Safety gaps in medical team communication: Closing the loop on quality improvement efforts in the cardiac catheterization lab. (Record no. 569)
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| 000 -LEADER | |
|---|---|
| fixed length control field | 02934nam a22003257a 4500 |
| 008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION | |
| fixed length control field | 220511s20222022 xxu||||| |||| 00| 0 eng d |
| 022 ## - INTERNATIONAL STANDARD SERIAL NUMBER | |
| International Standard Serial Number | 1522-1946 |
| 024 ## - OTHER STANDARD IDENTIFIER | |
| Standard number or code | 10.1002/ccd.30189 [doi] |
| 040 ## - CATALOGING SOURCE | |
| Original cataloging agency | Ovid MEDLINE(R) |
| 099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC) | |
| PMID | 35419927 |
| 245 ## - TITLE STATEMENT | |
| Title | Safety gaps in medical team communication: Closing the loop on quality improvement efforts in the cardiac catheterization lab. |
| 251 ## - Source | |
| Source | Catheterization & Cardiovascular Interventions. 2022 Apr 14 |
| 252 ## - Abbreviated Source | |
| Abbreviated source | Catheter Cardiovasc Interv. 2022 Apr 14 |
| 253 ## - Journal Name | |
| Journal name | Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
| Year | 2022 |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
| Manufacturer | FY2022 |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
| Publication date | 2022 Apr 14 |
| 265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE] | |
| Publication status | aheadofprint |
| 266 ## - Date added to catalog | |
| Date added to catalog | 2022-05-11 |
| 520 ## - SUMMARY, ETC. | |
| Abstract | Closed-loop communication (CLC) is a fundamental aspect of effective communication, critical in the cardiac catheterization laboratory (cath lab) where physician orders are verbal. Complete CLC is typically a hospital and national mandate. Deficiencies in CLC have been shown to impair quality of care. Single center observational study, CLC for physician verbal orders in the cath lab were assessed by direct observation during a 5-year quality improvement effort. Performance feedback and educational efforts were used over this time frame to improve CLC, and the effects of each intervention assessed. Responses to verbal orders were characterized as complete (all important parameters of the order repeated, the mandated response), partial, acknowledgment only, or no response. During the first observational period of 101 cases, complete CLC occurred in 195 of 515 (38%) medication orders and 136 of 235 (50%) equipment orders. Complete CLC improved over time with various educational efforts, (p < 0.001) but in the final observation period of 117 cases, complete CLC occurred in just 259 of 328 (79%) medication orders and 439 of 581 (76%) equipment orders. Incomplete CLC was associated with medication and equipment errors. CLC of physician verbal orders was used suboptimally in this medical team setting. Baseline data indicate that physicians and staff have normalized weak, unreliable communication methods. Such lapses were associated with errors in order implementation. A subsequent 5-year quality improvement program resulted in improvement but a sizable minority of unacceptable responses. This represents an opportunity to improve patient safety in cath labs. Copyright © 2022 Wiley Periodicals LLC. |
| 546 ## - LANGUAGE NOTE | |
| Language note | English |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM | |
| Topical term or geographic name entry element | IN PROCESS -- NOT YET INDEXED |
| 651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME | |
| Institution | MedStar Health Research Institute |
| 657 ## - INDEX TERM--FUNCTION | |
| Medline publication type | Journal Article |
| 700 ## - ADDED ENTRY--PERSONAL NAME | |
| Local Authors | Kolm, Paul |
| 700 ## - ADDED ENTRY--PERSONAL NAME | |
| Local Authors | Weintraub, William S |
| 790 ## - Authors | |
| All authors | Casey M, Doorey AJ, Garratt KN, Kolm P, Lazzara EH, Turi ZG, Weintraub WS |
| 856 ## - ELECTRONIC LOCATION AND ACCESS | |
| DOI | <a href="https://dx.doi.org/10.1002/ccd.30189">https://dx.doi.org/10.1002/ccd.30189</a> |
| Public note | https://dx.doi.org/10.1002/ccd.30189 |
| 942 ## - ADDED ENTRY ELEMENTS (KOHA) | |
| Koha item type | Journal Article |
| Item type description | Article |
| Withdrawn status | Lost status | Damaged status | Not for loan | Collection | Home library | Current library | Date acquired | Total Checkouts | Full call number | Barcode | Date last seen | Price effective from | Koha item type |
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| MedStar Authors Catalog | MedStar Authors Catalog | 05/11/2022 | 35419927 | 35419927 | 05/11/2022 | 05/11/2022 | Journal Article |