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psnet.ahrq.gov/issue/systematic-review-failures-handoff-communication-during-intrahospital-transfers
November 03, 2015 - Review
A systematic review of failures in handoff communication during intrahospital transfers.
Citation Text:
Ong M-S, Coiera E. A systematic review of failures in handoff communication during intrahospital transfers. Jt Comm J Qual Patient Saf. 2011;37(6):274-284.
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psnet.ahrq.gov/issue/racial-implicit-bias-and-communication-among-physicians-simulated-environment
October 19, 2022 - Study
Racial implicit bias and communication among physicians in a simulated environment.
Citation Text:
Gonzalez CM, Ark TK, Fisher MR, et al. Racial implicit bias and communication among physicians in a simulated environment. JAMA Netw Open. 2024;7(3):e242181. doi:10.1001/jamanetworkop…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.269_slideshow.ppt
June 01, 2012 - Spotlight Case July 2008
Spotlight Case
Transfer Troubles
1
2
Source and Credits
This presentation is based on the June 2012
AHRQ WebM&M Spotlight Case
See the full article at http://webmm.ahrq.gov
CME credit is available
Commentary by: Isla M. Hains, PhD; Centre for Health Systems and Safety Research, Australia…
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psnet.ahrq.gov/node/45800/psn-pdf
January 18, 2017 - Inpatient Notes: mistakes in the
hospital—communicating, apologizing, and beyond.
January 18, 2017
Kachalia A. Web Exclusives. Annals for Hospitalists Inpatient Notes - Mistakes in the Hospital-
Communicating, Apologizing, and Beyond. Ann Intern Med. 2016;165(12):HO2-HO3. doi:10.7326/M16-
2545.
https://psnet.ahrq…
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psnet.ahrq.gov/node/40624/psn-pdf
July 20, 2011 - ED handoffs: observed practices and communication
errors.
July 20, 2011
Maughan BC, Lei L, Cydulka RK. ED handoffs: observed practices and communication errors. Am J Emerg
Med. 2011;29(5):502-11. doi:10.1016/j.ajem.2009.12.004.
https://psnet.ahrq.gov/issue/ed-handoffs-observed-practices-and-communication-errors
T…
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psnet.ahrq.gov/node/74763/psn-pdf
June 25, 2021 - FDA Safety Communication: flexible bronchoscopes and
updated recommendations for reprocessing.
June 25, 2021
Silver Springs, MD: US Food and Drug Administration: June 25, 2021.
https://psnet.ahrq.gov/issue/fda-safety-communication-flexible-bronchoscopes-and-updated-
recommendations-reprocessing
Incomplete reproce…
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psnet.ahrq.gov/node/43177/psn-pdf
May 14, 2014 - Disclosing medical errors to patients: effects of nonverbal
involvement.
May 14, 2014
Hannawa AF. Disclosing medical errors to patients: effects of nonverbal involvement. Patient Educ Couns.
2014;94(3):310-313. doi:10.1016/j.pec.2013.11.007.
https://psnet.ahrq.gov/issue/disclosing-medical-errors-patients-effects-n…
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psnet.ahrq.gov/node/43977/psn-pdf
November 16, 2015 - Patient perspectives on test result communication in
primary care: a qualitative study.
November 16, 2015
Litchfield I, Bentham L, Lilford RJ, et al. Patient perspectives on test result communication in primary care:
a qualitative study. Br J Med Pract. 2015;65(632):e133-e140. doi:10.3399/bjgp15X683929.
https://ps…
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digital.ahrq.gov/ahrq-funded-projects/electronic-health-record-linked-decision-support-communicating-genomic-data/final-report
January 01, 2023 - 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 No. R21 HS023390). Rockville, MD: Agency …
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psnet.ahrq.gov/node/33691/psn-pdf
December 01, 2009 - How to Identify and Manage Problem Behaviors
December 1, 2009
Rosenstein AH, O'Daniel M. How to Identify and Manage Problem Behaviors. PSNet [internet]. 2009.
https://psnet.ahrq.gov/perspective/how-identify-and-manage-problem-behaviors
Perspective
The 1999 Institute of Medicine report highlighted the need for heal…
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effectivehealthcare.ahrq.gov/sites/default/files/fleisher.pdf
January 01, 2010 - Fleisher
Slide
1: Health Communication Practice
and Web 2.0: Addressing
Health Disparities
Linda
Fleisher, Ph.D., M.P.H.
