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  1. Overcoming human barriers to safety event reporting in radiology. | PSNet

    psnet.ahrq.gov/issue/overcoming-human-barriers-safety-event-reporting-radiology
    February 09, 2022 - conditions that deter raising concerns, including use of structured communication methods such as SBAR

  2. Learn From Defects Tool—Perioperative Setting | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/tools/surgery/tools/applying-cusp/learn-from-defects.html
    December 01, 2017 - Enhance communication (e.g., check-back, SBAR). Software enhancement or modifications. … SBAR = situation, background, assessment, recommendation and request. … Enhance communication (e.g., check-back, SBAR). Software enhancement or modifications. … SBAR= situation, background, assessment, recommendation and request How this can play out: After

  3. Understanding Quality and Safety Problems in the Ambulatory Environment: Seeking Improvement With Promising Teamwork Tools and Strategies (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Webster_76.pdf
    July 18, 2008 - Structured communication and handoffs: SBAR. … SBAR (Situation, Background, Assessment, and Recommendation) is a structured communication technique … SBAR is a superb tool71 for updating clinical circumstances or relating patient information. … In the ambulatory setting, among DoD personnel, SBAR has been used effectively in emergency transport … SBAR: A shared mental model for improving communication between clinicians.

  4. Scathing report on Kaiser kidney program. Transplant delays assailed -- Medicare threatens to end coverage. | PSNet

    psnet.ahrq.gov/issue/scathing-report-kaiser-kidney-program-transplant-delays-assailed-medicare-threatens-end
    March 29, 2023 - Enhancing patient safety during hand-offs: standardized communication and teamwork using the 'SBAR

  5. One group of doctors changes its ways. | PSNet

    psnet.ahrq.gov/issue/one-group-doctors-changes-its-ways
    February 04, 2015 - Enhancing patient safety during hand-offs: standardized communication and teamwork using the 'SBAR

  6. Patient Safety Through Teamwork and Communication Toolkit. | PSNet

    psnet.ahrq.gov/issue/patient-safety-through-teamwork-and-communication-toolkit
    October 25, 2013 - View More See More About The Topic Online Education Teamwork Training SBAR

  7. New York City puts hospital error data online. | PSNet

    psnet.ahrq.gov/issue/new-york-city-puts-hospital-error-data-online
    January 23, 2019 - Enhancing patient safety during hand-offs: standardized communication and teamwork using the 'SBAR

  8. Integration of a formalized handoff system into the surgical curriculum: resident perspectives and early results. | PSNet

    psnet.ahrq.gov/issue/integration-formalized-handoff-system-surgical-curriculum-resident-perspectives-and-early
    May 25, 2016 - This study adopted SBAR as part of a handoff curriculum, and found that it addressed commonly encountered

  9. A leadership initiative to improve communication and enhance safety. | PSNet

    psnet.ahrq.gov/issue/leadership-initiative-improve-communication-and-enhance-safety
    March 11, 2009 - This commentary discusses how one hospital implemented SBAR and successfully improved paraprofessional

  10. Enhancing Care Coordination for CR Resource Guide (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/care-coordination-resource-guide.pdf
    November 17, 2022 - IHI - SBAR Tool: Situation-Background-Assessment-Recommendation The SBAR (Situation-Background-Assessment-Recommendation

  11. Iowa Hospital Integrates AHRQ TeamSTEPPS® Throughout Facility | Agency for Healthcare Research and Quality

    www.ahrq.gov/news/newsroom/case-studies/ktcquips36.html
    October 01, 2014 - which in the past had barriers, are communicating more efficiently through the use of tools such as SBAR

  12. Nebraska Critical Access Hospitals Improve Safety With AHRQ TeamSTEPPS® | Agency for Healthcare Research and Quality

    www.ahrq.gov/news/newsroom/case-studies/ktcquips52.html
    October 01, 2014 - Saunders Medical Center officials reported using SBAR and communication techniques learned during TeamSTEPPS

  13. 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)

  14. Fallible medicine: responding to errors in emergency care. | PSNet

    psnet.ahrq.gov/issue/fallible-medicine-responding-errors-emergency-care
    July 01, 2015 - Enhancing patient safety during hand-offs: standardized communication and teamwork using the 'SBAR

  15. Another fatal failure at King/Drew. | PSNet

    psnet.ahrq.gov/issue/another-fatal-failure-kingdrew
    May 03, 2017 - November 14, 2018 Evaluation of a problem-specific SBAR tool to improve after-hours nurse-physician

  16. Why the need to reduce medical errors is not obvious. | PSNet

    psnet.ahrq.gov/issue/why-need-reduce-medical-errors-not-obvious
    January 23, 2019 - Enhancing patient safety during hand-offs: standardized communication and teamwork using the 'SBAR

  17. Missing a cancer diagnosis. | PSNet

    psnet.ahrq.gov/issue/missing-cancer-diagnosis
    November 12, 2014 - Enhancing patient safety during hand-offs: standardized communication and teamwork using the 'SBAR

  18. Medical errors harm huge number of patients. What will it take to make America's hospitals safer? | PSNet

    psnet.ahrq.gov/issue/medical-errors-harm-huge-number-patients-what-will-it-take-make-americas-hospitals-safer
    June 23, 2015 - Enhancing patient safety during hand-offs: standardized communication and teamwork using the 'SBAR

  19. Popular blood thinner causing deaths, injuries in nursing homes. | PSNet

    psnet.ahrq.gov/issue/popular-blood-thinner-causing-deaths-injuries-nursing-homes
    May 03, 2017 - 2011 Randomized trial of a warfarin communication protocol for nursing homes: an SBAR-based

  20. Living with cancer: not talking about medical mistakes. | PSNet

    psnet.ahrq.gov/issue/living-cancer-not-talking-about-medical-mistakes
    January 15, 2014 - Enhancing patient safety during hand-offs: standardized communication and teamwork using the 'SBAR
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