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1321. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42868/psn-pdf
      October 31, 2014 - Communication-and-resolution programs: the challenges and lessons learned from six early adopters. October 31, 2014 Mello MM, Boothman RC, McDonald TB, et al. Communication-and-resolution programs: the challenges and lessons learned from six early adopters. Health Aff (Millwood). 2014;33(1):20-29. doi:10.1377/hlth…

1322. Communication for Nurses: How to Prevent Harmful Events and Promote Patient Safety. | PSNet
      psnet.ahrq.gov/issue/communication-nurses-how-prevent-harmful-events-and-promote-patient-safety
      January 04, 2017 - Book/Report Communication for Nurses: How to Prevent Harmful Events and Promote Patient Safety. Citation Text: Communication for Nurses: How to Prevent Harmful Events and Promote Patient Safety. Schuster PM, Nykolyn L. Philadelphia, PA: F.A. Davis Company; 2010. ISBN: 9780803625303. …

1323. The impact of organisational and individual factors on team communication in surgery: a qualitative study. | PSNet
      psnet.ahrq.gov/issue/impact-organisational-and-individual-factors-team-communication-surgery-qualitative-study
      March 23, 2011 - Study The impact of organisational and individual factors on team communication in surgery: a qualitative study. Citation Text: Gillespie BM, Chaboyer W, Longbottom P, et al. The impact of organisational and individual factors on team communication in surgery: a qualitative study. Int …

1324. Development and validation of a tool to improve paediatric referral/consultation communication. | PSNet
      psnet.ahrq.gov/issue/development-and-validation-tool-improve-paediatric-referralconsultation-communication
      May 25, 2011 - Study Development and validation of a tool to improve paediatric referral/consultation communication. Citation Text: Stille CJ, Mazor KM, Meterko V, et al. Development and validation of a tool to improve paediatric referral/consultation communication. BMJ Qual Saf. 2011;20(8):692-7. do…

1325. Use of failure mode and effects analysis for proactive identification of communication and handoff failures from organ procurement to transplantation. | PSNet
      psnet.ahrq.gov/issue/use-failure-mode-and-effects-analysis-proactive-identification-communication-and-handoff
      August 04, 2021 - Study Use of failure mode and effects analysis for proactive identification of communication and handoff failures from organ procurement to transplantation. Citation Text: Steinberger DM, Douglas S, Kirschbaum MS. Use of failure mode and effects analysis for proactive identification of…

1326. Nurse/physician communication through a sensemaking lens: shifting the paradigm to improve patient safety. | PSNet
      psnet.ahrq.gov/issue/nursephysician-communication-through-sensemaking-lens-shifting-paradigm-improve-patient
      June 05, 2024 - Review Nurse/physician communication through a sensemaking lens: shifting the paradigm to improve patient safety. Citation Text: Manojlovich M. Nurse/physician communication through a sensemaking lens: shifting the paradigm to improve patient safety. Med Care. 2010;48(11):941-6. doi:10…

1327. Reducing interdisciplinary communication failures through secure text messaging: a quality improvement project. | PSNet
      psnet.ahrq.gov/issue/reducing-interdisciplinary-communication-failures-through-secure-text-messaging-quality
      May 08, 2017 - Study Reducing interdisciplinary communication failures through secure text messaging: a quality improvement project. Citation Text: Hansen JE, Lazow M, Hagedorn PA. Reducing Interdisciplinary Communication Failures Through Secure Text Messaging. Pediatr Qual Saf. 2019;3(1). doi:10.1097/…

1328. Implementing hospital-based communication-and-resolution programs: lessons learned in New York City. | PSNet
      psnet.ahrq.gov/issue/implementing-hospital-based-communication-and-resolution-programs-lessons-learned-new-york
      September 01, 2018 - Study Implementing hospital-based communication-and-resolution programs: lessons learned in New York City. Citation Text: Mello MM, Senecal SK, Kuznetsov Y, et al. Implementing hospital-based communication-and-resolution programs: lessons learned in New York City. Health Aff (Millwood).…

1329. Redesigning rounds in the ICU: standardizing key elements improves interdisciplinary communication. | PSNet
      psnet.ahrq.gov/issue/redesigning-rounds-icu-standardizing-key-elements-improves-interdisciplinary-communication
      April 17, 2024 - Study Redesigning rounds in the ICU: standardizing key elements improves interdisciplinary communication. Citation Text: O'Brien A, O'Reilly K, Dechen T, et al. Redesigning Rounds in the ICU: Standardizing Key Elements Improves Interdisciplinary Communication. Jt Comm J Qual Patient Saf.…

1330. Critical conversations: a call for a nonprocedural "time out." | PSNet
      psnet.ahrq.gov/issue/critical-conversations-call-nonprocedural-time-out
      February 18, 2011 - Commentary Critical conversations: a call for a nonprocedural "time out." Citation Text: Sehgal NL, Fox M, Sharpe B, et al. Critical conversations: a call for a nonprocedural "time out". J Hosp Med. 2011;6(4):225-30. doi:10.1002/jhm.853. Copy Citation Format: DOI Google Sch…

