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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49785/psn-pdf
    February 01, 2017 - Refused Medication Error February 1, 2017 Foley M. Refused Medication Error. PSNet [internet]. 2017. https://psnet.ahrq.gov/web-mm/refused-medication-error The Case A 59-year-old man was admitted to the hospital with acute renal failure and mental status changes. He was alert to self and place only. The patient h…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34956/psn-pdf
    February 28, 2011 - Processes for effective communication in primary care. February 28, 2011 Weiner SJ, Barnet B, Cheng TL, et al. Processes for effective communication in primary care. Ann Intern Med. 2005;142(8):709-714. https://psnet.ahrq.gov/issue/processes-effective-communication-primary-care The authors address obstacles to eff…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36396/psn-pdf
    December 22, 2010 - Interdisciplinary communication: an uncharted source of medical error? December 22, 2010 Alvarez G, Coiera E. Interdisciplinary communication: an uncharted source of medical error? J Crit Care. 2006;21(3):236-42; discussion 242. https://psnet.ahrq.gov/issue/interdisciplinary-communication-uncharted-source-medical-…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60794/psn-pdf
    August 12, 2020 - Communication with patients and families regarding health care-associated exposure to coronavirus 2019: a checklist to facilitate disclosure. August 12, 2020 Sivashanker K, Mendu ML, Wickner PG, et al. Communication with patients and families regarding health care-associated exposure to coronavirus 2019: a checkli…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45436/psn-pdf
    August 31, 2016 - Improving the communication between teams managing boarded patients on a surgical specialty ward. August 31, 2016 Puvaneswaralingam S, Ross D. Improving the communication between teams managing boarded patients on a surgical specialty ward. BMJ Qual Improv Rep. 2016;5(1). doi:10.1136/bmjquality.u209186.w3750. http…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838314/psn-pdf
    October 12, 2022 - Stakeholder safety communication: patient and family reports on safety risks in hospitals. October 12, 2022 Reader TW. Stakeholder safety communication: patient and family reports on safety risks in hospitals. J Risk Res. 2022;25(7):807-824. doi:10.1080/13669877.2022.2061036. https://psnet.ahrq.gov/issue/stakehold…

  7. Inpatient Transitions of Care: Challenges and Safety Practices | PSNet

    psnet.ahrq.gov/primer/inpatient-transitions-care-challenges-and-safety-practices
    June 15, 2024 - Inpatient Transitions of Care: Challenges and Safety Practices Citation Text: Satake A, McElroy V. Inpatient Transitions of Care: Challenges and Safety Practices. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2024. Copy Citation …

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38160/psn-pdf
    June 16, 2019 - Gaps in pediatric clinician communication and opportunities for improvement. June 16, 2019 Woods D, Holl JL, Angst DB, et al. Gaps in pediatric clinician communication and opportunities for improvement. J Healthc Qual. 2008;30(5):43-54. https://psnet.ahrq.gov/issue/gaps-pediatric-clinician-communication-and-opport…

  9. A communication training program to encourage speaking-up behavior in surgical oncology. | PSNet

    psnet.ahrq.gov/issue/communication-training-program-encourage-speaking-behavior-surgical-oncology
    May 18, 2022 - Study A communication training program to encourage speaking-up behavior in surgical oncology. Citation Text: D'Agostino TA, Bialer PA, Walters CB, et al. A Communication Training Program to Encourage Speaking-Up Behavior in Surgical Oncology. AORN J. 2017;106(4):295-305. doi:10.1016/j.a…

  10. 'More than words' - interpersonal communication, cognitive bias and diagnostic errors. | PSNet

    psnet.ahrq.gov/issue/more-words-interpersonal-communication-cognitive-bias-and-diagnostic-errors
    March 11, 2013 - Commentary 'More than words' - interpersonal communication, cognitive bias and diagnostic errors. Citation Text: Dahm MR, Williams M, Crock C. ‘More than words’ – Interpersonal communication, cognitive bias and diagnostic errors. Patient Educ Couns. 2022;105(1):252-256. doi:10.1016/j.pec…

