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21. Situation, background, assessment, and recommendation–guided huddles improve communication and teamwork in the emergency department. | PSNet
    psnet.ahrq.gov/issue/situation-background-assessment-and-recommendation-guided-huddles-improve-communication-and
    September 23, 2020 - Study Situation, background, assessment, and recommendation–guided huddles improve … Situation, Background, Assessment, and Recommendation-Guided Huddles Improve Communication and Teamwork … Situation, Background, Assessment, and Recommendation-Guided Huddles Improve Communication and Teamwork

22. Mind the gap between recommendation and implementation—principles and lessons in the aftermath of incident investigations: a semi-quantitative and qualitative study of factors leading to the successful implementation of recommendations. | PSNet
    psnet.ahrq.gov/issue/mind-gap-between-recommendation-and-implementation-principles-and-lessons-aftermath-incident
    March 11, 2020 - Study Mind the gap between recommendation and implementation—principles and lessons … Mind the gap between recommendation and implementation—principles and lessons in the aftermath of incident … Mind the gap between recommendation and implementation—principles and lessons in the aftermath of incident

23. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/47966/psn-pdf
    May 29, 2019 - Featured tools include the Situation-Background-Assessment-Recommendation approach, huddle agendas, … psnet.ahrq.gov/primer/teamwork-training https://psnet.ahrq.gov/issue/situation-background-assessment-recommendation-sbar-communication-tool-handoff-health-care

24. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/850357/psn-pdf
    June 14, 2023 - This report sets out the government’s response to each recommendation, including the agency responsible … for each recommendation, where applicable.

25. Start using a checklist, PRONTO: recommendation for a standard review process for chemotherapy orders. | PSNet
    psnet.ahrq.gov/issue/start-using-checklist-pronto-recommendation-standard-review-process-chemotherapy-orders
    March 04, 2015 - Commentary Start using a checklist, PRONTO: recommendation for a standard review … Start using a checklist, PRONTO: Recommendation for a standard review process for chemotherapy orders … Start using a checklist, PRONTO: Recommendation for a standard review process for chemotherapy orders

26. Government Response to the Investigation into the Death of Elizabeth Dixon. | PSNet
    psnet.ahrq.gov/issue/government-response-investigation-death-elizabeth-dixon
    February 19, 2020 - This report sets out the government’s response to each recommendation, including the agency responsible … for each recommendation, where applicable.

27. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/50575/psn-pdf
    October 23, 2019 - dynamic-pocket-card-implementing-isbar-shift-handover-communication Structured communication methods such as SBAR (situation, background, assessment, recommendation … ) or ISBAR (identify, situation, background, assessment, recommendation)  were developed to improve

28. SBAR improves communication and safety climate and decreases incident reports due to communication errors in an anaesthetic clinic: a prospective intervention study. | PSNet
    psnet.ahrq.gov/issue/sbar-improves-communication-and-safety-climate-and-decreases-incident-reports-due
    June 01, 2016 - Introduction of the SBAR (situation-background-assessment-recommendation) communication tool at two … Related Resources From the Same Author(s) Implementing situation-background-assessment-recommendation … August 16, 2017 Implementing situation-background-assessment-recommendation in an anaesthetic

29. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/74236/psn-pdf
    January 12, 2022 - can-sbar-be-implemented-high-fidelity-and-does-it-improve-communication- between-healthcare Situation, Background, Assessment, Recommendation … can-sbar-be-implemented-high-fidelity-and-does-it-improve-communication-between-healthcare https://psnet.ahrq.gov/issue/situation-background-assessment-recommendation-sbar-communication-tool-handoff-health-care

30. Dynamic pocket card for implementing ISBAR in shift handover communication. | PSNet
    psnet.ahrq.gov/issue/dynamic-pocket-card-implementing-isbar-shift-handover-communication
    July 10, 2024 - Structured communication methods   such as SBAR (situation, background, assessment, recommendation) … or ISBAR (identify, situation, background, assessment, recommendation)  were developed to improve

31. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/867089/psn-pdf
    November 06, 2024 - Escalation of care, SBAR ( situation, background, assessment, recommendation), and “ask a question, … interprofessional-education-collaborative-core-competencies-interprofessional-collaborative https://psnet.ahrq.gov/issue/situation-background-assessment-recommendation-sbar-communication-tool-handoff-health-care

32. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/74853/psn-pdf
    February 24, 2022 - briefings; (2) safety leadership rounds; (3) unit-based huddles; (4) Situation Background Assessment Recommendation … patient-safety-rounds-pilot-program-clinics-affiliated-large-research-and-education https://psnet.ahrq.gov/issue/situation-background-assessment-recommendation-sbar-communication-tool-handoff-health-care

33. Can SBAR be implemented with high fidelity and does it improve communication between healthcare workers? A systematic review. | PSNet
    psnet.ahrq.gov/issue/can-sbar-be-implemented-high-fidelity-and-does-it-improve-communication-between-healthcare
    June 22, 2022 - Situation, Background, Assessment, Recommendation (SBAR) is a mnemonic technique used to avoid communication … February 23, 2022 Situation, background, assessment, recommendation (SBAR) communication

34. PSNet Curated Library (pdf file)
    psnet.ahrq.gov/print/pdf/node/848754
    January 01, 2025 - https://psnet.ahrq.gov/issue/mind-gap-between-recommendation-and-implementation-principles-and-lessons-aftermath-incident … https://psnet.ahrq.gov/issue/mind-gap-between-recommendation-and-implementation-principles-and-lessons-aftermath-incident … https://psnet.ahrq.gov/issue/mind-gap-between-recommendation-and-implementation-principles-and-lessons-aftermath-incident … Mind the gap between recommendation and implementation—principles and lessons in the aftermath of incident … https://psnet.ahrq.gov/issue/mind-gap-between-recommendation-and-implementation-principles-and-lessons-aftermath-incident

35. SBAR improves nurse–physician communication and reduces unexpected death: a pre and post intervention study. | PSNet
    psnet.ahrq.gov/issue/sbar-improves-nurse-physician-communication-and-reduces-unexpected-death-pre-and-post
    November 21, 2018 - with a standardized nurse–physician communication method, SBAR (situation, background, assessment, recommendation … January 3, 2017 Implementing situation-background-assessment-recommendation in an anaesthetic

36. Spotlight Case July 2008 (ppt file)
    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.293_slideshow.ppt
    March 01, 2013 - interventions must exist to support accurate measurement, recording, and display of pediatric weights * Recommendation … Pediatrics. 2009;124:1233-1243. http://www.ncbi.nlm.nih.gov/pubmed/19770172 Recommendation #2 Because … * * Recommendation #3 Consider implementation of automated clinical decision support tools within … to expected weight in real-time to capture obvious discrepancies for the data-entry user * * Recommendation

37. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/33567/psn-pdf
    June 15, 2024 - Another structured handoff tool is Situation, Background, Assessment, Recommendation (SBAR).  1. … Recommendation: What would you suggest or recommend? (Propose the next steps or actions needed.) … effect-electronic-sbar-communication-tool-documentation-acute-events-pediatric-intensive-care https://psnet.ahrq.gov/issue/implementing-situation-background-assessment-recommendation-anaesthetic-clinic-and-subsequent

38. Performance variability in perioperative sentinel events: report on a nationwide data set. | PSNet
    psnet.ahrq.gov/issue/performance-variability-perioperative-sentinel-events-report-nationwide-data-set
    November 04, 2020 - Grading recommendations for enhanced patient safety in sentinel event analysis: the recommendation … Grading recommendations for enhanced patient safety in sentinel event analysis: the recommendation

39. Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer | PSNet
    psnet.ahrq.gov/innovation/ambulatory-safety-nets-reduce-missed-and-delayed-diagnoses-cancer
    February 26, 2025 - Information technology registries, tools, and analytic capabilities to track each clinically necessary recommendation … The lung cancer safety net was constructed based on radiologist recommendation for follow-up imaging … radiology reports A lack of a harmonized radiology report 22 Variations in radiologist follow-up recommendation … One gap discovered by the team is how radiologists report and make recommendations, including what recommendation … CEBI team realized they needed systems to determine whether radiology reports contained a follow-up recommendation

40. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/841786/psn-pdf
    December 21, 2022 - federal agency to provide support for patient safety data collection, national incident analysis, and recommendation