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psnet.ahrq.gov/node/36754/psn-pdf
August 09, 2011 - Improving patient safety and communication through care
rounds in a pediatric oncology outpatient clinic.
August 9, 2011
Blough CA, Walrath JM. Improving patient safety and communication through care rounds in a pediatric
oncology outpatient clinic. J Nurs Care Qual. 2007;22(2):159-63.
https://psnet.ahrq.gov/issue…
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psnet.ahrq.gov/node/36429/psn-pdf
March 28, 2011 - Governing the surgical count through communication
interactions: implications for patient safety.
March 28, 2011
Riley R, Manias E, Polglase A. Governing the surgical count through communication interactions:
implications for patient safety. Qual Saf Health Care. 2006;15(5):369-374.
https://psnet.ahrq.gov/issue/go…
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psnet.ahrq.gov/node/39643/psn-pdf
December 21, 2014 - A systematic quantitative assessment of risks associated
with poor communication in surgical care.
December 21, 2014
Nagpal K, Vats A, Ahmed K, et al. A systematic quantitative assessment of risks associated with poor
communication in surgical care. Arch Surg. 2010;145(6):582-8. doi:10.1001/archsurg.2010.105.
http…
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psnet.ahrq.gov/node/37150/psn-pdf
January 02, 2017 - Using the Communication and Teamwork Skills (CATS)
assessment to measure health care team performance.
January 2, 2017
Frankel A, Gardner R, Maynard L, et al. Using the Communication and Teamwork Skills (CATS)
Assessment to measure health care team performance. Jt Comm J Qual Patient Saf. 2007;33(9):549-58.
https:…
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psnet.ahrq.gov/node/50805/psn-pdf
January 15, 2020 - Advancing safety with closed-loop communication of test
results.
January 15, 2020
Quick Safety. December 17, 2019;(52):1-3.
https://psnet.ahrq.gov/issue/advancing-safety-closed-loop-communication-test-results
Incomplete or delayed test result communication is a known factor in diagnostic error. This article shares…
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psnet.ahrq.gov/node/40658/psn-pdf
August 03, 2011 - Development and validation of a tool to improve
paediatric referral/consultation communication.
August 3, 2011
Stille CJ, Mazor KM, Meterko V, et al. Development and validation of a tool to improve paediatric
referral/consultation communication. BMJ Qual Saf. 2011;20(8):692-7. doi:10.1136/bmjqs.2010.045781.
https:…
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psnet.ahrq.gov/node/37703/psn-pdf
February 18, 2011 - Reducing diagnostic errors through effective
communication: harnessing the power of information
technology.
February 18, 2011
Singh H, Naik AD, Rao R, et al. Reducing Diagnostic Errors through Effective Communication: Harnessing
the Power of Information Technology. J Gen Intern Med. 2008;23(4). doi:10.1007/s11606-…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/sppc-summary_report.pdf
May 01, 2017 - If this pillar is broadened, it
will be important to organize, integrate, and communicate the strategies … indicators of adverse events, is considered an adverse event that results from failing
to rapidly detect, communicate
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psnet.ahrq.gov/web-mm/duplicate-insulin-order
May 04, 2012 - In addition, the patient's assigned nurse did not communicate to the covering nurse that she had given
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d8_combo_projectevaluation.pdf
June 02, 2025 - Project Evaluation and Debriefing
Toolkit for Using the AHRQ Quality Indicators
How To Improve Hospital Quality and Safety
i Tool D.8
Project Evaluation and Debriefing
What is the purpose of this tool? The purpose of the project evaluation is to:
• Identify factors that contributed to the team’s success.
•…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/resources/asc_pilotstudy.pdf
April 01, 2015 - It also includes a screener item and three
followup items measuring how often doctors and staff communicate
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_4-situation-monitoring-speaker-notes.pdf
July 01, 2023 - Strategies
Individual Awareness can become Shared Understanding through:
• Briefs to establish and communicate … • Who will accept responsibility for any outstanding tasks and how will
they communicate back to the … Did
they communicate relevant insights and changes in the status of the patient to
the rest of the
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www.ahrq.gov/antibiotic-use/ambulatory-care/strategies/index.html
October 01, 2022 - Learn Strategies for Communicating With Colleagues, Patients, and Families About Antibiotic Prescribing
In ambulatory care, reaching consensus on how a practice will manage antibiotic prescribing can help create a standard approach to prescribing so patients receive the same message from all clinicians in the p…
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/shachak-et-al-2009
January 01, 2009 - Shachak A et al. 2009 "Primary care physicians' use of an electronic medical record system: a cognitive task analysis."
Reference
Shachak A, Hadas-Dayagi M, Ziv A, et al. Primary care physicians use of an electronic medical record system: a cognitive task analysis. J Gen Intern Med 2009;24(3):341-348.…
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psnet.ahrq.gov/node/39785/psn-pdf
October 13, 2010 - Supporting patient safety: examining communication
within delivery suite teams through contrasting
approaches to research observation.
October 13, 2010
Berridge E-J, Mackintosh NJ, Freeth DS. Supporting patient safety: Examining communication within
delivery suite teams through contrasting approaches to research o…
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psnet.ahrq.gov/node/37862/psn-pdf
April 22, 2011 - Impact of patient communication problems on the risk of
preventable adverse events in acute care settings.
April 22, 2011
Bartlett G, Blais R, Tamblyn R, et al. Impact of patient communication problems on the risk of preventable
adverse events in acute care settings. CMAJ. 2008;178(12):1555-62. doi:10.1503/cmaj.070…
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psnet.ahrq.gov/node/39657/psn-pdf
July 07, 2010 - Health literacy and the quality of physician–patient
communication during hospitalization.
July 7, 2010
Kripalani S, Jacobson TA, Mugalla IC, et al. Health literacy and the quality of physician-patient
communication during hospitalization. J Hosp Med. 2010;5(5). doi:10.1002/jhm.667.
https://psnet.ahrq.gov/issue/he…
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psnet.ahrq.gov/node/42013/psn-pdf
March 06, 2013 - Handoff communication between hospital and outpatient
dialysis units at patient discharge: a qualitative study.
March 6, 2013
Reilly JB, Marcotte LM, Berns JS, et al. Handoff communication between hospital and outpatient dialysis
units at patient discharge: a qualitative study. Jt Comm J Qual Patient Saf. 2013;39(2…
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psnet.ahrq.gov/node/37326/psn-pdf
January 05, 2012 - Healthy work environments, nurse-physician
communication, and patients' outcomes.
January 5, 2012
Manojlovich M, DeCicco B. Healthy work environments, nurse-physician communication, and patients'
outcomes. Am J Crit Care. 2007;16(6):536-43.
https://psnet.ahrq.gov/issue/healthy-work-environments-nurse-physician-com…
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psnet.ahrq.gov/node/40487/psn-pdf
June 01, 2011 - Developing and testing a tool to measure nurse/physician
communication in the intensive care unit.
June 1, 2011
Carbo AR, Tess AV, Roy CL, et al. Developing a High-Performance Team Training Framework for Internal
Medicine Residents. J Patient Saf. 2011;7(2). doi:10.1097/pts.0b013e31820dbe02.
https://psnet.ahrq.gov…