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psnet.ahrq.gov/node/42135/psn-pdf
April 22, 2013 - Interprofessional education in team communication:
working together to improve patient safety.
April 22, 2013
Brock DM, Abu-Rish E, Chiu C-R, et al. Interprofessional education in team communication: working
together to improve patient safety. BMJ Qual Saf. 2013;22(5):414-23. doi:10.1136/bmjqs-2012-000952.
https:/…
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psnet.ahrq.gov/node/39165/psn-pdf
February 16, 2011 - Doctors' stress responses and poor communication
performance in simulated bad-news consultations.
February 16, 2011
Brown R, Dunn S, Byrnes K, et al. Doctors' stress responses and poor communication performance in
simulated bad-news consultations. Acad Med. 2009;84(11):1595-602.
doi:10.1097/ACM.0b013e3181baf537.
…
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psnet.ahrq.gov/node/39234/psn-pdf
January 20, 2010 - Track, trigger and teamwork: communication of
deterioration in acute medical and surgical wards.
January 20, 2010
Donohue LA, Endacott R. Track, trigger and teamwork: communication of deterioration in acute medical
and surgical wards. Intensive Crit Care Nurs. 2010;26(1):10-7. doi:10.1016/j.iccn.2009.10.006.
https…
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psnet.ahrq.gov/node/40105/psn-pdf
December 22, 2010 - Enhancing patient safety in the pediatric emergency
department: teams, communication, and lessons from
crew resource management.
December 22, 2010
Pruitt CM, Liebelt EL. Enhancing patient safety in the pediatric emergency department: teams,
communication, and lessons from crew resource management. Pediatr Emerg Ca…
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psnet.ahrq.gov/node/45923/psn-pdf
April 19, 2017 - Huddles and debriefings: improving communication on
labor and delivery.
April 19, 2017
McQuaid-Hanson E, Pian-Smith MCM. Huddles and Debriefings: Improving Communication on Labor and
Delivery. Anesthesiol Clin. 2017;35(1):59-67. doi:10.1016/j.anclin.2016.09.006.
https://psnet.ahrq.gov/issue/huddles-and-debriefings…
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psnet.ahrq.gov/node/47414/psn-pdf
May 01, 2019 - Impact of teamwork improvement training on
communication and teamwork climate in ambulatory
reproductive health care.
May 1, 2019
Dodge LE, Nippita S, Hacker MR, et al. Impact of teamwork improvement training on communication and
teamwork climate in ambulatory reproductive health care. J Healthc Risk Manag. 2019;3…
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psnet.ahrq.gov/node/46854/psn-pdf
June 20, 2018 - FDA Safety Communication: recommendations to reduce
surgical fires and related patient injury.
June 20, 2018
MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration. May 29, 2018.
https://psnet.ahrq.gov/issue/fda-safety-communication-recommendations-reduce-surgical-fires-and-related-
patient-inju…
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psnet.ahrq.gov/node/42963/psn-pdf
September 27, 2016 - The effects of physical environments in medical wards on
medication communication processes affecting patient
safety.
September 27, 2016
Liu W, Manias E, Gerdtz M. The effects of physical environments in medical wards on medication
communication processes affecting patient safety. Health Place. 2014;26:188-198.
d…
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psnet.ahrq.gov/node/47851/psn-pdf
May 22, 2019 - Communication and Resolution After an Adverse Health
Care Incident.
May 22, 2019
Pettersen B, Tate J, Tipper K, McKean H. Colorado Senate Bill 19-201.
https://psnet.ahrq.gov/issue/communication-and-resolution-after-adverse-health-care-incident
Communication-and-resolution mechanisms are seen as important approache…
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psnet.ahrq.gov/web-mm/miscommunication-or-leads-anticoagulation-mishap
May 08, 2019 - Miscommunication in the OR Leads to Anticoagulation Mishap
Citation Text:
Solsky I, Haynes AB. Miscommunication in the OR Leads to Anticoagulation Mishap. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017.
