… Jt Comm J Qual Patient Saf … Patient safety investigations hinge on … during patient safety incident investigations. Jt Comm J Qual Patient Saf. Epub 2022 Jun 23. 10.1016/j.jcjq.2022.06.010 …

Effective handoff communication is a key indicator of safe patient care. These authors outline a new model for handoff communication, integrating three theoretical frameworks addressing relevant inputs (i.e., individual organizational, environmental factors), mediators (e.g., communication, leadership), outcomes (e.g., patient, provider, teamwork, and organizational outcomes), and adaptation loops.

Closed loop communication (CLC) ensures a clear transfer of information by having the recipient repeat the order for verification.  In this study, procedures in the cardiac catheterization lab were observed to assess the frequency and accuracy of CLC. Despite three interventions over five years (education, on-going feedback, accountability), CLC remained suboptimal, with both incomplete orders given and incomplete responses.

Structured handoffs support appropriate communication between teams or departments when transferring responsibility for care. This meta-analysis aimed to determine if structured, standardized post-operative anesthesia handoffs improved provider, patient, organizational and handoff outcomes. Postoperative outcomes moved in a generally positive direction when compared with non-standardized handoffs. The authors suggest additional research into pre- and intra-operative handoffs is needed.

… J Patient Saf … Morbidity and mortality conferences (MMC) … and do not just talk the talk, but also walk the walk. … Lazzara EH, Salisbury M, Hughes AM, et al. The morbidity and … conference: opportunities for enhancing patient safety. J Patient Saf. 2022;18(1):e275-e281. …

… J Patient Saf … High reliability remains an elusive goal for … perfect medical team: critical components for adaptation. J Patient Saf. 2021;17(2):e47-e70. …

… Journal of patient safety … J Patient Saf … Communication errors in health care are a …

This meta-analysis of handoff protocols found that standardizing handoffs has led to improvements in amount of information passed on, patient outcomes, and provider satisfaction. Although the authors caution that structured handoffs can take longer than usual handoff practices and that errors of omission can persist, they conclude that handoff protocols enhance patient safety across multiple care settings.

… Jt Comm J Qual Patient Saf … Jt Comm J Qual Patient Saf … Updating an earlier article that …

This validation study found that the TeamSTEPPS questionnaire—which explores perceptions of teamwork within health care settings—reliably measures how staff perceive leadership, mutual support, situation monitoring, communication, and team structure. According to these findings, this instrument provides a valid way to assess teamwork for safety research and improvement efforts.

… Jt Comm J Qual Patient Saf … Jt Comm J Qual Patient Saf … This commentary outlines key factors to …

This scientific statement from the American Heart Association (AHA) reviews the current state of knowledge on safety issues in the operating room (OR) and provides detailed recommendations for hospitals to implement to improve safety and patient outcomes. These recommendations include using checklists and formal handoff protocols for every procedure, teamwork training and other approaches to enhance safety culture, applying human factors engineering principles to optimize OR design and minimize fatigue, and taking steps to discourage disruptive behavior by clinicians. AHA scientific statements, which are considered the standard of care for cardiac patients, have traditionally focused on clinical issues, but this article (and an earlier statement on medication error prevention) illustrates the critical importance of ensuring safety in this complex group of patients.

… Commission journal on quality and patient safety … Jt Comm J Qual Patient Saf … Teamwork training programs continue to …

… Commission journal on quality and patient safety … Jt Comm J Qual Patient Saf … This analysis reviews elements of …

… Journal of Patient Safety … J Patient Saf … This article discusses how an organization …