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psnet.ahrq.gov/node/41330/psn-pdf
July 15, 2019 - Improving Safety in Maternity Services: a Toolkit for
Teams.
July 15, 2019
Thomas V, Dixon A. London, UK: The King's Fund; March 2012. ISBN: 9781857176384.
https://psnet.ahrq.gov/issue/improving-safety-maternity-services-toolkit-teams
This publication discusses how to improve teamwork, communication, training, gui…
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psnet.ahrq.gov/node/35792/psn-pdf
March 22, 2006 - Make safety a priority: create and maintain a culture of
safety.
March 22, 2006
Leonard M; Frankel A.
https://psnet.ahrq.gov/issue/make-safety-priority-create-and-maintain-culture-safety
The authors discuss the development of a culture of safety and how accountability, physician and hospital
leadership, and commu…
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psnet.ahrq.gov/node/40525/psn-pdf
June 15, 2011 - The normalization of deviance: what are the perioperative
risks?
June 15, 2011
McNamara SA. The normalization of deviance: what are the perioperative risks? AORN J. 2011;93(6):796-
801. doi:10.1016/j.aorn.2011.02.009.
https://psnet.ahrq.gov/issue/normalization-deviance-what-are-perioperative-risks
This commentary…
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psnet.ahrq.gov/node/36092/psn-pdf
March 18, 2010 - Improving the safety of telephone or verbal orders.
March 18, 2010
PA-PSRS Patient Saf Advis. 2006 Jun;3(2):1,3-7.
https://psnet.ahrq.gov/issue/improving-safety-telephone-or-verbal-orders
This article shares several examples of errors made while verbally communicating medication orders and
includes recommendations…
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/reducing-adverse-drug-1.pdf
March 01, 2020 - list, (2) evaluate medication for deprescribing, (3) decide with the patients, (4)
synthesize and communicate … • Educating patients and their families
helps them better communicate their
medication use to providers … and priorities, decide
on appropriate
deprescribing through
patient interview,
synthetize and
communicate
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effectivehealthcare.ahrq.gov/sites/default/files/transcript_deliberativemethodswebinar.pdf
April 19, 2012 - you have some kind of a
requirement that people get together and talk or dialogue
in some way, communicate … or, you know, engagements that hasn’t
resulted in anything and were really clearly just a way to
communicate … And really a point to be clear that you need to communicate
that purpose over and over again to the
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digital.ahrq.gov/organization/concord-hospital
January 01, 2023 - Concord Hospital
Electronic Communications Across Provider Settings
Description
Integrated an office-based EMR within an acute care hospital, rural community health centers, a community mental health center, a family medicine residency, private physician practices, and a home …
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psnet.ahrq.gov/node/36627/psn-pdf
February 07, 2007 - Doctors say patients who lie may put their health at risk.
February 7, 2007
Johnson CK.
https://psnet.ahrq.gov/issue/doctors-say-patients-who-lie-may-put-their-health-risk
This article describes how and why patients lie to their physicians and shares suggestions
for communication improvement to encourage patient f…
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www.ahrq.gov/teamstepps-program/resources/additional/call-outs.html
July 01, 2023 - TeamSTEPPS Video: Call-Outs in Labor and Delivery
YouTube embedded video: https://www.youtube-nocookie.com/embed/CFkIaDzd8AY
TeamSTEPPS: Call-Outs in Labor & Delivery (19 seconds)
Relaying vital patient information can provide the necessary context to begin a new treatment approach. See how this TeamSTE…
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psnet.ahrq.gov/node/37373/psn-pdf
July 15, 2010 - eHealth for Safety: Impact of ICT on Patient Safety and
Risk Management.
July 15, 2010
European Commission Information Society and Media. October 2007
https://psnet.ahrq.gov/issue/ehealth-safety-impact-ict-patient-safety-and-risk-management
This European report foresees the impact that new communication technologi…
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psnet.ahrq.gov/node/40626/psn-pdf
July 02, 2014 - Time to sign off on signout.
