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The human factor: the critical importance of effective ...

The human factor: the critical importance of effectiveteamwork and communication in providing safe careM Leonard, S Graham, D Saf Health Care2004;13(Suppl 1):i85 i90. doi: communication and teamwork is essential for thedelivery of high quality, safe patient care. Communicationfailures are an extremely common cause of inadvertentpatient harm. The complexity of medical care, coupled withthe inherent limitations of human performance, make itcritically important that clinicians have standardisedcommunication tools, create an environment in whichindividuals can speak up and express concerns, and sharecommon critical language to alert team members tounsafe situations.

communication is situation or personality dependent. Other high reliability domains, such as commercial aviation, have shown that the adoption of standardised tools and behaviours is a very effective strategy in enhancing teamwork and reducing risk. We describe our ongoing patient safety implementation using this approach within

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