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PA-PSRS Patient Saf Advis. June 2009;6:39-45.
This piece identifies risk factors associated with retention of foreign objects and suggests several tactics to prevent its occurrence.
O'Reilly KB. American Medical News. June 14, 2010.
This news piece discusses how the health care industry can apply aviation safety methodologies to guide improvement.
Journal Article > Study
Halverson AL, Casey JT, Andersson J, et al. Surgery. 2011;49:305-310.
Communication failures are a well-characterized source of errors in the operating room. This study used direct observation of surgical procedures to assess the incidence, types, and consequences of surgical communication problems, and found that failure to discuss equipment problems and progress of the procedure were common, resulting in delays, inefficiency, and workarounds. Teamwork training and implementation of formalized checklists have successfully improved communication and clinical outcomes in surgical patients, and in this study, implementation of a teamwork training program was associated with fewer communication failures.
Journal Article > Review
Hull L, Arora S, Aggarwal R, Darzi A, Vincent C, Sevdalis N. J Am Coll Surg. 2012;214:214-230.
Inadequate teamwork and communication are recurrent themes in studies of patient safety in the operating room. This systematic review evaluated the association between these nontechnical skills and surgeons' technical performance of procedures and found strong evidence that nontechnical skills can both positively and negatively affect technical performance. Specifically, fatigue and teamwork failures were associated with technical error, but receipt of structured feedback on procedures was associated with improved technical skills. Several successful interventions have been shown to improve patient outcomes in part by addressing deficits in nontechnical skills, such as teamwork training programs and the development of surgical checklists.
Journal Article > Commentary
Link T. AORN J. 2018;108:165-177.
Although team development has received increased attention in health care, miscommunications that affect patient safety continue to occur. This commentary reviews factors that contribute to poor communication behaviors among perioperative nurses and summarizes guidance on how to improve team communication, such as use of standardized checklists and briefings.