1Sentinel Events and Root Cause Analyses[ J]. Bull Am CollSurg,2006,91(10):42-48.
2Manojlovich M, Decicco B. Healthy Work Environments,Nurse—physician Communication, and Patients’ Outcomes[J].Am J Crit Care,2007,16(6):536-543.
3Gurses A P,Carayon P. Performance Obstacles of IntensiveCare Nurses[ J]. Nurs Res,2007, 56(3):185-194.
4Wakefield J. Patient Safety: from Learning to Action [R]//First Queensland Health Report on Clinical Incidents andSentinel Events.Brisbane, Queensland, Australia: Queens-land Health, 2007.
5Partin B. Preventing Medication Errors: an IOM Report[ J].Nurse Pract,2006,31(12):8-16.
6Alvarez G, Coiera E. Interdisciplinary Communication: AnUncharted Source of Medical Error? [ J]. J Crit Care,2006,21(3):236-242.
7Pronovost P,Berenholtz S,Dorman T, et al. Improving Com-munication in the ICU Using Daily Goals [ J]. J Crit Care,2003,18(2):71-75.
8Miller G A. The Magical Number Seven Plus or Minus Two:Some Limits on Our Capacity for Processing Informationf J].Psychol Rev,1956,63(2):81-97.
9Lorist M M, Boksem M A, Ridderinkhof K R. Impaired Cog-nitive Control and Reduced Cingulate Activity during MentalFatiguef J]. Brain Res Cogn Brain Res,2005,24(2): 199-205.
10Halford G S, Baker R, Mecredden J E, et al. How ManyVariables Can Humans Process? [ J]. Psychol Sci, 2005,16(1):70-76.
3Sutcliffe KM,Lewton E,Rosenthal MM. Communication failures:an insidious contributor to medical mishaps[J-. Academic Medicine ,2004, 79(2) : 186-194.
4The Joint Commission. Root causes:a failure to communicate:identifying and overcoming communication barriers[EB/OL].[2010-05-19], http://www. jcrinc.com/3156.
5Leonard M,Graham S,Bonacum D. The human factor:the critical importance of effective teamwork and communication in providing safe care[J]. Qual Saf Health Care,2004,13(suppl 1 ) :85-90.
6SBAR technique for communication:a situational briefing model [EB/ OL]. [ 2010-05-19 ].http://www.ihi.org/IHI/Topics/PatientSafetylSafetyGeneral/Tools.
7John ST. SBAR communication standardization in arizona [EB/OL]. [ 2010-05 - 19 ].http ://www.azhha.org/patient _saffety/doc uments/SBA Rtoolkit_ 001 .pdf.
8Bello J,Quinn P,Horrell L. Maintaining patient safety through innovation:an electronic SBAR communication tool[J]. Comput Inform Nurs, 2011,29(9) :481-483.
9Freitag M,Carroll VS.Handoff communication:using failure modes and effects analysis to improve the transition in care process[J]. Qual Manag Health Care,2011,20(2) : 103-109.
10Velji K. Effectiveness of an adapted SBAR communication tool for a rehabilitation setting[J]. Heahhcare Qualiterly,2008, 11:72-79.
5Wang Y, Liao X, Zhao X, et al. Using recombinant tissue plas- minogen activator to treat acute ischemic stroke in China: Analy- sis of the results from the Chinese National Stroke Registry (CNSR) [J]. Stroke,2011,42 : 1658 - 1664.
