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  1. Prolonged DKA in Pregnancy: A Case of Communication Breakdown. | PSNet

    psnet.ahrq.gov/web-mm/prolonged-dka-pregnancy-case-communication-breakdown
    June 28, 2023 - Several tools can help: SBAR (Situation, Background, Assessment, Recommendation). … Example of SBAR (Primary provider to MFM consultant): Situation : I am caring for a patient who is vomiting … SBAR, CUS words, and Closed Loop communication are tools that health care providers can use to improve

  2. 'I think we should just listen and get out': a qualitative exploration of views and experiences of Patient Safety Walkrounds. | PSNet

    psnet.ahrq.gov/issue/i-think-we-should-just-listen-and-get-out-qualitative-exploration-views-and-experiences
    June 22, 2022 - July 10, 2019 Can SBAR be implemented with high fidelity and does it improve communication

  3. The effects of rudeness, experience, and perspective-taking on challenging premature closure after pediatric ICU physicians receive hand-off with the wrong diagnosis: a randomized controlled simulation trial. | PSNet

    psnet.ahrq.gov/issue/effects-rudeness-experience-and-perspective-taking-challenging-premature-closure-after
    February 16, 2022 - October 26, 2022 Impact of the communication and patient hand-off tool SBAR on patient

  4. Dimensions of safety culture: a systematic review of quantitative, qualitative and mixed methods for assessing safety culture in hospitals. | PSNet

    psnet.ahrq.gov/issue/dimensions-safety-culture-systematic-review-quantitative-qualitative-and-mixed-methods
    October 26, 2022 - March 24, 2021 Impact of the communication and patient hand-off tool SBAR on patient

  5. Adverse events in long-term care residents transitioning from hospital back to nursing home. | PSNet

    psnet.ahrq.gov/issue/adverse-events-long-term-care-residents-transitioning-hospital-back-nursing-home
    April 28, 2021 - 22, 2018 Randomized trial of a warfarin communication protocol for nursing homes: an SBAR-based

  6. Patient safety in inpatient mental health settings: a systematic review. | PSNet

    psnet.ahrq.gov/issue/patient-safety-inpatient-mental-health-settings-systematic-review
    November 13, 2019 - October 5, 2022 Impact of the communication and patient hand-off tool SBAR on patient

  7. Patient handoffs and multi-specialty trainee perspectives across an institution: informing recommendations for health systems and an expanded conceptual framework for handoffs. | PSNet

    psnet.ahrq.gov/issue/patient-handoffs-and-multi-specialty-trainee-perspectives-across-institution-informing
    February 23, 2022 - December 21, 2014 SBAR M&M: a feasible, reliable, and valid tool to assess the quality

  8. Identification of patient information corruption in the intensive care unit: using a scoring tool to direct quality improvements in handover. | PSNet

    psnet.ahrq.gov/issue/identification-patient-information-corruption-intensive-care-unit-using-scoring-tool-direct
    August 04, 2021 - January 3, 2017 The effect of an electronic SBAR communication tool on documentation

  9. Predictors of response rates of safety culture questionnaires in healthcare: a systematic review and analysis. | PSNet

    psnet.ahrq.gov/issue/predictors-response-rates-safety-culture-questionnaires-healthcare-systematic-review-and
    September 01, 2021 - July 21, 2021 Impact of the communication and patient hand-off tool SBAR on patient safety

  10. Patterns in nursing home medication errors: disproportionality analysis as a novel method to identify quality improvement opportunities. | PSNet

    psnet.ahrq.gov/issue/patterns-nursing-home-medication-errors-disproportionality-analysis-novel-method-identify
    August 07, 2013 - 9, 2011 Randomized trial of a warfarin communication protocol for nursing homes: an SBAR-based

  11. Nurses' perceptions of an electronic patient record from a patient safety perspective: a qualitative study. | PSNet

    psnet.ahrq.gov/issue/nurses-perceptions-electronic-patient-record-patient-safety-perspective-qualitative-study
    October 09, 2013 - December 18, 2017 SBAR improves communication and safety climate and decreases incident

  12. Physician engagement in organisational patient safety through the implementation of a Medical Safety Huddle initiative: a qualitative study. | PSNet

    psnet.ahrq.gov/issue/physician-engagement-organisational-patient-safety-through-implementation-medical-safety
    February 22, 2011 - June 22, 2022 Can SBAR be implemented with high fidelity and does it improve communication

  13. Medication discrepancies upon hospital to skilled nursing facility transitions. | PSNet

    psnet.ahrq.gov/issue/medication-discrepancies-upon-hospital-skilled-nursing-facility-transitions
    July 20, 2011 - 3, 2017 Randomized trial of a warfarin communication protocol for nursing homes: an SBAR-based

  14. Preoperative briefing in the operating room: shared cognition, teamwork, and patient safety. | PSNet

    psnet.ahrq.gov/issue/preoperative-briefing-operating-room-shared-cognition-teamwork-and-patient-safety
    May 02, 2012 - October 12, 2022 The effect of an electronic SBAR communication tool on documentation

  15. Medication errors in the homes of children with chronic conditions. | PSNet

    psnet.ahrq.gov/issue/medication-errors-homes-children-chronic-conditions
    April 27, 2010 - 22, 2018 Randomized trial of a warfarin communication protocol for nursing homes: an SBAR-based

  16. Variation in safety culture dimensions within and between US and Swiss Hospital units: an exploratory study. | PSNet

    psnet.ahrq.gov/issue/variation-safety-culture-dimensions-within-and-between-us-and-swiss-hospital-units
    October 08, 2013 - February 19, 2014 SBAR improves nurse–physician communication and reduces unexpected

  17. Impact of health information technology interventions to improve medication laboratory monitoring for ambulatory patients: a systematic review. | PSNet

    psnet.ahrq.gov/issue/impact-health-information-technology-interventions-improve-medication-laboratory-monitoring
    August 11, 2010 - 6, 2013 Randomized trial of a warfarin communication protocol for nursing homes: an SBAR-based

  18. Parent preferences for medical error disclosure: a qualitative study. | PSNet

    psnet.ahrq.gov/issue/parent-preferences-medical-error-disclosure-qualitative-study
    January 25, 2017 - April 12, 2011 Can SBAR be implemented with high fidelity and does it improve communication

  19. Patient safety in dentistry—state of play as revealed by a national database of errors. | PSNet

    psnet.ahrq.gov/issue/patient-safety-dentistry-state-play-revealed-national-database-errors
    August 29, 2018 - August 29, 2018 The effect of an electronic SBAR communication tool on documentation

  20. Novel analysis of clinically relevant diagnostic errors in point-of-care devices. | PSNet

    psnet.ahrq.gov/issue/novel-analysis-clinically-relevant-diagnostic-errors-point-care-devices
    June 21, 2016 - 9, 2011 Randomized trial of a warfarin communication protocol for nursing homes: an SBAR-based
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