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Lee MJ. Clin Orthop Relat Res. 2013-2018.
This quarterly commentary explores a wide range of subjects associated with patient safety, such as the impact of disruptive behavior on teams, the value of apologies, and work hour reforms. Older materials are available online for free.
Why do we still page each other? Examining the frequency, types and senders of pages in academic medical services.
Carlile N, Rhatigan JJ, Bates DW. BMJ Qual Saf. 2017;26:24-29.
The role of documents and documentation in communication failure across the perioperative pathway. A literature review.
Braaf S, Manias E, Riley R. Int J Nurs Stud. 2011;48:1024-1038.
Using incident reports to assess communication failures and patient outcomes.
Umberfield E, Ghaferi AA, Krein SL, Manojlovich M. Jt Comm J Qual Patient Saf. 2019 Mar 29; [Epub ahead of print].
Learning From Invited Reviews.
London, UK: Royal College of Surgeons of England; 2019.
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].
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].
Medicines-related harm in the elderly post-hospital discharge.
Cheong V-L, Tomlinson J, Khan S, Petty D. Prescriber. 2019;30:29-34.
Data omission by physician trainees on ICU rounds.
Artis KA, Bordley J, Mohan V, Gold JA. Crit Care Med. 2019;47:403-409.
Holding out for an apology.
Mind the overlap: how system problems contribute to cognitive failure and diagnostic errors.
Gupta A, Harrod M, Quinn M, et al. Diagnosis (Berl). 2018;5:151-156.
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.
Effect of a pediatric early warning system on all-cause mortality in hospitalized pediatric patients.
Parshuram CS, Dryden-Palmer K, Farrell C, et al; Canadian Critical Care Trials Group and EPOCH Investigators. JAMA. 2018;319:1002-1012.
Reducing interdisciplinary communication failures through secure text messaging: a quality improvement project.
Hansen JE, Lazow M, Hagedorn PA. Pediatr Qual Saf. 2018;3:e053.
The effects of crew resource management on teamwork and safety climate at Veterans Health Administration facilities.
Schwartz ME, Welsh DE, Paull DE, et al. J Healthc Risk Manag. 2018;38:17-37.
Night-time communication at Stanford University Hospital: perceptions, reality and solutions.
Sun AJ, Wang L, Go M, Eggers Z, Deng R, Maggio P, Shieh L. BMJ Qual Saf. 2018;27:156-162.
The clinical and medicolegal implications of radiology results communication.
Aryal B, Khorsand DA, Dubinsky TJ. Curr Probl Diagn Radiol. 2018;47:287-289.
Team-based care: the changing face of cardiothoracic surgery.
Crawford TC, Conte JV, Sanchez JA. Surg Clin North Am. 2017;97:801-810.
Understanding the multidimensional effects of resident duty hours restrictions: a thematic analysis of published viewpoints in surgery.
Devitt KS, Kim MJ, Gotlib Conn L, et al. Acad Med. 2018;93:324-333.
ISMP Survey on Texting Medical Orders.
Institute for Safe Medication Practices.
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.
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.
Patient safety in community dementia services: what can we learn from the experiences of caregivers and healthcare professionals?
Behrman S, Wilkinson P, Lloyd H, Vincent C. Age Ageing. 2017;46:518-521.
Operative team communication during simulated emergencies: too busy to respond?
Davis WA, Jones S, Crowell-Kuhnberg AM, et al. Surgery. 2017;161:1348-1356.
Computer-assisted process modeling to enhance intraoperative safety in cardiac surgery.
Tarola CL, Quin JA, Haime ME, et al. JAMA Surg. 2016;151:1183-1186.
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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