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Edbrooke-Childs J, Hayes J, Sharples E, et al. BMJ Qual Saf. 2018;27:365-372.
Edbrooke-Childs J ; Hayes J ; Sharples E; et al. Development of the Huddle Observation Tool for structured case management discussions to improve situation awareness on inpatient clinical wards. BMJ Qual Saf. 2018; 27: 365-372
Huddles are frequently used in health care to enhance situational awareness. This study describes the development of an observation tool designed to evaluate the effectiveness of team huddles in the inpatient setting.
TeamSTEPPS Master Training Course.
Johns Hopkins Armstrong Institute for Patient Safety and Quality. March 5-6, 2019; Constellation Energy Building, Baltimore, MD.
Debriefing for Clinical Learning
Data omission by physician trainees on ICU rounds.
Artis KA, Bordley J, Mohan V, Gold JA. Crit Care Med. 2018 Dec 20; [Epub ahead of print].
Advancing patient safety through the clinical application of a framework focused on communication.
Manojlovich M, Hofer TP, Krein SL. J Patient Saf. 2018 Oct 31; [Epub ahead of print].
Adverse events during dental care for children: implications for practitioner health and wellness.
Nainar SMH. Pediatr Dent. 2018;40:323-326.
How communications issues between doctors and nurses can affect your health.
Howley EK. US News & World Report. September 5, 2018.
Guideline implementation: team communication.
Link T. AORN J. 2018;108:165-177.
Critical role of the surgeon–anesthesiologist relationship for patient safety.
Cooper JB. Anesthesiology. 2018;129:402-405.
Redesigning rounds in the ICU: standardizing key elements improves interdisciplinary communication.
O'Brien A, O'Reilly K, Dechen T, et al. Jt Comm J Qual Patient Saf. 2018;44:590-598.
Formative evaluation of the video reflexive ethnography method, as applied to the physician–nurse dyad.
Manojlovich M, Frankel RM, Harrod M, et al. BMJ Qual Saf. 2019;28:160-166.
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.
Analysis of errors in dictated clinical documents assisted by speech recognition software and professional transcriptionists.
Zhou L, Blackley SV, Kowalski L, et al. JAMA Network Open. 2018;1:e180530.
In Conversation With… Shantanu Nundy, MD
When bullying affects patient safety.
AORN J. 2018;108:78-80.
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. 2019;28:39-48.
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.
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.
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.
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.
Workarounds to intended use of health information technology: a narrative review of the human factors engineering literature.
Patterson ES. Hum Factors. 2018;60:281-292.
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.
Empowering informal caregivers with health information: OpenNotes as a safety strategy.
Chimowitz H, Gerard M, Fossa M, Bourgeois F, Bell SK. Jt Comm J Qual Patient Saf. 2018;44:130-136.
Communication failure: analysis of prescribers' use of an internal free-text field on electronic prescriptions.
Ai A, Wong A, Amato M, Wright A. J Am Med Inform Assoc. 2018;25:709-714.
A culture of civility: positively impacting practice and patient safety.
Makic MBF. J Perianesth Nurs. 2018;33:220-222.
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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