Jt Comm J Qual Patient Saf. 2013;39:495-501.
Unit-based care teams and the frequency and quality of physician–nurse communications.
Gordon MB, Melvin P, Graham D, et al. Arch Pediatr Adolesc Med. 2011;165:424-428.
Integration of a formalized handoff system into the surgical curriculum: resident perspectives and early results.
Telem DA, Buch KE, Ellis S, Coakley B, Divino CM. Arch Surg. 2011;146:89-93.
Hospitals combat errors at the 'hand-off.'
Landro L. Wall Street Journal (Eastern edition). June 28, 2006:D1. [reprinted on Post-gazette.com].
Implementing standardized reporting and safety checklists.
Stevens JD, Bader MK, Luna MA, Johnson LM. Am J Nurs. 2011;111:48-53.
Improving the quality of the surgical morbidity and mortality conference: a prospective intervention study.
Mitchell EL, Lee DY, Arora S, et al. Acad Med. 2013;88:824-830.
Implementing handoff communication.
Ardoin KB, Broussard L. J Nurses Staff Dev. 2011;27:128-135.
Hand-off communication: a requisite for perioperative patient safety.
Amato-Vealey EJ, Barba MP, Vealey RJ. AORN J. 2008;88:763-774.
SBAR: a shared mental model for improving communication between clinicians.
Haig KM, Sutton S, Whittington J. Jt Comm J Qual Patient Saf. 2006;32:167-175.
Implementation of the SBAR communication technique in a tertiary center.
Woodhall LJ, Vertacnik L, McLaughlin M. J Emerg Nurs. 2008;34:314-317.
A leadership initiative to improve communication and enhance safety.
Donahue M, Miller M, Smith L, Dykes P, Fitzpatrick JJ. Am J Med Qual. 2011;26:206-211.
Randomized trial of a warfarin communication protocol for nursing homes: an SBAR-based approach.
Field TS, Tjia J, Mazor KM, et al. Am J Med. 2011;124:179.e1-179.e7.
SBAR for patients.
Denham CR. J Patient Saf. 2008;4:38-48.
Implementing SBAR across a large multihospital health system.
Compton J, Copeland K, Flanders S, et al. Jt Comm J Qual Patient Saf. 2012;38:261-268.
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