  11. Intensive care units, communication between nurses and physicians, and patients' outcomes. | PSNet

    psnet.ahrq.gov/issue/intensive-care-units-communication-between-nurses-and-physicians-and-patients-outcomes
    May 28, 2008 - Study Intensive care units, communication between nurses and physicians, and patients' outcomes. Citation Text: Manojlovich M, Antonakos CL, Ronis DL. Intensive care units, communication between nurses and physicians, and patients' outcomes. Am J Crit Care. 2009;18(1):21-30. doi:10.403…

  12. Communication failures in the operating room: an observational classification of recurrent types and effects. | PSNet

    psnet.ahrq.gov/issue/communication-failures-operating-room-observational-classification-recurrent-types-and
    April 06, 2011 - Study Classic Communication failures in the operating room: an observational classification of recurrent types and effects. Citation Text: Lingard L, Espin S, Whyte S, et al. Communication failures in the operating room: an observational classification of recu…

  13. Operative team communication during simulated emergencies: too busy to respond? | PSNet

    psnet.ahrq.gov/issue/operative-team-communication-during-simulated-emergencies-too-busy-respond
    March 04, 2020 - Study Operative team communication during simulated emergencies: too busy to respond? Citation Text: Davis A, Jones S, Crowell-Kuhnberg AM, et al. Operative team communication during simulated emergencies: Too busy to respond? Surgery. 2017;161(5):1348-1356. doi:10.1016/j.surg.2016.09.02…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44522/psn-pdf
    June 21, 2016 - Impact of an electronic alert notification system embedded in radiologists' workflow on closed-loop communication of critical results: a time series analysis. June 21, 2016 Lacson R, O'Connor SD, Sahni A, et al. Impact of an electronic alert notification system embedded in radiologists' workflow on closed-loop com…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48137/psn-pdf
    July 17, 2019 - Clinician perspectives on electronic health records, communication, and patient safety across diverse medical oncology practices. July 17, 2019 Patel MR, Friese CR, Mendelsohn-Victor K, et al. Clinician Perspectives on Electronic Health Records, Communication, and Patient Safety Across Diverse Medical Oncology Pra…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40946/psn-pdf
    January 19, 2012 - Effects of a multicentre teamwork and communication programme on patient outcomes: results from the Triad for Optimal Patient Safety (TOPS) project. January 19, 2012 Auerbach AD, Sehgal NL, Blegen MA, et al. Effects of a multicentre teamwork and communication programme on patient outcomes: results from the Triad f…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50860/psn-pdf
    February 05, 2020 - Does team reflexivity impact teamwork and communication in interprofessional hospital-based healthcare teams? A systematic review and narrative synthesis. February 5, 2020 McHugh SK, Lawton R, O'Hara JK, et al. Does team reflexivity impact teamwork and communication in interprofessional hospital-based healthcare …

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838625/psn-pdf
    October 19, 2022 - Improving communication and response to clinical deterioration to increase patient safety in the intensive care unit. October 19, 2022 Liu SI, Shikar M, Gante E, et al. Improving communication and response to clinical deterioration to increase patient safety in the intensive care unit. Crit Care Nurse. 2022;42(5):…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44205/psn-pdf
    June 21, 2015 - Teamwork, communication and safety climate: a systematic review of interventions to improve surgical culture. June 21, 2015 Sacks GD, Shannon EM, Dawes AJ, et al. Teamwork, communication and safety climate: a systematic review of interventions to improve surgical culture. BMJ Qual Saf. 2015;24(7):458-67. doi:10.11…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47591/psn-pdf
    January 01, 2021 - Advancing patient safety through the clinical application of a framework focused on communication. December 19, 2018 Manojlovich M, Hofer TP, Krein SL. Advancing Patient Safety Through the Clinical Application of a Framework Focused on Communication. J Patient Saf. 2021;17(8):e732-e737. doi:10.1097/PTS.00000000000…
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