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psnet.ahrq.gov/node/43081/psn-pdf
July 28, 2014 - Providers' perceptions of communication breakdowns in
cancer care.
July 28, 2014
Prouty CD, Mazor KM, Greene SM, et al. Providers' perceptions of communication breakdowns in cancer
care. J Gen Intern Med. 2014;29(8):1122-30. doi:10.1007/s11606-014-2769-1.
https://psnet.ahrq.gov/issue/providers-perceptions-communic…
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psnet.ahrq.gov/node/38712/psn-pdf
June 17, 2009 - Silence, power and communication in the operating room.
June 17, 2009
Gardezi F, Lingard LA, Espin S, et al. Silence, power and communication in the operating room. J Adv
Nurs. 2009;65(7):1390-1399. doi:10.1111/j.1365-2648.2009.04994.x.
https://psnet.ahrq.gov/issue/silence-power-and-communication-operating-room
Co…
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psnet.ahrq.gov/node/37396/psn-pdf
March 28, 2012 - Risk-adjusted morbidity in teaching hospitals correlates
with reported levels of communication and collaboration
on surgical teams but not with scale measures of
teamwork climate, safety climate, or working conditions.
March 28, 2012
Davenport DL, Henderson WG, Mosca CL, et al. Risk-adjusted morbidity in teaching …
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digital.ahrq.gov/principal-investigator/overby-casey-l
January 01, 2023 - Overby, Casey L.
Electronic Health Record-linked Decision Support for Communicating Genomic Data - Final Report
Citation
Overby CL. Electronic Health Record-linked Decision Support for Communicating Genomic Data - Final Report. (Prepared by Johns Hopkins University under Grant…
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules.html
May 01, 2017 - Long-Term Care Safety Toolkit Modules
Toolkit To Reduce CAUTI and Other HAIs in Long-Term Care Facilities
These modules (available in English and Spanish) describe how to apply the Comprehensive Unit-based Safety Program (CUSP) for long-term care resident safety. They support learning and implementation effor…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospital-version-2-resource-list.pdf
December 01, 2024 - This IHI web page identifies
tips and tools for how to communicate feedback.
3. … shift-to-shift handoff
process at the bedside to add a layer of safety by enabling the patient to communicate … Critical Situation” is a worksheet/script a provider
can use to organize information when preparing to communicate
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www.ahrq.gov/sites/default/files/2024-01/weinger-report.pdf
January 01, 2024 - minute pre-refresher webinar that reinforced previous content and introduced additional methods to
communicate
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/pu_training-impguide.docx
October 01, 2017 - Communicate results.
Refine practices to address any problems. … Describe plan and progress:
Do you have a plan to communicate rates/progress/
resource needs to senior … Communicate Clearly
Leaders and staff need to have a common vision of the change and how it will contribute … prevention into the electronic documentation system
How to use electronic communication modalities to communicate … It used a life preserver logo and passed out Life Savers® candy to communicate the program to staff.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_opt_briefings.pptx
December 01, 2017 - effective strategies for briefing and debriefing
Provide protected time for nurse to address defects and communicate … provide special instructions
Address equipment issues
Plan postoperative beta blockers, if applicable
Communicate
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psnet.ahrq.gov/issue/fda-safety-communication-recommendations-reduce-surgical-fires-and-related-patient-injury
October 19, 2022 - Press Release/Announcement
FDA Safety Communication: recommendations to reduce surgical fires and related patient injury.
Citation Text:
FDA Safety Communication: recommendations to reduce surgical fires and related patient injury. MedWatch Safety Alert. Silver Spring, MD: US Food and Dr…
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psnet.ahrq.gov/issue/case-outcomes-communication-and-resolution-program-new-york-hospitals
February 05, 2014 - Study
Case outcomes in a communication-and-resolution program in New York hospitals.
Citation Text:
Mello MM, Greenberg Y, Senecal SK, et al. Case Outcomes in a Communication-and-Resolution Program in New York Hospitals. Health Serv Res. 2016;51 Suppl 3:2583-2599. doi:10.1111/1475-6773.1…
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psnet.ahrq.gov/issue/challenges-implementing-communication-and-resolution-program-where-multiple-organizations
May 11, 2016 - Study
Challenges of implementing a communication-and-resolution program where multiple organizations must cooperate.
Citation Text:
Mello MM, Armstrong S, Greenberg Y, et al. Challenges of Implementing a Communication-and-Resolution Program Where Multiple Organizations Must Cooperate. He…
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psnet.ahrq.gov/node/42609/psn-pdf
September 25, 2013 - Associations between communication climate and the
frequency of medical error reporting among pharmacists
within an inpatient setting.
September 25, 2013
Patterson ME, Pace HA, Fincham JE. Associations between communication climate and the frequency of
medical error reporting among pharmacists within an inpatient …
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psnet.ahrq.gov/node/37255/psn-pdf
December 19, 2011 - Communicating in the "gray zone": perceptions about
emergency physician-hospitalist handoffs and patient
safety.
December 19, 2011
Apker J, Mallak LA, Gibson SC. Communicating in the "gray zone": perceptions about emergency physician
hospitalist handoffs and patient safety. Acad Emerg Med. 2007;14(10):884-94.
htt…
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psnet.ahrq.gov/node/47901/psn-pdf
April 10, 2019 - A systematic review of falls in hospital for patients with
communication disability: highlighting an invisible
population.
April 10, 2019
Hemsley B, Steel J, Worrall L, et al. A systematic review of falls in hospital for patients with communication
disability: Highlighting an invisible population. J Safety Res. 20…
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psnet.ahrq.gov/node/43445/psn-pdf
October 01, 2014 - Test result communication in primary care: clinical and
office staff perspectives.
October 1, 2014
Litchfield I, Bentham L, Lilford RJ, et al. Test result communication in primary care: clinical and office staff
perspectives. Fam Pract. 2014;31(5):592-7. doi:10.1093/fampra/cmu041.
https://psnet.ahrq.gov/issue/test…
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psnet.ahrq.gov/node/42709/psn-pdf
November 06, 2013 - Toward increased patient safety? Electronic
communication of medication information between
nurses in home health care and general practitioners.
November 6, 2013
Lyngstad M, Melby L, Grimsmo A, et al. Toward Increased Patient Safety? Electronic Communication of
Medication Information Between Nurses in Home Health…
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psnet.ahrq.gov/node/41651/psn-pdf
November 26, 2014 - Passing the baton: a grounded practical theory of handoff
communication between multidisciplinary providers in
two Department of Veterans Affairs outpatient settings.
November 26, 2014
Koenig CJ, Maguen S, Daley A, et al. Passing the baton: a grounded practical theory of handoff
communication between multidiscipli…
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psnet.ahrq.gov/node/44009/psn-pdf
July 18, 2016 - Automated communication tools and computer-based
medication reconciliation to decrease hospital discharge
medication errors.
July 18, 2016
Smith KJ, Handler S, Kapoor WN, et al. Automated Communication Tools and Computer-Based Medication
Reconciliation to Decrease Hospital Discharge Medication Errors. Am J Med Qua…
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psnet.ahrq.gov/node/45782/psn-pdf
January 18, 2017 - Standardization of inpatient handoff communication.
January 18, 2017
Jewell JA. Standardization of Inpatient Handoff Communication. Pediatrics. 2016;138(5):e20162681.
doi:10.1542/peds.2016-2681.
https://psnet.ahrq.gov/issue/standardization-inpatient-handoff-communication
Handoffs at shift changes are vulnerable to…