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N in the delivery of care. Suboptimal communication is not only a common occurrence but is also associated with untoward events. The Joint Commission on the Accreditation of Healthcare Organizations notes that 65% of sentinel events,1 and 90% of root cause analyses conducted at OSF St. Joseph Medical Center (Bloomington, Illinois) include communication as a contributing factor. On January 1, 2006, a new requirement went into effect, associated with the Joint Commission s National Patient Safet.

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