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psnet.ahrq.gov/issue/complexities-communication-hospital-discharge-older-patients-qualitative-study-healthcare
December 08, 2021 - Study
The complexities of communication at hospital discharge of older patients: a qualitative study of healthcare professionals' views.
Citation Text:
Cam H, Wennlöf B, Gillespie U, et al. The complexities of communication at hospital discharge of older patients: a qualitative study of …
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psnet.ahrq.gov/issue/impact-crm-based-team-training-obstetric-outcomes-and-clinicians-patient-safety-attitudes
January 12, 2011 - Study
Classic
Impact of CRM-based team training on obstetric outcomes and clinicians' patient safety attitudes.
Citation Text:
Pratt SD, Mann S, Salisbury M, et al. John M. Eisenberg Patient Safety and Quality Awards. Impact of CRM-based training on obstetric ou…
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psnet.ahrq.gov/issue/empowering-telemetry-technicians-and-enhancing-communication-improve-hospital-cardiac-arrest
April 12, 2023 - Study
Empowering telemetry technicians and enhancing communication to improve in-hospital cardiac arrest survival.
Citation Text:
McCoy C, Keshvani N, Warsi M, et al. Empowering telemetry technicians and enhancing communication to improve in-hospital cardiac arrest survival. BMJ Open Qua…
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psnet.ahrq.gov/issue/identifying-safe-care-processes-when-gps-work-or-alongside-emergency-departments-realist
January 12, 2022 - Study
Identifying safe care processes when GPs work in or alongside emergency departments: a realist evaluation.
Citation Text:
Cooper A, Carson-Stevens A, Edwards M, et al. Identifying safe care processes when GPs work in or alongside emergency departments: a realist evaluation. Br J Ge…
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psnet.ahrq.gov/issue/associations-person-related-environment-related-and-communication-related-factors-medication
January 19, 2022 - Study
Associations of person-related, environment-related and communication-related factors on medication errors in public and private hospitals: a retrospective clinical audit.
Citation Text:
Manias E, Street M, Lowe G, et al. Associations of person-related, environment-related and comm…
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psnet.ahrq.gov/issue/patient-clinician-diagnostic-concordance-upon-hospital-admission
October 16, 2024 - Study
Patient-clinician diagnostic concordance upon hospital admission.
Citation Text:
Lam A, Plombon S, Garber A, et al. Patient-clinician diagnostic concordance upon hospital admission. Appl Clin Inform. 2024;15(4):733-742. doi:10.1055/s-0044-1788330.
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…
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psnet.ahrq.gov/issue/multisite-study-interprofessional-teamwork-and-collaboration-general-medical-services
November 15, 2023 - Study
A multisite study of interprofessional teamwork and collaboration on general medical services.
Citation Text:
O'Leary KJ, Manojlovich M, Johnson JK, et al. A multisite study of interprofessional teamwork and collaboration on general medical services. Jt Comm J Qual Patient Saf. 202…
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psnet.ahrq.gov/issue/safety-risks-and-workflow-implications-associated-nursing-related-free-text-communication
February 17, 2021 - Study
Safety risks and workflow implications associated with nursing-related free-text communication orders.
Citation Text:
Staes CJ, Yusuf S, Hambly M, et al. Safety risks and workflow implications associated with nursing-related free-text communication orders. J Am Med Inform Assoc. 20…
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psnet.ahrq.gov/issue/effect-crew-resource-management-training-multidisciplinary-obstetrical-setting
March 06, 2005 - Study
Effect of crew resource management training in a multidisciplinary obstetrical setting.
Citation Text:
Haller G, Garnerin P, Morales M-A, et al. Effect of crew resource management training in a multidisciplinary obstetrical setting. Int J Qual Health Care. 2008;20(4):254-63. doi:…
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psnet.ahrq.gov/issue/safety-and-communication-operating-room-safety-questionnaire-after-implementation-blood-borne
September 23, 2020 - Study
Safety and communication in the operating room: a safety questionnaire after the implementation of a blood-borne pathogen exposure checkpoint in the surgical safety checklist preprocedure time-out.
