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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46583/psn-pdf
    December 18, 2017 - Safer paediatric surgical teams: a 5-year evaluation of crew resource management implementation and outcomes. December 18, 2017 Savage C, Gaffney A, Hussain-Alkhateeb L, et al. Safer paediatric surgical teams: A 5-year evaluation of crew resource management implementation and outcomes. Int J Health Care Qual. 2017…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74718/psn-pdf
    February 02, 2022 - Medication-related interventions to improve medication safety and patient outcomes on transition from adult intensive care settings: a systematic review and meta- analysis. February 2, 2022 Bourne RS, Jennings JK, Panagioti M, et al. Medication-related interventions to improve medication safety and patient outcom…
  3. psnet.ahrq.gov/perspective/role-patient-improving-patient-safety
    March 01, 2007 - management team, and all these teams, yet there was never really one person who was leading people or communicating
  4. psnet.ahrq.gov/web-mm/delayed-diagnosis-and-treatment-occult-hemothorax-following-complicated-central-line
    April 01, 2008 - Many hospitals, including ours, have a priority system for communicating radiologic finding and systems
  5. psnet.ahrq.gov/web-mm/tough-call-addressing-errors-previous-providers
    July 17, 2024 - Sometimes errors occurring at one institution are uncovered at another, further complicating the process of communicating
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/849679/psn-pdf
    June 28, 2023 - tubes, hospitals must adopt protocols outlining routine practices for monitoring cuff pressures and communicating
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837215/psn-pdf
    July 08, 2022 - highlights the importance of a team approach involving serial neurologic assessment by clinicians who are communicating
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837660/psn-pdf
    July 08, 2022 - important to ensure that new or junior staff have appropriate onboarding that emphasizes the importance of communicating
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33865/psn-pdf
    September 01, 2018 - in the work environment, whether staff seemed to be well-trained to do the job, whether staff were communicating
  10. psnet.ahrq.gov/perspective/patient-safety-ambulatory-care-setting
    April 27, 2022 - could consist of clinicians overlooking abnormal, but non-life-threatening, test results and/or not communicating
  11. psnet.ahrq.gov/web-mm/contaminated-or-not-guidelines-interpretation-positive-blood-cultures
    November 16, 2022 - March 13, 2019 Communicating Critical Test Results.
  12. psnet.ahrq.gov/primer/readmissions-and-adverse-events-after-discharge
    April 27, 2022 - Readmissions and Adverse Events After Discharge Citation Text: Readmissions and Adverse Events After Discharge. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3…
  13. psnet.ahrq.gov/issue/negative-behaviours-health-care-prevalence-and-strategies
    May 01, 2024 - Study Negative behaviours in health care: prevalence and strategies. Citation Text: Layne DM, Nemeth LS, Mueller M, et al. Negative behaviours in health care: Prevalence and strategies. J Nurs Manag. 2019;27(1):154-160. doi:10.1111/jonm.12660. Copy Citation Format: DOI Goog…
  14. psnet.ahrq.gov/issue/measuring-teamwork-health-care-settings-review-survey-instruments
    December 14, 2016 - Review Measuring teamwork in health care settings: a review of survey instruments. Citation Text: Valentine MA, Nembhard IM, Edmondson A. Measuring teamwork in health care settings: a review of survey instruments. Med Care. 2015;53(4):e16-e30. doi:10.1097/MLR.0b013e31827feef6. Copy Cit…
  15. psnet.ahrq.gov/issue/utilizing-pharmacy-students-transitions-care-services
    October 19, 2022 - Commentary Utilizing pharmacy students in transitions-of-care services. Citation Text: L'Hommedieu T, DeCoske M, Lababidi RE, et al. Utilizing pharmacy students in transitions-of-care services. Am J Health Syst Pharm. 2015;72(15):1266-8. doi:10.2146/ajhp140561. Copy Citation Format…
  16. psnet.ahrq.gov/issue/comprehensive-healthcare-inspection-summary-report-evaluation-care-coordination-veterans
    July 27, 2022 - Book/Report Comprehensive Healthcare Inspection Summary Report: Evaluation of Care Coordination in Veterans Health Administration Facilities, Fiscal Year 2021. Citation Text: Comprehensive Healthcare Inspection Summary Report: Evaluation of Care Coordination in Veterans Health Administra…
  17. psnet.ahrq.gov/issue/strategies-improving-family-engagement-during-family-centered-rounds
    December 22, 2018 - Study Strategies for improving family engagement during family-centered rounds. Citation Text: Kelly MM, Xie A, Carayon P, et al. Strategies for improving family engagement during family-centered rounds. J Hosp Med. 2013;8(4):201-7. doi:10.1002/jhm.2022. Copy Citation Format: …
  18. psnet.ahrq.gov/issue/family-centered-multidisciplinary-rounds-enhance-team-approach-pediatrics
    November 21, 2021 - Study Family-centered multidisciplinary rounds enhance the team approach in pediatrics. Citation Text: Rosen P, Stenger E, Bochkoris M, et al. Family-centered multidisciplinary rounds enhance the team approach in pediatrics. Pediatrics. 2009;123(4):e603-8. doi:10.1542/peds.2008-2238. C…
  19. psnet.ahrq.gov/issue/identifying-patient-safety-risks-reporting-patient-complaints-grounded-theory-study-patients
    December 20, 2017 - Study From identifying patient safety risks to reporting patient complaints: a grounded theory study on patients' hospital experiences. Citation Text: Gyberg A, Brezicka T, Wijk H, et al. From identifying patient safety risks to reporting patient complaints: a grounded theory study on pa…
  20. psnet.ahrq.gov/issue/parents-perspectives-keeping-their-children-safe-hospital
    June 27, 2018 - Study Parents' perspectives on "keeping their children safe" in the hospital. Citation Text: Rosenberg RE, Rosenfeld P, Williams E, et al. Parents' Perspectives on "Keeping Their Children Safe" in the Hospital. J Nurs Care Qual. 2016;31(4):318-326. doi:10.1097/NCQ.0000000000000193. Cop…

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