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1521. Passing the baton: a grounded practical theory of handoff communication between multidisciplinary providers in two Department of Veterans Affairs outpatient settings. | PSNet
      psnet.ahrq.gov/issue/passing-baton-grounded-practical-theory-handoff-communication-between-multidisciplinary
      November 16, 2022 - Study Passing the baton: a grounded practical theory of handoff communication between multidisciplinary providers in two Department of Veterans Affairs outpatient settings. Citation Text: Koenig CJ, Maguen S, Daley A, et al. Passing the baton: a grounded practical theory of handoff commu…

1522. Situation, background, assessment, and recommendation–guided huddles improve communication and teamwork in the emergency department. | PSNet
      psnet.ahrq.gov/issue/situation-background-assessment-and-recommendation-guided-huddles-improve-communication-and
      September 23, 2020 - Study Situation, background, assessment, and recommendation–guided huddles improve communication and teamwork in the emergency department. Citation Text: Martin HA, Ciurzynski SM. Situation, Background, Assessment, and Recommendation-Guided Huddles Improve Communication and Teamwork in t…

1523. Communication failures contributing to patient injury in anaesthesia malpractice claims. | PSNet
      psnet.ahrq.gov/issue/communication-failures-contributing-patient-injury-anaesthesia-malpractice-claims
      August 04, 2021 - Study Communication failures contributing to patient injury in anaesthesia malpractice claims. Citation Text: Douglas RN, Stephens LS, Posner KL, et al. Communication failures contributing to patient injury in anaesthesia malpractice claims. Br J Anaesth. 2021;127(3):470-478. doi:10.1016…

1524. Preoperative communication between anesthesia, surgery, and primary care providers for older surgical patients. | PSNet
      psnet.ahrq.gov/issue/preoperative-communication-between-anesthesia-surgery-and-primary-care-providers-older
      April 11, 2011 - Study Preoperative communication between anesthesia, surgery, and primary care providers for older surgical patients. Citation Text: Ron D, Gunn CM, Havidich JE, et al. Preoperative communication between anesthesia, surgery, and primary care providers for older surgical patients. Jt Comm…

1525. Impact of patient communication problems on the risk of preventable adverse events in acute care settings. | PSNet
      psnet.ahrq.gov/issue/impact-patient-communication-problems-risk-preventable-adverse-events-acute-care-settings
      April 22, 2011 - Study Impact of patient communication problems on the risk of preventable adverse events in acute care settings. Citation Text: Bartlett G, Blais R, Tamblyn R, et al. Impact of patient communication problems on the risk of preventable adverse events in acute care settings. CMAJ. 2008;1…

1526. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40012/psn-pdf
      May 28, 2014 - Improving Communication During Transitions of Care. May 28, 2014 Oakbrook Terrace, IL: Joint Commission Resources; 2010. ISBN: 9781599404097. https://psnet.ahrq.gov/issue/improving-communication-during-transitions-care This guide discusses the impact of poor communication on care transitions and describes tactics f…

1527. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41527/psn-pdf
      July 18, 2012 - Improving Transitions of Care: Hand-off Communications. July 18, 2012 Oakbrook Terrace, IL: Joint Commission Center for Transforming Healthcare; June 2012. https://psnet.ahrq.gov/issue/improving-transitions-care-hand-communications This tool describes factors that contribute to incomplete handoffs and recommends ta…

1528. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41980/psn-pdf
      January 16, 2013 - Handoff Communication Tools. January 16, 2013 Landrigan CP, Lyons A, Gannon P, et al. FIRST Do No Harm. December 2012;1-8. https://psnet.ahrq.gov/issue/handoff-communication-tools This newsletter issue highlights initiatives and tools developed to improve handoff communication in Massachusetts. https://psnet.ahrq…

1529. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49727/psn-pdf
      March 01, 2015 - Critical Opportunity Lost March 1, 2015 Genzen JR, Signorelli HN. Critical Opportunity Lost. PSNet [internet]. 2015. https://psnet.ahrq.gov/web-mm/critical-opportunity-lost The Case A 55-year-old woman presented to the emergency department (ED) with new onset chest pain. She reported eating a heavy dinner the pre…

