000			04150nam a22006017a 4500
008			190521s20202020 xxu||||| |||| 00| 0 eng d
022			_a1522-1946
024			_a10.1002/ccd.28298 [doi]
040			_aOvid MEDLINE(R)
099			_a31025508
245			_aSafety gaps in medical team communication: Results of quality improvement efforts in a cardiac catheterization laboratory.
251			_aCatheterization & Cardiovascular Interventions. 95(1):136-144, 2020 01.
252			_aCatheter Cardiovasc Interv. 95(1):136-144, 2020 01.
252			_zCatheter Cardiovasc Interv. 2019 Apr 25
253			_aCatheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions
260			_c2020
260			_fFY2020
265			_saheadofprint
265			_sppublish
266			_d2019-05-21
268			_aCatheterization & Cardiovascular Interventions. 2019 Apr 25
269			_fFY2019
501			_aAvailable online from MWHC library: 1996 - present, Available in print through MWHC library: 1996 - 2006
520			_aBACKGROUND: Effective communication within teams is essential to assure safety and optimal outcomes. Readback of verbal physician orders is a hospital and national requirement.
520			_aCONCLUSIONS: Closed-loop communication of physician verbal orders was used infrequently in this medical team setting and proved difficult to fully improve. This is an important safety gap.
520			_aCopyright (c) 2019 Wiley Periodicals, Inc.
520			_aMETHODS: Single-center observational study, where the readback responses to physician verbal orders in the catheterization laboratory were characterized over three distinct time intervals from 2015 to 2017. Performance feedback and focused education on the value of readbacks was provided to the teams in two waves, with subsequent remeasurement. Responses to verbal orders were characterized as complete (all important parameters of the order repeated for verification), partial, acknowledgement only, or no response. Changes in readback performance after quality interventions were assessed.
520			_aOBJECTIVES: To assess closed-loop communications (readback), a fundamental aspect of effective communication, among cardiovascular teams and assess improvement efforts.
520			_aRESULTS: During the first-observational period of 101 cases, complete readback occurred in 195 of 515 (38%) medication orders and 136 of 235 (58%) equipment orders. After initial quality improvement efforts, 102 cases were observed. In these, 298 of 480 (62%) medication orders had complete readback, and 210 of 420 (50%) equipment orders had complete readback. After additional quality improvement efforts, 168 cases were observed. In these, 506 of 723 (70%) medication orders had complete readback, and 630 of 1,061 (59%) equipment orders had complete readback. Overall, medication order readback improved over time (correlation = 0.26 [-0.30, -0.21]; p < 0.001), but equipment order readback did not (correlation = 0.02 [-0.07, 0.03]; p = 0.44).
546			_aEnglish
650			_a*Cardiac Catheterization
650			_a*Interdisciplinary Communication
650			_a*Patient Care Team/og [Organization & Administration]
650			_a*Professional Practice Gaps
650			_a*Quality Improvement
650			_a*Quality Indicators, Health Care
650			_a*Teach-Back Communication
650			_a*Verbal Behavior
650			_aAttitude of Health Personnel
650			_aCardiac Catheterization/ae [Adverse Effects]
650			_aCooperative Behavior
650			_aHealth Knowledge, Attitudes, Practice
650			_aHumans
650			_aMedical Errors/pc [Prevention & Control]
650			_aMedical Order Entry Systems
650			_aPatient Safety
651			_aMedStar Heart & Vascular Institute
657			_aJournal Article
700			_aWeintraub, William S
790			_aDoorey AJ, Garratt KN, Lazzara EH, Mendoza EG, Turi ZG, Weintraub WS
856			_uhttps://dx.doi.org/10.1002/ccd.28298 _zhttps://dx.doi.org/10.1002/ccd.28298
942			_cART _dArticle
999			_c4214 _d4214