Image/Poster Distributing Cognition: ICU Handoffs Conform to Grice's Maxims. Citation Text: Brandwijk M; Nemeth C; O'Conner M; Kahana M; Cook RI Copy Citation Save Save to your library Print Share Facebook Twitter Linkedin Copy URL March 6, 2005 Brandwijk M; Nemeth C; O'Conner M; Kahana M; Cook RI View more articles from the same authors. A recap of ongoing research studying the important transitions, or "handoffs" of care, that occur between shifts in a pediatric intensive care unit. Free full text (PDF) Save Save to your library Print Share Facebook Twitter Linkedin Copy URL Cite Citation Citation Text: Brandwijk M; Nemeth C; O'Conner M; Kahana M; Cook RI Copy Citation Related Resources From the Same Author(s) A Tale of Two Stories: Contrasting Views of Patient Safety. March 27, 2005 Lessons from the war on cancer: the need for basic research on safety. May 11, 2005 Operating at the sharp end: the complexity of human error. March 6, 2005 Mistaking error. 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“Those found responsible have been sacked”: some observations on the usefulness of error. October 10, 2010
Probabilistic risk assessment of accidental ABO-incompatible thoracic organ transplantation before and after 2003. February 6, 2008
Improving Healthcare Team Communication: Building on Lessons from Aviation and Aerospace. June 25, 2008
Implementing human factors in anaesthesia: guidance for clinicians, departments and hospitals: Guidelines from the Difficult Airway Society and the Association of Anaesthetists. March 1, 2023
Nurses' role in detecting deterioration in ward patients: systematic literature review. September 30, 2009
Bipartisan Consensus: The Public Wants Well-Rested Medical Residents to Help Ensure Safe Patient Care. October 5, 2016
Variation in medication information for elderly patients during initial interventions by emergency department physicians. January 16, 2008
Leadership Guide to Patient Safety: Resources and Tools for Establishing and Maintaining Patient Safety. September 28, 2005
Show me the money, I'll show you my complications: impacts of incentivized incident self-reporting among surgeons. March 2, 2022
Preventable adverse events in obstetrics: systemic assessment of their incidence and linked risk factors. February 16, 2022
Towards conceptualizing patients as partners in health systems: a systematic review and descriptive synthesis. March 8, 2023
Pharmacist counseling when dispensing naloxone by standing order: a secret shopper study of 4 chain pharmacies. December 9, 2020
Healthcare failure mode and effect analysis in the chemotherapy preparation process. November 17, 2021
How effective are incident-reporting systems for improving patient safety? A systematic literature review. December 16, 2015
What are we missing? The quality of intraoperative handover before and after introduction of a checklist. April 6, 2022
The benefits and harms of open notes in mental health: a Delphi survey of international experts. December 8, 2021
Criteria for the selection of paediatric patients susceptible to reconciliation error. November 16, 2022
An asset-based quality improvement tool for health care organizations: cultivating organization wide quality improvement and health care professional engagement. October 19, 2022
Safety risks and workflow implications associated with nursing-related free-text communication orders. March 15, 2023
Reducing preventable adverse events in obstetrics by improving interprofessional communication skills--results of an intervention study. March 1, 2023
Untangling infusion confusion: a comparative evaluation of interventions in a simulated intensive care setting. September 18, 2019
Using the Assessment of Reasoning Tool to facilitate feedback about diagnostic reasoning. January 11, 2023
Accuracy of spinal anesthesia drug concentrations in mixtures prepared by anesthetists. January 11, 2023
An evidence synthesis on perioperative handoffs: a call for balanced sociotechnical solutions. April 5, 2023
Clinical supervision in general practice training: the interweaving of supervisor, trainee and patient entrustment with clinical oversight, patient safety and trainee learning. May 5, 2021
Assessing patients 2019 experiences with medical injury reconciliation processes: item generation for a novel survey questionnaire. May 5, 2021
The I-READI quality and safety framework: a health system’s response to airway complications in mechanically ventilated patients with Covid-19. February 17, 2021
Incidence of nosocomial COVID-19 in patients hospitalized at a large US academic medical center. October 21, 2020
Experiences of transgender and gender nonbinary patients in the emergency department and recommendations for health care policy, education, and practice. July 21, 2021
Improving safety recommendations before implementation: a simulation-based event analysis to optimize interventions designed to prevent recurrence of adverse events. July 7, 2021
Medication reconciliation in the geriatric unit: impact on the maintenance of post-hospitalization prescriptions. October 13, 2021
Australian hospital leaders on the provision of safe care: implications for safety I and safety II. September 29, 2021
Detach yourself: the positive effect of psychological detachment on patient safety in long-term care. September 29, 2021
Incidence of prescription errors in patients discharged from the emergency department. September 22, 2021
