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psnet.ahrq.gov/node/39059/psn-pdf
October 28, 2009 - Communication and information deficits in patients
discharged to rehabilitation facilities: an evaluation of five
acute care hospitals.
October 28, 2009
Gandara E, Moniz T, Ungar J, et al. Communication and information deficits in patients discharged to
rehabilitation facilities: An evaluation of five acute care h…
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psnet.ahrq.gov/node/42222/psn-pdf
April 24, 2013 - Team communication during patient handover from the
operating room: more than facts and figures.
April 24, 2013
Manser T, Foster S, Flin R, et al. Team communication during patient handover from the operating room:
more than facts and figures. Hum Factors. 2013;55(1):138-56.
https://psnet.ahrq.gov/issue/team-commu…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d8_pdi_projectevaluation.docx
June 02, 2025 - TO
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.
Identify factors that hindered the team’s success.
Identify additional clinical areas in the organization where the best practice can be implement…
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-care-transitions6.html
June 01, 2023 - Diagnostic Safety Across Transitions of Care Throughout the Healthcare System: Current State and a Call to Action
Next Steps and a Call to Action
Previous Page Next Page
Table of Contents
Diagnostic Safety Across Transitions of Care Throughout the Healthcare System: Current State and a Call to Actio…
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www.ahrq.gov/hai/cusp/modules/apply/ac-cusp.html
December 01, 2012 - Facilitator Notes
CUSP Toolkit, Apply CUSP
The Apply CUSP module of the CUSP Toolkit introduces Just Culture principles, which emphasize shared accountability and attitudes towards risk. This module also summarizes the concepts and activities of the other six modules in the CUSP Toolkit, including TeamSTEPPS®…
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effectivehealthcare.ahrq.gov/sites/default/files/web-based_dubenske_presenter.pdf
January 01, 2009 - DuBenske_Presentation_REVISED_FINAL
Source:
Eisenberg
Center
Conference
Series
2009,
Translating
Information
Into
Action:
Improving
Quality
of
Care
Through
Interactive
Media,
Effective
Health
Care
Program
Web
site
(http://www.effectivehe…
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digital.ahrq.gov/ahrq-funded-projects/interactive-health-communication-program-young-urban-adults-asthma
January 01, 2023 - An Interactive Health Communication Program For Young Urban Adults With Asthma
Project Final Report ( PDF , 540.55 KB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily rep…
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psnet.ahrq.gov/primer/improving-patient-safety-and-team-communication-through-daily-huddles
December 15, 2024 - Improving Patient Safety and Team Communication through Daily Huddles
Citation Text:
Shaikh U. Improving Patient Safety and Team Communication through Daily Huddles. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020.
Copy Citatio…
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/methodological-recommendations-framework-communications_research.pdf
September 01, 2013 - Recommendation Constitutes a Mandatory Item or a Desirable (but not Mandatory)
Item (Step 4) describes how to communicate … However stating them promotes
transparency, and using them in a qualitative fashion helps communicate … those making the recommendation, R4.1 is either acceptable or not—one can motivate its
selection to communicate … Using the framework can help communicate subtle but important aspects of
the recommendation at hand.
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psnet.ahrq.gov/perspective/conversation-withrichard-ricciardi-about-office-based-patient-safety
January 31, 2024 - I need to figure out a better way that we can communicate among providers and teams.”
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digital.ahrq.gov/sites/default/files/docs/survey/cis-survey-pre-go-live-physician.pdf
December 27, 2004 - Employee / Staff Pre-Go-Live Expectations / Perceptions Clinical Information Systems Survey
Employee and Staff Pre Go-Live Expectations and Perceptions
Clinical Information Systems Survey: Physician Only
University of Iowa, Iowa City IA
This is a questionnaire designed to be completed by physicians in an inpatient…
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digital.ahrq.gov/sites/default/files/docs/page/2006Richards_051611comp.pdf
June 05, 2006 - Sharing EHRs With Outside Organizations
2006 Patient Safety and Health Information Technology
Conference
Agency for Healthcare Research & Quality (AHRQ)
June 5, 2006
Frank Richards
Chief Information Officer
Geisinger Health System
SHARING EHRs WITH OUTSIDE
ORGANIZATIONS
Physician
Practice Group
$310M
Mana…
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www.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes1.html
August 01, 2022 - Module 1: An Overview of the CANDOR Process
AHRQ Communication and Optimal Resolution Toolkit
Facilitator Notes
Say:
The CANDOR Toolkit is composed of eight distinct modules that can be used to teach users about the CANDOR process. Module 1 provides an overview of the steps to implement the CANDOR…
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psnet.ahrq.gov/web-mm/false-assumptions-result-missed-pneumothorax-after-bronchoscopy-transbronchial-biopsy
March 15, 2023 - approaches that may reduce the risk of pneumothorax include minimizing sedation to allow patients to communicate
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psnet.ahrq.gov/node/41133/psn-pdf
December 29, 2014 - Look back and talk openly: responding to and
communicating about the risk of large-scale error in
pathology diagnoses.
December 29, 2014
Aldrich R, Finlayson P, Hill K, et al. Look back and talk openly: responding to and communicating about the
risk of large-scale error in pathology diagnoses. Int J Qual Health Ca…
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psnet.ahrq.gov/perspective/conversation-withvineet-arora-md-ma
March 01, 2011 - So there is a handoff occurring at discharge, and I often think just like you would communicate and sign
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psnet.ahrq.gov/node/42544/psn-pdf
December 18, 2013 - Communicating medication changes to community
pharmacy post-discharge: the good, the bad, and the
improvements.
December 18, 2013
Urban R, Paloumpi E, Rana N, et al. Communicating medication changes to community pharmacy post-
discharge: the good, the bad, and the improvements. Int J Clin Pharm. 2013;35(5):813-20.…
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psnet.ahrq.gov/node/47851/psn-pdf
May 22, 2019 - Communication and Resolution After an Adverse Health
Care Incident.
May 22, 2019
Pettersen B, Tate J, Tipper K, McKean H. Colorado Senate Bill 19-201.
https://psnet.ahrq.gov/issue/communication-and-resolution-after-adverse-health-care-incident
Communication-and-resolution mechanisms are seen as important approache…
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psnet.ahrq.gov/node/42135/psn-pdf
April 22, 2013 - Interprofessional education in team communication:
working together to improve patient safety.
April 22, 2013
Brock DM, Abu-Rish E, Chiu C-R, et al. Interprofessional education in team communication: working
together to improve patient safety. BMJ Qual Saf. 2013;22(5):414-23. doi:10.1136/bmjqs-2012-000952.
https:/…
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psnet.ahrq.gov/node/39165/psn-pdf
February 16, 2011 - Doctors' stress responses and poor communication
performance in simulated bad-news consultations.
February 16, 2011
Brown R, Dunn S, Byrnes K, et al. Doctors' stress responses and poor communication performance in
simulated bad-news consultations. Acad Med. 2009;84(11):1595-602.
doi:10.1097/ACM.0b013e3181baf537.
…