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621. Mod4-System-Focused-Event-Guide (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module4/mod4-system-focused-event-guide.pdf
     April 01, 2016 - Jones in SBAR format. Mrs. Jones was admitted with uncontrolled diabetes. … Smith in SBAR format. Mr. Smith was being admitted with chest pain, dizziness, and hyperglycemia.

622. Introduction _x000b_to the SPPC-II Teamwork Toolkit _x000b_for Obstetric Hemorrhage - PowerPoint Presentation
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_1-introduction.pptx
     July 01, 2023 - clinical team Calling-out critical information and checking-back for clarity and correctness (Module 3) SBAR

623. Becoming a Certified Professional in Patient Safety—A Pharmacist's Perspective | PSNet
     psnet.ahrq.gov/perspective/becoming-certified-professional-patient-safety-pharmacists-perspective
     June 01, 2016 - We have improved communication with the use of SBAR (situation, background, assessment, recommendation

624. Beyond Rapid Response Teams: Instituting a “Rover Team” Improves the Management of At-Risk Patients, Facilitates Proactive Interventions, and Improves Outcomes (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Hueckel_27.pdf
     April 01, 2008 - multidisciplinary team participated in team-training activities to develop expertise in the use of SBAR

625. Using Six Sigma® Methodology to Improve Handoff Communication in High-Risk Patients (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Mistry_114.pdf
     May 05, 2008 - SBAR: A shared mental model for improving communication between clinicians.

626. Failure to Adhere to Dietary Restrictions Leading to Complications and Poor Follow-up | PSNet
     psnet.ahrq.gov/web-mm/failure-adhere-dietary-restrictions-leading-complications-and-poor-follow
     September 27, 2023 - Impact of the communication and patient hand-off tool SBAR on patient safety: a systematic review.

627. Operationalizing Patient Safety at Academic Medical Centers | PSNet
     psnet.ahrq.gov/perspective/operationalizing-patient-safety-academic-medical-centers
     August 01, 2010 - Structured communication tools such as situation-background-assessment-recommendation (SBAR) show promise

628. Appendix F. Interventions (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/envscan-app-f.pdf
     January 01, 2015 - What is SBAR Yes No Strong Structured communication techniques; may be encouraged to support patients … and Families Title Intervention Described Consider for Inclusion Evidence Level Rationale SBAR

629. Implementation Guide for Enhancing Care Coordination for Cardiac Rehabilitation (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/care-coordination-implementation-guide.pdf
     March 01, 2023 - Caregiver Alliance - Communicating with Your Doctor • Role playing time to practice skills o IHI - SBAR

630. Introduction to the SPPC‐II Teamwork Toolkit for Obstetric Hemorrhage (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_1-introduction-speaker-notes.pdf
     July 01, 2023 - team o Calling‐out critical information and checking‐back for clarity and correctness (Module 3) o SBAR

631. 10-Year Experience Integrating Strategic Performance Improvement Initiatives: Can the Balanced Scorecard, Six Sigma®, and Team Training All Thrive in a Single Hospital? (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Meliones_40.pdf
     January 01, 2006 - ” • Situation-background-assessment-recommendation (SBAR) communication for nursing reports and telephone

632. Key Issues in Developing a Successful Hospital Safety Program | PSNet
     psnet.ahrq.gov/perspective/key-issues-developing-successful-hospital-safety-program
     July 01, 2006 - WebM&M Cases Pocket Syringe Swap May 1, 2011 SBAR

633. Resident Physicians as Champions in Preventing Device-Associated Infections (pdf file)
     www.ahrq.gov/sites/default/files/publications/files/resphys-champions_2.pdf
     September 01, 2015 - communicating pertinent patient information such as Situation-Background-Assessment-Recommendation (SBAR … SBAR: A communication technique that provides a standard framework for information sharing.

634. Resident Physicians as Champions in Preventing Device-Associated Infections (pdf file)
     www.ahrq.gov/sites/default/files/publications/files/resphys-champions.pdf
     September 01, 2015 - communicating pertinent patient information such as Situation-Background-Assessment-Recommendation (SBAR … SBAR: A communication technique that provides a standard framework for information sharing.

635. Final Progress Report: Implementing a Program of Patient Safety in Small, Rural Hospitals (pdf file)
     www.ahrq.gov/sites/default/files/2024-02/jones-report.pdf
     January 01, 2024 - Fewer than half of the CAHs implemented the following practic es: o 13 implemented the SBAR structured … reporting 8 13 16 2 1 6 5 2 Unsafe Acts Algorithm (Decision Tree for Unsafe Acts) 0 7 8 2 1 2 3 2 SBAR

636. Resident Physicians as Champions in Preventing Device-Associated Infections (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/guides/resphys-champions.pdf
     September 01, 2015 - communicating pertinent patient information such as Situation-Background-Assessment-Recommendation (SBAR … SBAR: A communication technique that provides a standard framework for information sharing.

637. In Conversation With… Neel Shah, MD, MPP | PSNet
     psnet.ahrq.gov/perspective/conversation-neel-shah-md-mpp
     October 30, 2019 - Expectations for unit safety behavior and accountability for use of standard safety tools (readback, SBAR

638. Title Page (pdf file)
     digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015270-hayden-final-report-2008.pdf
     January 01, 2008 - 1 SNAP (summarize, narrate, analyze, propose action) is this hospital’s modification of SBAR (situation … Summarize-Narrate-Analyze-Propose a Plan) communication protocol adapted from the Crew Resource Management or SBAR

639. Clinical Decision Support Optimizing NEC Prevention Implementation in NICU - Final Report (pdf file)
     digital.ahrq.gov/sites/default/files/docs/citation/k08hs022908-gephart-final-report-2020.pdf
     January 01, 2020 - for clinicians include the GutCheckNEC risk score, a structured communication tool for NEC concern (SBAR

640. Envisioning Patient Safety in the Year 2025: Eight Perspectives (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Henriksen_104.pdf
     January 01, 2025 - back then; most of those (e.g., standardized templates, written turnover documents, and fads like SBAR