Safety gaps in medical team communication: Results of quality improvement efforts in a cardiac catheterization laboratory.
Andrew J DooreyZoltan G TuriElizabeth H LazzaraErika G MendozaKirk N GarrattWilliam S WeintraubPublished in: Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions (2019)
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.