July 2, 2014
Stein DM, Stetson PD. Commentary: time to sign off on signout. Acad Med. 2011;86(7):804-6.
doi:10.1097/ACM.0b013e31821d8409.
https://psnet.ahrq.gov/issue/time-sign-signout
This commentary suggests standardized sign-outs can improve communication and handoffs.
https://psne…
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www.ahrq.gov/nursing-home/resources/leaders-can-maximize-trust.html
June 01, 2021 - How Leaders Can Maximize Trust and Minimize Stress During the COVID-19 Pandemic
Resource: How leaders can maximize trust and minimize stress during the COVID-19 pandemic
This article discusses psychologists’ research showing how to boost leaders’ communication in times of crisis.
Source: American Psycholo…
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psnet.ahrq.gov/node/39744/psn-pdf
September 13, 2010 - Are you using checklists? Check!
September 13, 2010
McNellis B, AAPA QCC of the. Are you using checklists? Check!. JAAPA. 2010;23(7):24-6, 31.
https://psnet.ahrq.gov/issue/are-you-using-checklists-check
This piece emphasizes how checklists can be effective tools to prevent medical error and reduce
communication fa…
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psnet.ahrq.gov/node/39792/psn-pdf
August 25, 2010 - The hazards of diagnosis.
August 25, 2010
Schattner A, Magazanik N, Haran M. The hazards of diagnosis. QJM. 2010;103(8):583-7.
doi:10.1093/qjmed/hcq080.
https://psnet.ahrq.gov/issue/hazards-diagnosis
This commentary discusses factors that contribute to diagnostic errors along with steps physicians should
take to …
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psnet.ahrq.gov/node/39167/psn-pdf
February 16, 2011 - Quality and Safety in Medicine.
February 16, 2011
Nash DB, Goldfarb NI, Patow C, eds. Acad Med. 2009;84:1641-1846.
https://psnet.ahrq.gov/issue/quality-and-safety-medicine
This collection of articles highlights efforts to improve quality and safety in academic health centers by
establishing teamwork initiat…
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psnet.ahrq.gov/node/40468/psn-pdf
May 26, 2011 - Hospitals overhaul ERs to reduce mistakes.
May 26, 2011
Landro L.
https://psnet.ahrq.gov/issue/hospitals-overhaul-ers-reduce-mistakes
This newspaper article reports on efforts to reduce errors in emergency medicine, including improving
physician–nurse communication, adopting timeouts before discharge, and using tr…
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psnet.ahrq.gov/node/34022/psn-pdf
March 07, 2005 - Focusing on Health Care Safety.
March 7, 2005
IEEE Transactions on Systems, Man, and Cybernetics, Part A: Systems and Humans. 2004;34(601):689-
778.
https://psnet.ahrq.gov/issue/focusing-health-care-safety
This special issue covers concepts of cognition, the use of planning and protocols, communication
patterns, …
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digital.ahrq.gov/principal-investigator/morrison-deane
January 01, 2023 - Morrison, Deane
Electronic Communications Across Provider Settings
Description
Integrated an office-based EMR within an acute care hospital, rural community health centers, a community mental health center, a family medicine residency, private physician practices, and a home n…
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psnet.ahrq.gov/perspective/conversation-jennifer-schulz-moore-llb-ma-phd
February 26, 2025 - In Conversation With… … Jennifer Schulz Moore, LLB, MA, PhD
April 1, 2019
Citation Text:
In Conversation With… … Jennifer Schulz Moore, LLB, MA, PhD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Serv…
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digital.ahrq.gov/sites/default/files/docs/publication/r13hs021925-pratt-final-report-2013.pdf
January 01, 2013 - Workshop on Interactive Systems in Healthcare (WISH) 2012 - Final Report
Small Grant Program for Conference Support (R13)
AHRQ Grant Final Progress Report
Title of Project: Workshop on Interactive Systems in Healthcare (WISH) 2012
Principal Investigator: Wanda Pratt, PhD …