Read-back improves information transfer in simulated clinical crises.

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dc.contributor.author Boyd, M en
dc.contributor.author Cumin, David en
dc.contributor.author Lombard, B en
dc.contributor.author Torrie, Jocelyn en
dc.contributor.author Civil, N en
dc.contributor.author Weller, Jennifer en
dc.date.accessioned 2014-11-19T19:52:47Z en
dc.date.issued 2014-12 en
dc.identifier.citation BMJ Quality & Safety, 2014, 23 (12), pp. 989 - 993 en
dc.identifier.issn 2044-5415 en
dc.identifier.uri http://hdl.handle.net/2292/23526 en
dc.description.abstract BACKGROUND: Safe and effective healthcare is frustrated by failures in communication. Repeating back important information (read-back) is thought to enhance the effectiveness of communication across many industries. However, formal communication protocols are uncommon in healthcare teams. AIMS: We aimed to quantify the effect of read-back on the transfer of information between members of a healthcare team during a simulated clinical crisis. We hypothesised that reading back information provided by other team members would result in better knowledge of that information by the receiver than verbal response without read-back or no verbal response. METHOD: Postanaesthesia care unit nurses and anaesthetic assistants were given clinically relevant items of information at the start of 88 simulations. A clinical crisis prompted calling an anaesthetist, with no prior knowledge of the patient. Using video recordings of the simulations, we noted each time a piece of information was mentioned to the anaesthetist. Their response was coded as read-back, verbal response without read-back or no verbal response. RESULTS: If the anaesthetists read back the item of information, or otherwise verbally responded, they were, respectively, 8.27 (p<0.001) or 3.16 (p=0.03) times more likely to know the information compared with no verbal response. CONCLUSIONS: Our results suggest that training healthcare teams to use read-back techniques could increase information transfer between team members with the potential for improved patient safety. More work is needed to confirm these findings. en
dc.format.medium Print-Electronic en
dc.language eng en
dc.relation.ispartofseries BMJ Quality & Safety en
dc.rights Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. Details obtained from http://journals.bmj.com/site/authors/Co_owned_form_2014.pdf http://www.sherpa.ac.uk/romeo/issn/2044-5415/ en
dc.rights.uri https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm en
dc.title Read-back improves information transfer in simulated clinical crises. en
dc.type Journal Article en
dc.identifier.doi 10.1136/bmjqs-2014-003096 en
pubs.issue 12 en
pubs.begin-page 989 en
pubs.volume 23 en
dc.identifier.pmid 25114268 en
pubs.end-page 993 en
dc.rights.accessrights http://purl.org/eprint/accessRights/RestrictedAccess en
pubs.subtype Article en
pubs.elements-id 449549 en
pubs.org-id Medical and Health Sciences en
pubs.org-id School of Medicine en
pubs.org-id Anaesthesiology en
pubs.org-id Cent Medical & Hlth Sci Educat en
dc.identifier.eissn 2044-5423 en
pubs.record-created-at-source-date 2014-11-20 en
pubs.dimensions-id 25114268 en


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