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psnet.ahrq.gov/node/40529/psn-pdf
November 23, 2011 - Poor resident–attending intraoperative communication
may compromise patient safety.
November 23, 2011
Belyansky I, Martin TR, Prabhu AS, et al. Poor resident-attending intraoperative communication may
compromise patient safety. J Surg Res. 2011;171(2):386-94. doi:10.1016/j.jss.2011.04.011.
https://psnet.ahrq.gov/i…
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psnet.ahrq.gov/node/48150/psn-pdf
August 21, 2019 - Communication between primary and secondary care:
deficits and danger.
August 21, 2019
Dinsdale E, Hannigan A, O’Connor R, et al. Communication between primary and secondary care: deficits
and danger. Fam Pract. 2019;17(1):63-68. doi:10.1093/fampra/cmz037.
https://psnet.ahrq.gov/issue/communication-between-primary…
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psnet.ahrq.gov/node/43081/psn-pdf
July 28, 2014 - Providers' perceptions of communication breakdowns in
cancer care.
July 28, 2014
Prouty CD, Mazor KM, Greene SM, et al. Providers' perceptions of communication breakdowns in cancer
care. J Gen Intern Med. 2014;29(8):1122-30. doi:10.1007/s11606-014-2769-1.
https://psnet.ahrq.gov/issue/providers-perceptions-communic…
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psnet.ahrq.gov/node/38712/psn-pdf
June 17, 2009 - Silence, power and communication in the operating room.
June 17, 2009
Gardezi F, Lingard LA, Espin S, et al. Silence, power and communication in the operating room. J Adv
Nurs. 2009;65(7):1390-1399. doi:10.1111/j.1365-2648.2009.04994.x.
https://psnet.ahrq.gov/issue/silence-power-and-communication-operating-room
Co…
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psnet.ahrq.gov/node/37396/psn-pdf
March 28, 2012 - Risk-adjusted morbidity in teaching hospitals correlates
with reported levels of communication and collaboration
on surgical teams but not with scale measures of
teamwork climate, safety climate, or working conditions.
March 28, 2012
Davenport DL, Henderson WG, Mosca CL, et al. Risk-adjusted morbidity in teaching …
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psnet.ahrq.gov/node/40473/psn-pdf
July 02, 2011 - A systematic review of failures in handoff communication
during intrahospital transfers.
July 2, 2011
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.
https://psnet.ahrq.gov/issue/systematic-review-failures-h…
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psnet.ahrq.gov/web-mm/intubation-mishap
April 26, 2023 - SPOTLIGHT CASE
Intubation Mishap
Citation Text:
Weinger MB, Blike G. Intubation Mishap. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003.
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Format:
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psnet.ahrq.gov/issue/case-outcomes-communication-and-resolution-program-new-york-hospitals
February 05, 2014 - Study
Case outcomes in a communication-and-resolution program in New York hospitals.
Citation Text:
Mello MM, Greenberg Y, Senecal SK, et al. Case Outcomes in a Communication-and-Resolution Program in New York Hospitals. Health Serv Res. 2016;51 Suppl 3:2583-2599. doi:10.1111/1475-6773.1…
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psnet.ahrq.gov/issue/challenges-implementing-communication-and-resolution-program-where-multiple-organizations
May 11, 2016 - Study
Challenges of implementing a communication-and-resolution program where multiple organizations must cooperate.
Citation Text:
Mello MM, Armstrong S, Greenberg Y, et al. Challenges of Implementing a Communication-and-Resolution Program Where Multiple Organizations Must Cooperate. He…
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psnet.ahrq.gov/issue/fda-safety-communication-recommendations-reduce-surgical-fires-and-related-patient-injury
October 19, 2022 - Press Release/Announcement
FDA Safety Communication: recommendations to reduce surgical fires and related patient injury.
