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381. Journey to no preventable risk: The Baylor Health Care System patient safety experience. | PSNet
     psnet.ahrq.gov/issue/journey-no-preventable-risk-baylor-health-care-system-patient-safety-experience
     November 23, 2014 - May 25, 2013 Implementing SBAR across a large multihospital health system.

382. Development and pilot testing of guidelines to monitor high-risk medications in the ambulatory setting. | PSNet
     psnet.ahrq.gov/issue/development-and-pilot-testing-guidelines-monitor-high-risk-medications-ambulatory-setting
     December 06, 2013 - 17, 2021 Randomized trial of a warfarin communication protocol for nursing homes: an SBAR-based

383. Patient handoffs: is cross cover or night shift better? | PSNet
     psnet.ahrq.gov/issue/patient-handoffs-cross-cover-or-night-shift-better
     December 07, 2009 - April 1, 2020 Impact of the communication and patient hand-off tool SBAR on patient safety

384. Using an electronic prescribing system to ensure accurate medication lists in a large multidisciplinary medical group. | PSNet
     psnet.ahrq.gov/issue/using-electronic-prescribing-system-ensure-accurate-medication-lists-large-multidisciplinary
     August 28, 2017 - May 19, 2014 Impact of the communication and patient hand-off tool SBAR on patient safety

385. Medication error reporting in nursing homes: identifying targets for patient safety improvement. | PSNet
     psnet.ahrq.gov/issue/medication-error-reporting-nursing-homes-identifying-targets-patient-safety-improvement
     March 24, 2011 - 30, 2014 Randomized trial of a warfarin communication protocol for nursing homes: an SBAR-based

386. Interruptions in a level one trauma center: a case study. | PSNet
     psnet.ahrq.gov/issue/interruptions-level-one-trauma-center-case-study
     January 02, 2017 - January 2, 2017 Evaluation of a problem-specific SBAR tool to improve after-hours nurse-physician

387. Reasons for after-hours calls by hospital floor nurses to on-call physicians. | PSNet
     psnet.ahrq.gov/issue/reasons-after-hours-calls-hospital-floor-nurses-call-physicians
     March 21, 2017 - Related Resources From the Same Author(s) Evaluation of a problem-specific SBAR

388. Operating manual-based usability evaluation of medical devices: an effective patient safety screening method. | PSNet
     psnet.ahrq.gov/issue/operating-manual-based-usability-evaluation-medical-devices-effective-patient-safety
     September 24, 2016 - January 2, 2017 Evaluation of a problem-specific SBAR tool to improve after-hours nurse-physician

389. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33643/psn-pdf
     December 01, 2006 - A couple of months ago there was a story in the Wall Street Journal about SBAR, a standardized way of … But the story of SBAR is a typical example of how we overreact to the potential impact of something, … How do we know that if you train a nurse to use SBAR in one situation that it's the appropriate way to

390. Making Healthcare Safer IV: Summary of Findings on Patient Safety Practices and Ratings by a Technical Expert Panel, 2024-2025 (pdf file)
     effectivehealthcare.ahrq.gov/sites/default/files/related_files/mhs-iv-patient-safety-practices-year-2.pdf
     May 01, 2025 - Panel’s post-discussion ratings of patient safety practices for use of structured handoff SBAR tool … o SBAR tool: 2 systematic reviews and 2 new studies (1 RCT) provided low certainty evidence that use … of the SBAR tool can improve patient safety outcomes such as adverse events. … Panel’s post-discussion ratings of patient safety practices for use of structured handoff SBAR tool … o SBAR tool o I-PASS tool o A structured handoff Encouraged 3.

391. Implement Teamwork and Communication: | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/modules/implement/teamwork-notes.html
     December 01, 2012 - SBAR 1 Slide 31. Call-Out 1 Slide 32. Check-Back 1 Slide 33. Handoff 1 Slide 34. … SBAR 1   Say: The SBAR technique provides a standardized framework for members of the team to communicate … SBAR is an easy-to-remember, concrete mechanism that is useful for framing any conversation, especially

392. 152-Cusp-Tip-Sheet-Engaging-Physicians (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/152-cusp-tip-sheet-engaging-physicians.docx
     October 01, 2024 - , what, when, where, why, and how), identify an appropriate time to approach the physician, and use SBAR

393. 150-Cusp-Tip-Sheet-Celebrating-Success (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/150-cusp-tip-sheet-celebrating-success.docx
     October 01, 2024 - Conversation Starters To assist in spreading the innovation to other areas, consider using the SBAR (

394. 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

395. Experiences From the Frontline: Case Studies (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/frontline-cases-studies.pdf
     May 01, 2015 - In situ simulations focused on teamwork and communication tools and techniques, specifically the SBAR … The course focused on helping the staff utilize TeamSTEPPS procedures and tools, such as SBAR, CUS, … Unit nurses particularly struggled with the “recommendation” part of SBAR, often lacking the confidence … practice and helped instill the confidence nurses needed to deliver the recommendation component of SBAR … which required teams to call the charge nurse, the assistant nurse manager, or physician and use the SBAR

396. Reinforcing the Value and Roles of Nurses in Diagnostic Safety - Issue Brief (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/nurse-role-dxsafety.pdf
     September 02, 2022 - Reinforce the use of communication tools (e.g., SBAR) to nurses and other care team members in their … SBAR improves nurse-physician communication and reduces unexpected death: a pre and post intervention … Impact of the communication and patient hand-off tool SBAR on patient safety: a systematic review. … Situation, background, assessment, recommendation (SBAR) communication tool for handoff in health care … • What tools do you have to help you organize your thoughts/findings (e.g., SBAR)?

397. Implement Teamwork and Communication for Perinatal Safety: Facilitator Guide | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/implement-fac-guide.html
     July 01, 2023 - Slide 23: SBAR Say: The SBAR technique provides a standardized framework for members of the team … SBAR is an easy-to-remember, concrete mechanism that is useful for framing any conversation, especially

398. 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

399. 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

400. 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