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Journal Article > Commentary
Mock trial at 2009 RSNA annual meeting: jury exonerates radiologist for failure to communicate abnormal finding—but...
Berlin L. Radiology. 2010;257:836-845.
This commentary provides insights into the legal process through a fictitious malpractice trial of a radiologist whose communication and follow-up processes were labeled as unreliable and contributed to diagnostic error.
Journal Article > Study
Improving handoff communications in critical care: utilizing simulation-based training toward process improvement in managing patient risk.
Berkenstadt H, Haviv Y, Tuval A, et al. Chest. 2008;134:158-162.
Simulation training is being widely implemented in health care, in settings ranging from the emergency department to the operating room. Acting in response to an incident of preventable hypoglycemia, this Israeli hospital conducted a simulation training exercise focusing on teamwork training for nurses, with the goal of improving patient handoffs. The intervention resulted in improvement in nurses' communication of critical information during handoffs.
Cases & Commentaries
- Spotlight Case
- Web M&M
Matthew B. Weinger, MD; George T. Blike, MD; September 2003
An infant acutely desaturates following an ED nurse's premature administration of a paralytic medication.