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Cabral RA, Eggenberger T, Keller K, Gallison BS, Newman D. AORN J. 2016;104:206-216.
Cabral RA ; Eggenberger T ; Keller K; et al. Use of a surgical safety checklist to improve team communication. AORN J. 2016; 104: 206-216
Surgical team communication is an important element of safe care. This project report describes how one hospital implemented a checklist program that utilized time outs and debriefings to support transparency and improve surgical teamwork behaviors.
Guideline implementation: team communication.
Link T. AORN J. 2018;108:165-177.
Effect of systematic physician cross-checking on reducing adverse events in the emergency department: the CHARMED cluster randomized trial.
Freund Y, Goulet H, Leblanc J, et al. JAMA Intern Med. 2018;178:812-819.
Enhanced time out: an improved communication process.
Nelson PE. AORN J. 2017;105:564-570.
Introductions during time-outs: do surgical team members know one another's names?
Birnbach DJ, Rosen LF, Fitzpatrick M, Paige JT, Arheart KL. Jt Comm J Qual Patient Saf. 2017;43:284-288.
Implementing delivery room checklists and communication standards in a multi-neonatal ICU quality improvement collaborative.
Bennett SC, Finer N, Halamek LP, et al. Jt Comm J Qual Patient Saf. 2016;42:369-376.
Guideline for prevention of retained surgical items.
Putnam K. AORN J. 2015;102:P11-P13.
Patient safety in the OR.
Stempniak M. Hosp Health Netw. 2012 Oct;86:8 p following 40.
Use of the WHO surgical safety checklist in trauma and orthopaedic patients.
Sewell M, Adebibe M, Jayakumar P, et al. Int Orthop. 2011;35:897-901.
Interruptions and distractions in healthcare: review and reappraisal.
Rivera-Rodriguez AJ, Karsh BT. Qual Saf Health Care. 2010;19:304-312.
Adequacy of hospital discharge summaries in documenting tests with pending results and outpatient follow-up providers.
Were MC, Li X, Kesterson J, et al. J Gen Intern Med. 2009;24:1002-1006.
Silence, power and communication in the operating room.
Gardezi F, Lingard L, Espin S, Whyte S, Orser B, Baker GR. J Adv Nurs. 2009;65:1390-1399.
Healthcare 411: medication safety toolkit.
Bethesda, MD; Agency for Healthcare Research and Quality. February 25, 2009.
A practical framework for patient care teams to prospectively identify and mitigate clinical hazards.
Herzer KR, Rodriguez-Paz JM, Doyle PA, et al. Jt Comm J Qual Patient Saf. 2009;35:72-81.
Interruptions and distractions: workflow intrusions at a level-one trauma center.
Brixey JJ, Robinson DJ, Zhang J, Turley JP. Focus Patient Saf. 2008;11:3-4,5.
Error reduction through team leadership: applying aviation's CRM model in the OR.
Healy GB, Barker J, Madonna G. Bull Am Coll Surg. February 2006;91:10-15.
Communicating Critical Test Results.
Burlington, MA: Massachusetts Coalition for the Prevention of Medical Errors; 2003.
TeamSTEPPS Master Training Course.
Johns Hopkins Armstrong Institute for Patient Safety and Quality. June 25-26, 2019; Constellation Energy Building, Baltimore, MD.
Debriefing in the OR: a quality improvement project.
Finch EP, Langston M, Erickson D, Pereira K. AORN J. 2019;109:336-344.
Failure to debrief after critical events in anesthesia is associated with failures in communication during the event.
Arriaga AF, Sweeney RE, Clapp JT, et al. Anesthesiology. 2019 Mar 1; [Epub ahead of print].
Teamwork—Part 1: Divided We Fall; Part 2: Cursed By Knowledge—Building a Culture of Psychological Safety; and Part 3: The Not-My-Problem Problem.
Rosenbaum L. N Engl J Med. 2019;380:684-688;786-790;881-885.
The path to diagnostic excellence includes feedback to calibrate how clinicians think.
Meyer AND, Singh H. JAMA. 2019;321:737-738.
The impact of mobile technology on teamwork and communication in hospitals: a systematic review.
Martin G, Khajuria A, Arora S, King D, Ashrafian H, Darzi A. J Am Med Inform Assoc. 2019;26:339-355.
Characterising ICU–ward handoffs at three academic medical centres: process and perceptions.
Santhosh L, Lyons PG, Rojas JC, et al. BMJ Qual Saf. 2019 Jan 12; [Epub ahead of print].
Operating room fires.
Jones TS, Black IH, Robinson TN, Jones EL. Anesthesiology. 2019;130:492-501.
PSNET: Patient Safety Network
PSNet is produced for the Agency for Healthcare Research and Quality by a team of editors at the University of California, San Francisco with guidance from a prominent Technical Expert/Advisory Panel. The AHRQ PSNet site was designed and implemented by Silverchair.
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