Reporting of death in US Food and Drug Administration medical device adverse event reports in categories other than death. August 11, 2021
'More than words' - interpersonal communication, cognitive bias and diagnostic errors. August 11, 2021
A spike in people dying at home suggests coronavirus deaths in Houston may be higher than reported. July 22, 2020
Assessing patients' perceptions of safety culture in the hospital setting: development and initial evaluation of the patients' perceptions of safety culture scale. February 28, 2018
Integrating adverse event reporting into a free-text mobile application used in daily workflow increases adverse event reporting by physicians. January 8, 2020
A handoff protocol from the cardiovascular operating room to cardiac ICU is associated with improvements in care beyond the immediate postoperative period. July 17, 2013
Electronic approaches to making sense of the text in the adverse event reporting system. September 7, 2016
When do supervising physicians decide to entrust residents with unsupervised tasks? September 8, 2010
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Michigan Health & Hospital Association Keystone Obstetrics: a statewide collaborative for perinatal patient safety in Michigan. January 30, 2005
Toward higher-performance health systems: adults' health care experiences in seven countries, 2007. November 14, 2007
Cleaning up the discharge process: a number of components—and personnel—are crucial to success. October 20, 2010
The psychometric properties of the 'Hospital Survey on Patient Safety Culture' in Dutch hospitals. January 21, 2009
The Health Literacy of America's Adults: Results from the 2003 National Assessment of Adult Literacy. September 20, 2006
High-alert medications: the safeguards that you should put in place to reduce risks. November 1, 2017
CVS taps a design legend to reinvent the prescription label. Next stop: the pharmacy. October 18, 2017
WebM&M Cases A Stable Airway? Fatal Airway Occlusion After Inadequate Post-Tracheostomy Care May 29, 2024
WebM&M Cases Managing Complexity in Diagnosis: Life-threatening Complications after Gastric Bypass Surgery. May 29, 2024
Development and evaluation of I-PASS-to-PICU: a standard electronic template to improve referral communication for inter-facility transfers to the pediatric intensive care unit. March 27, 2024
Learning from non-routine events and teamwork in intensive care units: challenges and opportunities. February 28, 2024
A combined assessment tool of teamwork, communication, and workload in hospital procedural units. January 17, 2024
Video review of simulated pediatric cardiac arrest to identify errors/latent safety threats: a mixed methods study. September 6, 2023
WebM&M Cases A Complicated Course: Severe Alcohol Withdrawal with Dexmedetomidine Infusion. July 31, 2023
Improving handoffs in the perioperative environment: a conceptual framework of key theories, system factors, methods, and core interventions to ensure success. July 19, 2023
Leveraging the science of teamwork to sustain handoff improvements in cardiovascular surgery. July 12, 2023
So many ways to be wrong: completeness and accuracy in a prospective study of OR-to-ICU handoff standardization. July 5, 2023
Understanding medication safety involving patient transfer from intensive care to hospital ward: a qualitative sociotechnical factor study. June 7, 2023
Patient Safety Innovations Remote Response Team and Customized Alert Settings Help Improve Management of Sepsis May 31, 2023
Critical care teamwork in the future: the role of TeamSTEPPS in the COVID-19 pandemic and implications for the future. March 15, 2023
Implementation and facilitation of post-resuscitation debriefing: a comparative crossover study of two post-resuscitation debriefing frameworks. November 2, 2022
Team cognition in handoffs: relating system factors, team cognition functions and outcomes in two handoff processes. June 22, 2022
Patient Safety Innovations The University of Michigan Emergency Critical Care Center (EC3) Provides Timely Intensive Care to Critically Ill Patients in the Emergency Department April 7, 2022
Patient harm and institutional avoidability of out-of-hours discharge from intensive care: an analysis using mixed methods. March 23, 2022
Care transition of trauma patients: processes with articulation work before and after handoff. February 16, 2022
Medication-related interventions to improve medication safety and patient outcomes on transition from adult intensive care settings: a systematic review and meta-analysis. February 2, 2022
Implementing a watcher program to improve timeliness of recognition of deterioration in hospitalized children. June 30, 2021
Impact of alarm fatigue on the work of nurses in an intensive care environment--a systematic review. February 3, 2021
The effect of blue-enriched lighting on medical error rate in a university hospital ICU. January 27, 2021
Implicit bias in stroke care: a recurring old problem in the rising incidence of young stroke. January 27, 2021
Is my patient ready for a safe transfer to a lower-intensity care setting? Nursing complexity as an independent predictor of adverse events risk after ICU discharge. April 8, 2020
Untangling infusion confusion: a comparative evaluation of interventions in a simulated intensive care setting. September 18, 2019