Citation Text:
FDA Safety Communication: recommendations to reduce surgical fires and related patient injury. MedWatch Safety Alert. Silver Spring, MD: US Food and Dr…
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psnet.ahrq.gov/node/42609/psn-pdf
September 25, 2013 - Associations between communication climate and the
frequency of medical error reporting among pharmacists
within an inpatient setting.
September 25, 2013
Patterson ME, Pace HA, Fincham JE. Associations between communication climate and the frequency of
medical error reporting among pharmacists within an inpatient …
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psnet.ahrq.gov/node/47901/psn-pdf
April 10, 2019 - A systematic review of falls in hospital for patients with
communication disability: highlighting an invisible
population.
April 10, 2019
Hemsley B, Steel J, Worrall L, et al. A systematic review of falls in hospital for patients with communication
disability: Highlighting an invisible population. J Safety Res. 20…
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psnet.ahrq.gov/node/38735/psn-pdf
June 24, 2009 - Reflection and analysis of how pharmacy students learn
to communicate about medication errors.
June 24, 2009
Noland CM, Rickles NM. Reflection and analysis of how pharmacy students learn to communicate about
medication errors. Health Commun. 2009;24(4):351-60. doi:10.1080/10410230902889399.
https://psnet.ahrq.gov/…
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psnet.ahrq.gov/node/42709/psn-pdf
November 06, 2013 - Toward increased patient safety? Electronic
communication of medication information between
nurses in home health care and general practitioners.
November 6, 2013
Lyngstad M, Melby L, Grimsmo A, et al. Toward Increased Patient Safety? Electronic Communication of
Medication Information Between Nurses in Home Health…
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psnet.ahrq.gov/node/41651/psn-pdf
November 26, 2014 - Passing the baton: a grounded practical theory of handoff
communication between multidisciplinary providers in
two Department of Veterans Affairs outpatient settings.
November 26, 2014
Koenig CJ, Maguen S, Daley A, et al. Passing the baton: a grounded practical theory of handoff
communication between multidiscipli…
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psnet.ahrq.gov/node/45782/psn-pdf
January 18, 2017 - Standardization of inpatient handoff communication.
January 18, 2017
Jewell JA. Standardization of Inpatient Handoff Communication. Pediatrics. 2016;138(5):e20162681.
doi:10.1542/peds.2016-2681.
https://psnet.ahrq.gov/issue/standardization-inpatient-handoff-communication
Handoffs at shift changes are vulnerable to…
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psnet.ahrq.gov/node/44009/psn-pdf
July 18, 2016 - Automated communication tools and computer-based
medication reconciliation to decrease hospital discharge
medication errors.
July 18, 2016
Smith KJ, Handler S, Kapoor WN, et al. Automated Communication Tools and Computer-Based Medication
Reconciliation to Decrease Hospital Discharge Medication Errors. Am J Med Qua…
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psnet.ahrq.gov/node/867037/psn-pdf
January 01, 2025 - Medicine communication from hospital to residential aged
care facilities: a cross-sectional survey of aged care
facility staff.
October 30, 2024
Browning S, Raleigh RA, Hattingh HL. Medicine communication from hospital to residential aged care
facilities: a cross-sectional survey of aged care facility staff. Int J…
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psnet.ahrq.gov/node/837696/psn-pdf
July 20, 2022 - Communication disparities between nursing home team
members.
July 20, 2022
Farrell TW, Butler JM, Towsley GL, et al. Communication disparities between nursing home team
members. Int J Environ Res Public Health. 2022;19(10):5975. doi:10.3390/ijerph19105975.
https://psnet.ahrq.gov/issue/communication-disparities-bet…
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psnet.ahrq.gov/node/72854/psn-pdf
March 17, 2021 - Enabling sustained communication with patients for safe
and effective management of oral chemotherapy: a
longitudinal ethnography.
March 17, 2021
Mitchell G, Porter S, Manias E. Enabling sustained communication with patients for safe and effective
management of oral chemotherapy: a longitudinal ethnography. J Adv …