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  1. 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

  2. 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

  3. 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

  4. 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

  5. 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.

  6. 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

  7. 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.

  8. 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.

  9. Improving Healthcare Safety by Enhancing Care Coordination (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-care-coordination.pdf
    June 30, 2025 - ■ Another project used a Situation-Background-Assessment-Recommendation (SBAR) communication tool—a … Key Findings/Impact: Investigators concluded that use of a communication protocol based on SBAR (Situation-Background-Assessment-Recommendation

  10. 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

  11. 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

  12. 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

  13. Final Progress Report: Virtual Healthcare Environments Versus Traditional Interactive Team Training (pdf file)

    www.ahrq.gov/sites/default/files/2024-01/taekman-report.pdf
    January 01, 2024 - participants do improve behavior even if their recall of specific team skill names, such as “call-out” or “SBAR

  14. Final Progress Report: Process Reliability and Organizational Learning in Home Health Care (pdf file)

    www.ahrq.gov/sites/default/files/2025-02/silver-report.pdf
    January 01, 2025 - The SBAR communication tool. 10 PROL IN HOME HEALTH CARE 4.

  15. In Conversation with…Gerald B. Hickson, MD | PSNet

    psnet.ahrq.gov/perspective/conversation-withgerald-b-hickson-md
    December 01, 2009 - training, assertiveness training, team collaboration, and communication skills using such tools as the SBAR

  16. Recommendation: Syphilis Infection During Pregnancy: Screening | United States Preventive Services Taskforce

    www.uspreventiveservicestaskforce.org/uspstf/recommendation/syphilis-infection-in-pregnancy-screening
    May 13, 2025 - Dhakal A, Sbar E. Jarisch-Herxheimer reaction. Updated April 24, 2023. Accessed March 17, 2025.

  17. How to Identify and Manage Problem Behaviors | PSNet

    psnet.ahrq.gov/perspective/how-identify-and-manage-problem-behaviors
    December 01, 2009 - training, assertiveness training, team collaboration, and communication skills using such tools as the SBAR

  18. First, Do No Harm: Value-driven Patient Safety in the Neonatal Intensive Care Unit | PSNet

    psnet.ahrq.gov/perspective/first-do-no-harm-value-driven-patient-safety-neonatal-intensive-care-unit
    October 30, 2019 - Expectations for unit safety behavior and accountability for use of standard safety tools (readback, SBAR

  19. 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

  20. The Nature, Characteristics and Patterns of Perinatal Critical Events Teams (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Riley_58.pdf
    April 02, 2008 - shared mental model, establishment and transfer of leadership and teamwork, closed-loop communication, SBAR-R
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