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  1. 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

  2. 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

  3. 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

  4. 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

  5. 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

  6. 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

  7. Final Progress Report: An Evaluation of the Effectiveness and Process Evaluation of a Rapid Response System (pdf file)

    www.ahrq.gov/sites/default/files/2024-01/lord-report.pdf
    January 01, 2024 - all necessary patient information ready for team Use pre-determined criteria to activate team; use SBAR … of events for which the RRT arrived in 10 minutes or less Percent of events in which nurses used SBAR … 1) 18 (18) Nursing Supervisor 58 (59) 5 (5) 1 (1) 1 (1) 0 4 (4) 29 (30) Table 10: Nurses' Use of SBAR … 16 The beside nurses’ protocol included providing information to the other team members using the SBAR … The responding Hospital Medicine clinician rated the bedside nurses on how well they used SBAR to

  8. Resource List - AHRQ Nursing Home Survey (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/nursinghome-resourcelist.pdf
    April 01, 2023 - Process” explains how to carry out the SBAR technique … • “SBAR Report to Physician About a Critical Situation” is a worksheet/script a provider can use to … Communication Openness, #1, SBAR Technique for Communication: A Situational Briefing Model Composite … • SBAR. 11. … SBAR Technique for Communication: A Situational Briefing Model Composite Measure 11.

  9. 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 - by both the nurse practitioner and registered nurse simultaneously followed by a huddle using the SBAR

  10. Influence of perioperative handoffs on complications and outcomes. | PSNet

    psnet.ahrq.gov/issue/influence-perioperative-handoffs-complications-and-outcomes
    October 14, 2020 - Structured handoffs, such as situation-background-assessment-recommendation (SBAR) and checklists,

  11. Shift-to-shift nursing handover interventions associated with improved inpatient outcomes - falls, pressure injuries and medication administration errors: an integrative review. | PSNet

    psnet.ahrq.gov/issue/shift-shift-nursing-handover-interventions-associated-improved-inpatient-outcomes-falls
    July 07, 2021 - bedside and using a structured approach, such as Situation, Background, Assessment, Recommendation ( SBAR

  12. ECRI out with 10 deadly healthcare technology hazards for 2017. | PSNet

    psnet.ahrq.gov/issue/ecri-out-10-deadly-healthcare-technology-hazards-2017
    February 21, 2024 - February 9, 2022 Can SBAR be implemented with high fidelity and does it improve communication

  13. Implementing bedside handoff in the emergency department: a practice improvement project. | PSNet

    psnet.ahrq.gov/issue/implementing-bedside-handoff-emergency-department-practice-improvement-project
    November 14, 2018 - focused on structuring nurse shift change using situation, background, assessment, recommendation (SBAR

  14. Improving Safety Using Teamwork and Patient Safety Norms (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/teamwork-ptsafety-norms-slides.pdf
    August 01, 2025 - unplanned reoperations • 90% reduction in critical bleeding Core Tools of TeamSTEPPS Communication • SBAR … : • More accurate transfer of information • Decreases errors and omissions • Increases efficiency SBAR … from Defects • Implement Teamwork & Communication Tools www.ahrq/cusp • Learn from Defects SBAR

  15. When I say…diagnostic error. | PSNet

    psnet.ahrq.gov/issue/when-i-saydiagnostic-error
    January 26, 2022 - December 4, 2024 Impact of the communication and patient hand-off tool SBAR on patient

  16. Heparin: improving treatment and reducing risk of harm. | PSNet

    psnet.ahrq.gov/issue/heparin-improving-treatment-and-reducing-risk-harm
    July 28, 2021 - 2011 Randomized trial of a warfarin communication protocol for nursing homes: an SBAR-based

  17. Making It Work Tip Sheet: Empowering Nurses To Implement Nurse-Driven Protocols for Reducing CAUTI in the ICU Setting (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/empowering-nurses.pdf
    April 01, 2022 - Safety Program for ICUs: Preventing CLABSI and CAUTI Empowering Nurses Conversation Starters Using SBAR … Protocol Clinical Resources Electronic Medical Record Opportunities Conversation Starters Using SBAR

  18. Recognizing and Supporting Nurses in Diagnostic Safety | Agency for Healthcare Research and Quality

    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/nurse-role-dxsafety3.html
    September 01, 2022 - the importance of using communication tools, such as Situation-Background-Assessment-Recommendation (SBAR … Action Steps To Consider: Reinforce the use of communication tools (e.g., SBAR) to nurses and other

  19. Antibiotic Stewardship Slides, Part 1: Hand Hygiene

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/urine-culturing/antibiotic-stewardship/abx-stewardship-part1.pptx
    March 01, 2017 - [CLICK] Another TeamSTEPPS strategy you can use is an SBAR. … Even though family members and residents may not be familiar with SBAR, it can help you to outline your … Example of the SBAR and CUS Tools. In: Taylor SL, Saliba D.

  20. AI is wrestling with a replication crisis. | PSNet

    psnet.ahrq.gov/issue/ai-wrestling-replication-crisis
    May 06, 2020 - June 27, 2018 Can SBAR be implemented with high fidelity and does it improve communication
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