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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.
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.
Mobilising or standing still? A narrative review of Surgical Safety Checklist knowledge as developed in 25 highly cited papers from 2009 to 2016.
Mitchell B, Cristancho S, Nyhof BB, Lingard LA. BMJ Qual Saf. 2017 Jun 3; [Epub ahead of print].
Prospective evaluation of a multifaceted intervention to improve outcomes in intensive care: the Promoting Respect and Ongoing Safety through Patient Engagement Communication and Technology study.
Dykes PC, Rozenblum R, Dalal A, et al. Crit Care Med. 2017 May 3; [Epub ahead of print].
Does a checklist reduce the number of errors made in nurse-assembled discharge prescriptions?
Byrne C, Sierra H, Tolhurst R. Br J Nurs. 2017;26:464-467.
Mortality trends after a voluntary checklist-based surgical safety collaborative.
Haynes AB, Edmondson L, Lipsitz SR, et al. Ann Surg. 2017 Apr 6; [Epub ahead of print].
Translating concerns into action: a detailed qualitative evaluation of an interdisciplinary intervention on medical wards.
Pannick S, Archer S, Johnston MJ, et al. BMJ Open. 2017;7:e014401.
Creating a Pediatric Joint Council to promote patient safety and quality, governance, and accountability across Johns Hopkins Medicine.
Rosen M, Mueller BU, Milstone AM, et al. Jt Comm J Qual Patient Saf. 2017;43:224-231.
Flying lessons for clinicians: developing system 2 practice.
Gregoire JN, Alfes CM, Reimer AP, Terhaar MF. Air Med J. 2017;36:135-137.
The potential of collective intelligence in emergency medicine.
Kämmer JE, Hautz WE, Herzog SM, Kunina-Habenicht O, Kurvers RHJM. Med Decis Making. 2017 Mar 1; [Epub ahead of print].
Examining the nature of interprofessional interventions designed to promote patient safety: a narrative review.
Reeves S, Clark E, Lawton S, Ream M, Ross F. Int J Qual Health Care. 2017;29:144-150.
Improving communication with primary care physicians at the time of hospital discharge.
Destino LA, Dixit A, Pantaleoni JL, et al. Jt Comm J Qual Patient Saf. 2017;43:80-88.
Year-end resident clinic handoffs: narrative review and recommendations for improvement.
Pincavage AT, Donnelly MJ, Young JQ, Arora VM. Jt Comm J Qual Patient Saf. 2017;43:71-79.
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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