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Search results for "Policies and Operations"
Journal Article > Study
A policy-based intervention for the reduction of communication breakdowns in inpatient surgical care: results from a Harvard surgical safety collaborative.
Arriaga AF, Elbardissi AW, Regenbogen SE, et al. Ann Surg. 2011;253:849-854.
Communication failures in the surgical setting are a known threat to patient safety and the second most common root cause of adverse events (following technical errors). This study implemented a set of tailored policy and education initiatives at 4 teaching hospitals in an effort to increase timely and consistent resident–attending communication and promote attending visits with surgical patients. Investigators analyzed more than 200 critical events and 1300 patient cases and noted significant improvements in communication between residents and attendings. The number of patients not visited by attendings on weekends decreased by half, and the improved communications resulted in attending-level changes in patient management a third of the time. An accompanying editorial [see link below] discusses the study's findings and emphasizes the importance of simply setting clear and explicit expectations for communication. A past AHRQ WebM&M perspective discusses surgical safety with this study's senior author, Dr. Atul Gawande.
Journal Article > Commentary
Singh H, Vij MS. Jt Comm J Qual Patient Saf. 2010;36:226-232.
This article details specific principles for developing organizational policies to improve test-result communication.
Oakbrook, IL: Joint Commission Resources; 2007. ISBN: 9781599400846.
This workbook includes background on disruptive behaviors and provides tools for health care managers to develop awareness initiatives and policies to reduce the impact and occurrence of such behavior.