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Forma…
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psnet.ahrq.gov/issue/impact-simulation-based-closed-loop-communication-training-medical-errors-pediatric-emergency
July 22, 2020 - Study
Impact of simulation-based closed-loop communication training on medical errors in a pediatric emergency department.
Citation Text:
Diaz MCG, Dawson K. Impact of Simulation-Based Closed-Loop Communication Training on Medical Errors in a Pediatric Emergency Department. Am J Med Qual…
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psnet.ahrq.gov/issue/patient-awake-and-we-need-stay-calm-reconsidering-indirect-communication-face-medical-error
October 11, 2023 - Study
"The patient is awake and we need to stay calm": reconsidering indirect communication in the face of medical error and professionalism lapses.
Citation Text:
Taylor T, Columbus L, Banner H, et al. “The patient is awake and we need to stay calm”: reconsidering indirect communication…
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psnet.ahrq.gov/issue/improving-communication-primary-care-physicians-time-hospital-discharge
November 16, 2022 - Study
Improving communication with primary care physicians at the time of hospital discharge.
Citation Text:
Destino LA, Dixit A, Pantaleoni JL, et al. Improving Communication with Primary Care Physicians at the Time of Hospital Discharge. Jt Comm J Qual Patient Saf. 2017;43(2):80-88. do…
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psnet.ahrq.gov/issue/look-nature-and-causes-human-errors-intensive-care-unit
June 29, 2009 - Study
Classic
A look into the nature and causes of human errors in the intensive care unit.
Citation Text:
Donchin Y, Gopher D, Olin M, et al. A look into the nature and causes of human errors in the intensive care unit. Crit Care Med. 1995;23(2):294-300.
Co…
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psnet.ahrq.gov/issue/effects-communication-and-resolution-program-hospitals-malpractice-claims-and-costs
October 11, 2017 - Study
Effects of a communication-and-resolution program on hospitals' malpractice claims and costs.
Citation Text:
Kachalia A, Sands K, Van Niel M, et al. Effects Of A Communication-And-Resolution Program On Hospitals' Malpractice Claims And Costs. Health Aff (Millwood). 2018;37(11):1836…
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psnet.ahrq.gov/issue/failure-debrief-after-critical-events-anesthesia-associated-failures-communication-during
September 24, 2018 - Study
Emerging Classic
Failure to debrief after critical events in anesthesia is associated with failures in communication during the event.
Citation Text:
Arriaga AF, Sweeney RE, Clapp JT, et al. Failure to Debrief after Critical Events in Anesthesia Is Associa…
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psnet.ahrq.gov/issue/risk-adjusted-morbidity-teaching-hospitals-correlates-reported-levels-communication-and
July 12, 2010 - Study
Classic
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.
Citation Text:
Davenport DL…
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psnet.ahrq.gov/issue/communication-patterns-during-routine-patient-care-pediatric-intensive-care-unit-behavioral
October 05, 2022 - Study
Communication patterns during routine patient care in a pediatric intensive care unit: the behavioral impact of in situ simulation.
Citation Text:
Ulmer FF, Lutz AM, Müller F, et al. Communication patterns during routine patient care in a pediatric intensive care unit: the behavior…
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psnet.ahrq.gov/issue/predictors-likelihood-speaking-about-safety-concerns-labour-and-delivery
October 19, 2022 - Study
Predictors of likelihood of speaking up about safety concerns in labour and delivery.
Citation Text:
Lyndon A, Sexton B, Simpson KR, et al. Correction. BMJ Qual Saf. 2011;22(2):791-799. doi:10.1136/bmjqs.2010.050211.
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psnet.ahrq.gov/perspective/conversation-amy-j-starmer-md-mph
May 31, 2023 - In Conversation With… Amy J. Starmer, MD, MPH
April 1, 2016
Citation Text:
In Conversation With… Amy J. Starmer, MD, MPH. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016.
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