Assistant Vice President, Office of Health Communications & Health Disparities
Fo Chase Cancer Center, Philadelphia, PA
Slide
2: Collaborators
Sa…
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psnet.ahrq.gov/issue/getting-started-communication-and-resolution-program-crp-policy-or-commitment-statement-cr
February 28, 2024 - Tools/Toolkit
Getting Started with a Communication and Resolution Program (CRP) Policy or Commitment Statement to CR.
Citation Text:
Getting Started with a Communication and Resolution Program (CRP) Policy or Commitment Statement to CR. Collaborative for Accountability and Improvement Po…
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psnet.ahrq.gov/issue/creating-communication-coaching-structure-and-support-your-crp-program
January 25, 2023 - Webinar
Creating a Communication Coaching Structure and Support for your CRP Program.
Citation Text:
Creating a Communication Coaching Structure and Support for your CRP Program. Collaborative for Accountability and Improvement. September 15, 2022.
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psnet.ahrq.gov/issue/increasing-patient-safety-and-surgical-team-communication-using-counttime-out-board
February 22, 2012 - Commentary
Increasing patient safety and surgical team communication by using a count/time out board.
Citation Text:
Edel EM. Increasing patient safety and surgical team communication by using a count/time out board. AORN J. 2010;92(4):420-4. doi:10.1016/j.aorn.2010.03.013.
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psnet.ahrq.gov/issue/nurses-perceptions-and-experiences-communication-operating-theatre-focus-group-interview
June 22, 2009 - Study
Nurses' perceptions and experiences of communication in the operating theatre: a focus group interview.
Citation Text:
Nestel D, Kidd J. Nurses' perceptions and experiences of communication in the operating theatre: a focus group interview. BMC Nurs. 2006;5:1.
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psnet.ahrq.gov/issue/pact-collaborative-pathway-accountability-compassion-and-transparency
February 05, 2014 - Multi-use Website
PACT Collaborative: Pathway to Accountability, Compassion and Transparency.
Citation Text:
PACT Collaborative: Pathway to Accountability, Compassion and Transparency. Ariadne Labs, Brigham and Women’s Hospital, Harvard TH Chan School of Public Health.
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www.ahrq.gov/news/newsroom/case-studies/cquips1201.html
October 01, 2014 - AHRQ Patient Safety Surveys, TeamSTEPPS Used in Georgia Nursing Homes and Hospitals
Search All Impact Case Studies
January 2012
Alliant/GMCF, the Medicare Quality Improvement Organization (QIO) for Georgia, used AHRQ's patient safety culture surveys and team training tools in tandem to help nursing homes an…
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/child-hcahps-benefits-participation.pdf
January 01, 2019 - Introducing the Child HCAHPS® Survey Database webcast-Toomey-2
BENEFITS OF PARTICIPATION
Sara Toomey, MD, MPhil, MPH, MSc
Chief Safety and Quality Officer, SVP
Chief Experience Officer
Director/PI, Center of Excellence for Pediatric Quality Measurement
Boston Children’s Hospital
22
Benefits of Participation
•…
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psnet.ahrq.gov/issue/improving-healthcare-team-communication-building-lessons-aviation-and-aerospace
August 08, 2007 - Book/Report
Improving Healthcare Team Communication: Building on Lessons from Aviation and Aerospace.
Citation Text:
Improving Healthcare Team Communication: Building on Lessons from Aviation and Aerospace. Nemeth CP, ed. Burlington, VT: Ashgate Publishing; 2008. ISBN: 9780754670254.
C…
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psnet.ahrq.gov/issue/how-communications-issues-between-doctors-and-nurses-can-affect-your-health
September 28, 2016 - Newspaper/Magazine Article
How communications issues between doctors and nurses can affect your health.
Citation Text:
How communications issues between doctors and nurses can affect your health. Howley EK. US News & World Report. September 5, 2018.
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