1331. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49513/psn-pdf
      July 01, 2006 - In this case, the hospital did have a system for assessing and communicating the clinical stability of

1332. Effects of a multicentre teamwork and communication programme on patient outcomes: results from the Triad for Optimal Patient Safety (TOPS) project. | PSNet
      psnet.ahrq.gov/issue/effects-multicentre-teamwork-and-communication-programme-patient-outcomes-results-triad
      January 16, 2013 - Study Effects of a multicentre teamwork and communication programme on patient outcomes: results from the Triad for Optimal Patient Safety (TOPS) project. Citation Text: Auerbach AD, Sehgal NL, Blegen MA, et al. Effects of a multicentre teamwork and communication programme on patient o…

1333. Reducing preventable adverse events in obstetrics by improving interprofessional communication skills--results of an intervention study. | PSNet
      psnet.ahrq.gov/issue/reducing-preventable-adverse-events-obstetrics-improving-interprofessional-communication
      February 16, 2022 - Study Reducing preventable adverse events in obstetrics by improving interprofessional communication skills--results of an intervention study. Citation Text: Hüner B, Derksen C, Schmiedhofer M, et al. Reducing preventable adverse events in obstetrics by improving interprofessional commun…

1334. Preventable adverse events in obstetrics: systemic assessment of their incidence and linked risk factors. | PSNet
      psnet.ahrq.gov/issue/preventable-adverse-events-obstetrics-systemic-assessment-their-incidence-and-linked-risk
      March 01, 2023 - Study Preventable adverse events in obstetrics: systemic assessment of their incidence and linked risk factors. Citation Text: Hüner B, Derksen C, Schmiedhofer M, et al. Preventable adverse events in obstetrics: systemic assessment of their incidence and linked risk factors. Healthcare (…

1335. Routine failures in the process for blood testing and the communication of results to patients in primary care in the UK: a qualitative exploration of patient and provider perspectives. | PSNet
      psnet.ahrq.gov/issue/routine-failures-process-blood-testing-and-communication-results-patients-primary-care-uk
      November 20, 2015 - Study Routine failures in the process for blood testing and the communication of results to patients in primary care in the UK: a qualitative exploration of patient and provider perspectives. Citation Text: Litchfield I, Bentham L, Hill A, et al. Routine failures in the process for bloo…

1336. Communication-and-resolution programs: the challenges and lessons learned from six early adopters. | PSNet
      psnet.ahrq.gov/issue/communication-and-resolution-programs-challenges-and-lessons-learned-six-early-adopters
      September 29, 2017 - Study Classic Communication-and-resolution programs: the challenges and lessons learned from six early adopters. Citation Text: Mello MM, Boothman RC, McDonald TB, et al. Communication-and-resolution programs: the challenges and lessons learned from six early ad…

1337. Outcomes in two Massachusetts hospital systems give reason for optimism about communication-and-resolution programs. | PSNet
      psnet.ahrq.gov/issue/outcomes-two-massachusetts-hospital-systems-give-reason-optimism-about-communication-and
      December 19, 2018 - Study Outcomes in two Massachusetts hospital systems give reason for optimism about communication-and-resolution programs. Citation Text: Mello MM, Kachalia A, Roche S, et al. Outcomes In Two Massachusetts Hospital Systems Give Reason For Optimism About Communication-And-Resolution Progr…

1338. Deficits in communication and information transfer between hospital-based and primary care physicians: implications for patient safety and continuity of care. | PSNet
      psnet.ahrq.gov/issue/deficits-communication-and-information-transfer-between-hospital-based-and-primary-care
      January 25, 2017 - Review Classic Deficits in communication and information transfer between hospital-based and primary care physicians: implications for patient safety and continuity of care. Citation Text: Kripalani S, LeFevre F, Phillips CO, et al. Deficits in communication a…

1339. Video-based communication assessment of physician error disclosure skills by crowdsourced laypeople and patient advocates who experienced medical harm: reliability assessment with generalizability theory. | PSNet
      psnet.ahrq.gov/issue/video-based-communication-assessment-physician-error-disclosure-skills-crowdsourced-laypeople
      August 21, 2024 - Study Video-based communication assessment of physician error disclosure skills by crowdsourced laypeople and patient advocates who experienced medical harm: reliability assessment with generalizability theory. Citation Text: White AA, King AM, D’Addario AE, et al. Video-based communicat…

1340. False Assumptions Result in a Missed Pneumothorax after Bronchoscopy with Transbronchial Biopsy. | PSNet
      psnet.ahrq.gov/web-mm/false-assumptions-result-missed-pneumothorax-after-bronchoscopy-transbronchial-biopsy
      March 15, 2023 - The attending physician left the PACU without communicating with the bedside nurse, who was caring for