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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.
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. November 13-14, 2018; Constellation Energy Building, Baltimore, MD.
In Conversation With… Shantanu Nundy, MD
Speaking up about patient safety concerns: the influence of safety management approaches and climate on nurses' willingness to speak up.
Alingh CW, van Wijngaarden JDH, van de Voorde K, Paauwe J, Huijsman R. BMJ Qual Saf. 2018 Jun 28; [Epub ahead of print].
Surgical checklists save lives—but once in a while, they don't. Why?
Mukherjee S. New York Times Magazine. May 9, 2018.
Ward round template: enhancing patient safety on ward rounds.
Gilliland N, Catherwood N, Chen S, Browne P, Wilson J, Burden H. BMJ Open Qual. 2018;7:e000170.
The need for closed-loop systems for management of abnormal test results.
Zuccotti G, Samal L, Maloney FL, Ai A, Wright A. Ann Intern Med. 2018;168:820-821.
Challenges in communication from referring clinicians to pathologists in the electronic health record era.
Barbieri AL, Fadare O, Fan L, Singh H, Parkash V. J Pathol Inform. 2018;9:8.
Factors associated with the use of cognitive aids in operating room crises: a cross-sectional study of US hospitals and ambulatory surgical centers.
Alidina S, Goldhaber-Fiebert SN, Hannenberg AA, et al. Implement Sci. 2018;13:50.
Perceptions of rounding checklists in the intensive care unit: a qualitative study.
Hallam BD, Kuza CC, Rak K, et al. BMJ Qual Saf. 2018 Mar 23; [Epub ahead of print].
Using the patient safety huddle as a tool for high reliability.
Brass SD, Olney G, Glimp R, Lemaire A, Kingston M. Jt Comm J Qual Saf. 2018;44:219-226.
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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