Citation Text:
Kane P, Marley R, Daney B, et al. Safety and Communication in the Ope…
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psnet.ahrq.gov/issue/patient-safety-after-implementation-coproduced-family-centered-communication-programme
April 24, 2018 - Study
Emerging Classic
Patient safety after implementation of a coproduced family centered communication programme: multicenter before and after intervention study.
Citation Text:
Khan A, Spector ND, Baird JD, et al. Patient safety after implementation of a copr…
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psnet.ahrq.gov/issue/communication-patients-and-families-regarding-health-care-associated-exposure-coronavirus
June 24, 2020 - Commentary
Communication with patients and families regarding health care-associated exposure to coronavirus 2019: a checklist to facilitate disclosure.
Citation Text:
Sivashanker K, Mendu ML, Wickner PG, et al. Communication with patients and families regarding health care-associated ex…
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psnet.ahrq.gov/issue/improving-communication-and-response-clinical-deterioration-increase-patient-safety-intensive
December 09, 2020 - Study
Improving communication and response to clinical deterioration to increase patient safety in the intensive care unit.
Citation Text:
Liu SI, Shikar M, Gante E, et al. Improving communication and response to clinical deterioration to increase patient safety in the intensive care uni…
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psnet.ahrq.gov/issue/effects-interdisciplinary-team-care-interventions-general-medical-wards-systematic-review
April 24, 2018 - Review
Classic
Effects of interdisciplinary team care interventions on general medical wards: a systematic review.
Citation Text:
Pannick S, Davis R, Ashrafian H, et al. Effects of Interdisciplinary Team Care Interventions on General Medical Wards: A Systematic …
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psnet.ahrq.gov/issue/improving-handoff-deliberate-cognitive-processing-results-randomized-controlled-experimental
March 18, 2020 - Study
Improving handoff by deliberate cognitive processing: results from a randomized controlled experimental study.
Citation Text:
van Heesch G, Frenkel J, Kollen W, et al. Improving handoff by deliberate cognitive processing: results from a randomized controlled experimental study. Jt …
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psnet.ahrq.gov/node/867004/psn-pdf
October 30, 2024 - Critical Radiology Alert Process
October 30, 2024
https://psnet.ahrq.gov/innovation/critical-radiology-alert-process
Summary
Vanderbilt University Medical Center developed an electronic trigger tool that alerts the care team of
unrelated abnormal findings and provides a companion follow-up process, with the goal o…
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psnet.ahrq.gov/web-mm/high-risk-medications-high-risk-transfers
December 21, 2017 - High-Risk Medications, High-Risk Transfers
Citation Text:
Staggers N. High-Risk Medications, High-Risk Transfers. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017.
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Format:
Google Scholar BibTeX EndNote …
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psnet.ahrq.gov/node/49592/psn-pdf
October 01, 2009 - Danger in Disruption
October 1, 2009
Fontaine DK. Danger in Disruption. PSNet [internet]. 2009.
https://psnet.ahrq.gov/web-mm/danger-disruption
The Case
A 23-month-old toddler was severely dehydrated after vomiting due to gastric outlet obstruction. She had
metabolic alkalosis (pH = 7.58), and her last peripheral…
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psnet.ahrq.gov/node/49459/psn-pdf
September 01, 2004 - Caution, Interrupted
September 1, 2004
Wears RL. Caution, Interrupted. PSNet [internet]. 2004.
https://psnet.ahrq.gov/web-mm/caution-interrupted
The Case
A 55-year-old man with acute myelogenous leukemia and several recent hospitalizations for fever and
neutropenia presented to the emergency department (ED) with …
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psnet.ahrq.gov/node/44906/psn-pdf
February 17, 2016 - Hospitals find a way to say, 'I'm sorry.'
February 17, 2016
Landro L.
https://psnet.ahrq.gov/issue/hospitals-find-way-say-im-sorry
Communication and resolution strategies that emphasize early disclosure after a medical error can
enhance patient safety. This newspaper article reports on communication and resolution…