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  1. Formative evaluation of the video reflexive ethnography method, as applied to the physician–nurse dyad. | PSNet

    psnet.ahrq.gov/issue/formative-evaluation-video-reflexive-ethnography-method-applied-physician-nurse-dyad
    December 02, 2020 - October 24, 2018 Evaluation of a problem-specific SBAR tool to improve after-hours nurse-physician

  2. Effect of a multifaceted clinical pharmacist intervention on medication safety after hospitalization in persons prescribed high-risk medications: a randomized clinical trial. | PSNet

    psnet.ahrq.gov/issue/effect-multifaceted-clinical-pharmacist-intervention-medication-safety-after-hospitalization
    April 28, 2021 - 11, 2010 Randomized trial of a warfarin communication protocol for nursing homes: an SBAR-based

  3. Elimination of emergency department medication errors due to estimated weights. | PSNet

    psnet.ahrq.gov/issue/elimination-emergency-department-medication-errors-due-estimated-weights
    July 08, 2020 - December 19, 2018 SBAR: electronic handoff tool for noncomplicated procedural patients

  4. North Mississippi Medical Center: a focus on quality, safety, and financial critical success factors. | PSNet

    psnet.ahrq.gov/issue/north-mississippi-medical-center-focus-quality-safety-and-financial-critical-success-factors
    November 21, 2021 - September 29, 2010 Implementing SBAR across a large multihospital health system.

  5. Litigation related to inadequate anaesthesia: an analysis of claims against the NHS in England 1995-2007. | PSNet

    psnet.ahrq.gov/issue/litigation-related-inadequate-anaesthesia-analysis-claims-against-nhs-england-1995-2007
    November 16, 2022 - 2010 The 'go-between' study: a simulation study comparing the 'Traffic Lights' and 'SBAR

  6. Error in body weight estimation leads to inadequate parenteral anticoagulation. | PSNet

    psnet.ahrq.gov/issue/error-body-weight-estimation-leads-inadequate-parenteral-anticoagulation
    April 14, 2021 - 20, 2011 Randomized trial of a warfarin communication protocol for nursing homes: an SBAR-based

  7. Rapid response systems: a prospective study of response times. | PSNet

    psnet.ahrq.gov/issue/rapid-response-systems-prospective-study-response-times
    November 16, 2022 - 12, 2019 Randomized trial of a warfarin communication protocol for nursing homes: an SBAR-based

  8. Diagnostic performance by medical students working individually or in teams. | PSNet

    psnet.ahrq.gov/issue/diagnostic-performance-medical-students-working-individually-or-teams
    January 26, 2022 - December 4, 2024 Impact of the communication and patient hand-off tool SBAR on patient

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852808/psn-pdf
    August 30, 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

  10. Spotlight (pdf file)

    psnet.ahrq.gov/sites/default/files/2023-08/spotlight_case_prolonged_dka_in_pregnancy_-_slides_-_revised.pdf
    January 01, 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 … • SBAR, CUS words, and Closed Loop communication are tools that health care providers can use to

  11. The new patient safety officer: a lifeline for patients, a life jacket for CEOs. | PSNet

    psnet.ahrq.gov/issue/new-patient-safety-officer-lifeline-patients-life-jacket-ceos
    September 12, 2012 - December 4, 2016 SBAR for patients.

  12. Human patient simulation: teaching students to provide safe care. | PSNet

    psnet.ahrq.gov/issue/human-patient-simulation-teaching-students-provide-safe-care
    June 24, 2009 - December 9, 2009 The SBAR communication technique: teaching nursing students professional

  13. Patient handoffs. | PSNet

    psnet.ahrq.gov/issue/patient-handoffs
    June 17, 2014 - More About The Topic Discontinuities, Gaps, and Hand-Off Problems Structured Hand-offs SBAR

  14. Health plan members' views about disclosure of medical errors. | PSNet

    psnet.ahrq.gov/issue/health-plan-members-views-about-disclosure-medical-errors
    November 15, 2011 - 15, 2011 Randomized trial of a warfarin communication protocol for nursing homes: an SBAR-based

  15. Interruptions and medication errors: part I. | PSNet

    psnet.ahrq.gov/issue/interruptions-and-medication-errors-part-i
    January 03, 2017 - Download Citation Related Resources From the Same Author(s) Implementing SBAR

  16. Learn From Defects Tool (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/tools/applying-cusp/learn_from_defects.docx
    December 01, 2017 - aid · Increased staffing or reduced workload · Redundancy · Enhance communication (e.g., check-back, SBAR … · New device usability testing before purchasing · Engineer forcing functions into work processes SBAR … aid · Increased staffing or reduced workload · Redundancy · Enhance communication (e.g., check-back, SBAR … · New device usability testing before purchasing · Engineer forcing functions into work processes SBAR

  17. Reducing Unecessary Urinary catheter Use in the Emergency Department: How to Implement the Process (ppt file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/integrating-teamwork-tools-cusp-efforts.ppt
    June 02, 2025 - reinforce and assess or adjust plans Debriefs Information exchange after the action Communication SBAR

  18. Using simulation to teach patient safety behaviors in undergraduate nursing education. | PSNet

    psnet.ahrq.gov/issue/using-simulation-teach-patient-safety-behaviors-undergraduate-nursing-education
    March 23, 2011 - December 9, 2009 The SBAR communication technique: teaching nursing students professional

  19. The cost of harm and savings through safety: using simulated patients for leadership decision support. | PSNet

    psnet.ahrq.gov/issue/cost-harm-and-savings-through-safety-using-simulated-patients-leadership-decision-support
    November 10, 2015 - December 4, 2016 SBAR for patients.

  20. An innovative tool for experiential learning of nursing quality and safety competencies. | PSNet

    psnet.ahrq.gov/issue/innovative-tool-experiential-learning-nursing-quality-and-safety-competencies
    October 16, 2012 - September 29, 2010 The SBAR communication technique: teaching nursing students professional
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