1530. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39666/psn-pdf
      April 16, 2018 - Teamwork and Communication. April 16, 2018 Pa Patient Saf Advis. June 2010;7(suppl 2):1-16. https://psnet.ahrq.gov/issue/teamwork-and-communication Articles in this special supplement outline tactics to improve communication including crew resource management, chain-of-command policies, and teamwork training. htt…

1531. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/838067/psn-pdf
      September 14, 2022 - The Psychological Safety Scale of the Safety, Communication, Operational, Reliability, and Engagement (SCORE) survey: a brief, diagnostic, and actionable metric for the ability to speak up in healthcare settings. September 14, 2022 Adair KC, Heath A, Frye MA, et al. The Psychological Safety Scale of the Safety, Co…

1532. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44179/psn-pdf
      November 20, 2015 - 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. November 20, 2015 Litchfield I, Bentham L, Hill A, et al. Routine failures in the process for blood testing and the communication…

1533. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46309/psn-pdf
      December 22, 2018 - Effects of the I-PASS nursing handoff bundle on communication quality and workflow. December 22, 2018 Starmer AJ, Schnock KO, Lyons A, et al. Effects of the I-PASS Nursing Handoff Bundle on communication quality and workflow. BMJ Qual Saf. 2017;26(12):949-957. doi:10.1136/bmjqs-2016-006224. https://psnet.ahrq.gov/…

1534. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37493/psn-pdf
      December 27, 2014 - Patient Safety Through Teamwork and Communication Toolkit. December 27, 2014 Denver Health. https://psnet.ahrq.gov/issue/patient-safety-through-teamwork-and-communication-toolkit Part of the AHRQ-funded PIPS program, this module provides educational materials for health care workers regarding teamwork and communi…

1535. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35388/psn-pdf
      February 24, 2011 - Preventing communication errors in telephone medicine. February 24, 2011 Reisman AB, Brown KE. Preventing communication errors in telephone medicine. J Gen Intern Med. 2005;20(10):959-63. https://psnet.ahrq.gov/issue/preventing-communication-errors-telephone-medicine The authors use case scenarios to illustrate po…

1536. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49447/psn-pdf
      June 01, 2004 - Dangerous Dapsone June 1, 2004 Bookwalter T. Dangerous Dapsone. PSNet [internet]. 2004. https://psnet.ahrq.gov/web-mm/dangerous-dapsone The Case A 78-year-old woman with newly diagnosed multiple myeloma on corticosteroids presented to the emergency department with dyspnea. Upon admission, she was found to be hypo…

1537. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/846125/psn-pdf
      March 15, 2023 - The I-READI Quality and Safety Framework: Strong Communications Channels and Effective Practices to Rapidly Update and Implement Clinical Protocols During a Time of Crisis March 15, 2023 https://psnet.ahrq.gov/innovation/i-readi-quality-and-safety-framework-strong-communications-channels- and-effective Summary …

1538. Do you hear what I hear? Communication practices about medications between physicians and clients with chronic illness in Canada. | PSNet
      psnet.ahrq.gov/issue/do-you-hear-what-i-hear-communication-practices-about-medications-between-physicians-and
      August 02, 2016 - Study Do you hear what I hear? Communication practices about medications between physicians and clients with chronic illness in Canada. Citation Text: Do you hear what I hear? Communication practices about medications between physicians and clients with chronic illness in Canada. Sears…

1539. New Horizons in Patient Safety. Safe Communication: Evidence-based Core Competencies with Case Studies from Nursing. | PSNet
      psnet.ahrq.gov/issue/new-horizons-patient-safety-safe-communication-evidence-based-core-competencies-case-studies
      November 19, 2018 - Book/Report New Horizons in Patient Safety. Safe Communication: Evidence-based Core Competencies with Case Studies from Nursing. Citation Text: New Horizons in Patient Safety. Safe Communication: Evidence-based Core Competencies with Case Studies from Nursing. Hannawa AF, Wendt AL, Day L…

1540. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39677/psn-pdf
      April 12, 2011 - Pharmacy student knowledge and communication of medication errors. April 12, 2011 Rickles NM, Noland CM, Tramontozzi A, et al. Pharmacy student knowledge and communication of medication errors. Am J Pharm Educ. 2010;74(4):60. https://psnet.ahrq.gov/issue/pharmacy-student-knowledge-and-communication-medication-erro…