-
psnet.ahrq.gov/node/849615/psn-pdf
May 31, 2023 - Clinical Investigation Booking Systems Failures: Written
Communications in Community Languages.
May 31, 2023
Farnborough, UK: Healthcare Safety Investigation Branch; April 2023.
https://psnet.ahrq.gov/issue/clinical-investigation-booking-systems-failures-written-communications-
community-languages
Gaps in patient…
-
psnet.ahrq.gov/node/47410/psn-pdf
April 10, 2019 - Patient–pharmacist communication during a post-
discharge pharmacist home visit.
April 10, 2019
Ensing HT, Vervloet M, van Dooren AA, et al. Patient-pharmacist communication during a post-discharge
pharmacist home visit. Int J Clin Pharm. 2018;40(3):712-720. doi:10.1007/s11096-018-0639-3.
https://psnet.ahrq.gov/is…
-
psnet.ahrq.gov/node/847040/psn-pdf
April 05, 2023 - Communicating patient safety information through video
and oral formats-a comparison.
April 5, 2023
Bånnsgård M, Nouri A, Finizia C, et al. Communicating patient safety information through video and oral
formats-a comparison. J Patient Saf. 2023;19(2):137-142. doi:10.1097/pts.0000000000001086.
https://psnet.ahrq.g…
-
psnet.ahrq.gov/node/45227/psn-pdf
January 21, 2017 - Implementing delivery room checklists and
communication standards in a multi-neonatal ICU quality
improvement collaborative.
January 21, 2017
Bennett SC, Finer N, Halamek LP, et al. Implementing Delivery Room Checklists and Communication
Standards in a Multi-Neonatal ICU Quality Improvement Collaborative. Jt Comm …
-
psnet.ahrq.gov/node/46222/psn-pdf
June 21, 2017 - Enhanced time out: an improved communication process.
June 21, 2017
Nelson PE. Enhanced Time Out: An Improved Communication Process. AORN J. 2017;105(6):564-570.
doi:10.1016/j.aorn.2017.03.014.
https://psnet.ahrq.gov/issue/enhanced-time-out-improved-communication-process
The Universal Protocol requires hospitals t…
-
www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/overview.html
March 01, 2017 - Overview of the Long-Term Care Safety Toolkit Modules and Nursing Home Survey on Patient Safety Culture
AHRQ Safety Program for Long-Term Care: HAIs/CAUTI
The Long-Term Care (LTC) Safety Toolkit is designed to support learning and implementation efforts to improve safety culture in LTC facilities.…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d8_pdi_projectevaluation.pdf
June 02, 2025 - Project Evaluation and Debriefing
Pediatric 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 s…
-
www.ahrq.gov/patient-safety/settings/hospital/candor/impguide.html
August 01, 2022 - Implementation Guide for the CANDOR Process
Communication and Optimal Resolution Toolkit
Purpose: The Toolkit Implementation Guide is a reference for organizational leaders who are committed to improving their response to unexpected patient harm events. The guide describes the CANDOR process, implementatio…
-
digital.ahrq.gov/ahrq-funded-projects/chronic-care-technology-project
January 01, 2023 - The Chronic Care Technology Project
Project Final Report ( PDF , 99.84 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 represent the views of AHRQ. No statement in th…
-
digital.ahrq.gov/sites/default/files/docs/citation/r01hs023324-cohen-final-report-2020.pdf
January 01, 2020 - Teams struggled to communicate social risk
information when in-person communication was not an option … wishes there was an
flexibility of HIT different roles requires flexibility easy way for providers to communicate
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/guide.html
December 01, 2017 - Communicate risk changes as they occur. … Throughout the implementation period, the Facilitator will communicate with each change team as to their
-
www.ahrq.gov/downloads/pub/advances2/vol4/Advances-Loux_36.pdf
March 15, 2008 - Given this problem, rural staff found it
difficult to communicate what they wanted in a PACS, while … The consultant could act as a liaison between the rural and urban
hospitals to better communicate workflow
-
psnet.ahrq.gov/node/837958/psn-pdf
December 01, 2021 - when a patient is referred for evaluation, there is no legal
requirement for outpatient clinics to communicate … The EMS provider must communicate with the designated base hospital within their area
of operation and
-
digital.ahrq.gov/sites/default/files/docs/publication/uc1hs016154-nashan-final-report-2009.pdf
January 01, 2009 - possible
54% 32% 43%
Communicated in other ways (phone,
email)
42% 39% 41% 0.091
We did not communicate … about what was available to aide their processes,
but also provided them with the ability to better communicate
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/pruhealing/puh-factraining-guide.docx
June 02, 2025 - Communicate risk changes as they occur. … Throughout the implementation period, the Facilitator will communicate with each change team as to their
-
www.ahrq.gov/prevention/guidelines/tobacco/decisionmakers/systems/index.html
December 01, 2012 - Performance Evaluations
Action
Strategies for implementation
Clinical sites should communicate … Communicate to each staff member (e.g., nurse, physician, medical assistant, pharmacist, or other clinician
-
psnet.ahrq.gov/perspective/conversation-susan-haas-md-msc
March 01, 2019 - Health care networks can communicate across their systems with relative ease, hopefully sharing best … It is also incumbent upon the system safety initiative to develop methods to communicate such findings
-
digital.ahrq.gov/sites/default/files/docs/citation/r18hs021162-mctigue-final-report-2018.pdf
January 01, 2018 - comparable to the previous literature, none of the
previous trials incorporated use of the EHR to communicate … This trial capitalized on
the ability of the EHR to communicate with both PCPs and patients and to document
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/factraining.html
September 01, 2017 - Communicate risk changes as they occur. … Throughout the implementation period, the Facilitator will communicate with each Change Team about its
-
psnet.ahrq.gov/perspective/aviation-safety-methods-quickly-adopted-questions-remain
January 01, 2006 - organizations (mostly hospitals) have adopted reporting, in contrast to ASRS, the diverse systems rarely communicate … At that time, we started training crews together, teaching them how to communicate most effectively and