Communication

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December 2017
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MedStar Health standardizes communication about adverse events

Editor's Note Using the Agency for Healthcare Research and Quality’s online toolkit, Communication and Optimal Resolution (CANDOR), Maryland-based MedStar Health has set up a standardized program for physicians to communicate with patients and family members about adverse events, according to the August 22 Kaiser Health News. A team of physicians,…

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By: Judy Mathias
August 25, 2016
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Implementing a coaching program for practicing surgeons

Editor's Note Several technical and nontechnical skill sets of practicing surgeons were found to be in need of improvement, in this study, which provided support for implementing coaching programs for surgeons on an ongoing basis. A total of 32 surgeons (18 general, 14 gynecologists) from 6 hospitals were assessed; 9…

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By: Judy Mathias
August 12, 2016
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Web-based handoff tool reduces medical-surgical errors

Editor's Note Hospitals can avoid medical-surgical patient handoff errors by using a web-based handoff tool to improve communication among physicians, nurses, and other healthcare providers, this study finds. Of 5,407 patients included in the study, 77 errors were detected before implementation of the handoff tool versus 45 after implementation. Brigham…

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By: aadeleke
August 8, 2016
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Nontechnical skills also matter in surgical patient safety

Editor's Note Technical and nontechnical skills are both important to successfully and safely perform surgical procedures, according to recommendations presented August 5 at the National Surgical Patient Safety Summit in Rosemont, Illinois. Among the recommendations were that the surgeon, anesthesiologist, nurses, and support staff ensure consistent use of surgical safety…

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By: Judy Mathias
August 8, 2016
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Targeted communication training raises hospital safety culture scores

Implementation of crew resource management training at a large academic medical center led to statistically significant improvements in 10 out of 12 dimensions of safety culture, according to surveys conducted before and after training took place. Crew resource management (CRM) is a systematic approach adapted from the airline industry to…

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By: OR Manager
August 8, 2016
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Association between checklist performance and surgeon buy-in, surgical teamwork

Editor's Note Surgeon buy-in and surgical teamwork were crucial in prompting case-related conversations but not in completing surgical safety checklists, this study finds. Of 207 procedures observed by 10 South Carolina hospitals, few teams completed most or all surgical safety checklist items. All measures of teamwork and surgeon buy-in related…

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By: Judy Mathias
July 26, 2016
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Effect of adverse events disclosures on surgeons’ well-being

Editor's Note Surgeons who were less likely to follow national guidelines for disclosure of adverse events to patients were more likely to be negatively affected by the events, this study finds. A survey of 67 surgeons at Veterans Affairs medical centers found that most used five of eight recommended disclosure…

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By: Judy Mathias
July 21, 2016
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Automated communication system helps prevent SSIs

Editor's Note An automated text and voice messaging system improved communication about preventive steps orthopedic patients should take a week before surgery and the postoperative signs of infection to report in the 2 weeks after surgery. The system reminds patients to fill their prescriptions for antibiotic ointment and body wash…

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By: Judy Mathias
July 20, 2016
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Association between readmissions and quality of discharge planning

Editor's Note Patients who received high-quality discharge planning were less likely to be readmitted within 30 days, finds this study from the Agency for Healthcare Research and Quality. The study of 2.1 million patients in 16 states, who were treated for heart attack, heart failure, pneumonia, and total hip or…

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By: Judy Mathias
July 20, 2016
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Teamwork key to survival of Orlando shooting victims

It was shortly after 2 am on Sunday, June 12. Ambulances, trucks, and cars started arriving at Orlando Regional Medical Center (ORMC) loaded with shooting victims from a terrorist attack at the Pulse nightclub. Because ORMC was just a couple of blocks from the nightclub, first responders loaded multiple victims…

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By: OR Manager
July 19, 2016
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