@article{13497,
  author = {Maria Carmen G Diaz and Kimberly Dawson},
  title = {Impact of Simulation-Based Closed-Loop Communication Training on Medical Errors in a Pediatric Emergency Department},
  abstract = {<jats:p> Closed-loop communication (CLC) promotes a shared understanding of information. The authors hypothesized that simulation-based CLC training would improve staff perceptions of CLC ability and decrease medical errors. Participants experienced 2 hands-on CLC simulations one month apart. A retrospective chart review of Emergency Severity Index (ESI) 1 patients was conducted 4 months pre and post CLC simulation-based training. Seventy simulations were held over 13 weeks. Staff perceptions of CLC ability improved and were sustained after one month. Nine ESI 1 patients were seen pre CLC, and 9 post; 8/9 pre-CLC ESI 1 patients had medical errors, with 19 total errors noted; 5/9 post-CLC ESI 1 patients had medical errors, with 5 total errors noted (rate ratio [99% CI] = 3.8 [1.4, 10.2]; P = .008). This simulation-based CLC training curriculum improved staff perceptions of their CLC ability and was associated with a significant decrease in the number of medical errors in ESI 1 patients. </jats:p>},
  year = {2020},
  journal = {Am J Med Qual},
  volume = {35},
  chapter = {474-478},
  pages = {474-478},
  month = {03/2020},
  publisher = {Ovid Technologies (Wolters Kluwer Health)},
  issn = {1062-8606},
  doi = {10.1177/1062860620912480},
}