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psnet.ahrq.gov/issue/gaps-pediatric-clinician-communication-and-opportunities-improvement
March 24, 2011 - Study
Gaps in pediatric clinician communication and opportunities for improvement.
Citation Text:
Woods D, Holl JL, Angst DB, et al. Gaps in pediatric clinician communication and opportunities for improvement. J Healthc Qual. 2008;30(5):43-54.
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psnet.ahrq.gov/issue/clinical-and-medicolegal-implications-radiology-results-communication
August 20, 2018 - Review
The clinical and medicolegal implications of radiology results communication.
Citation Text:
Aryal B, Khorsand DA, Dubinsky TJ. The Clinical and Medicolegal Implications of Radiology Results Communication. Curr Probl Diagn Radiol. 2018;47(5):287-289. doi:10.1067/j.cpradiol.2017.09…
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psnet.ahrq.gov/issue/ed-handoffs-observed-practices-and-communication-errors
October 19, 2022 - Study
ED handoffs: observed practices and communication errors.
Citation Text:
Maughan BC, Lei L, Cydulka RK. ED handoffs: observed practices and communication errors. Am J Emerg Med. 2011;29(5):502-11. doi:10.1016/j.ajem.2009.12.004.
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psnet.ahrq.gov/issue/interdisciplinary-communication-uncharted-source-medical-error
September 24, 2016 - Review
Interdisciplinary communication: an uncharted source of medical error?
Citation Text:
Alvarez G, Coiera E. Interdisciplinary communication: an uncharted source of medical error? J Crit Care. 2006;21(3):236-42; discussion 242.
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psnet.ahrq.gov/issue/implementation-sbar-communication-technique-tertiary-center
March 27, 2019 - Commentary
Implementation of the SBAR communication technique in a tertiary center.
Citation Text:
Woodhall LJ, Vertacnik L, McLaughlin M. Implementation of the SBAR Communication Technique in a Tertiary Center. J Emerg Nurs. 2008;34(4):314-317. doi:10.1016/j.jen.2007.07.007.
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psnet.ahrq.gov/issue/interns-overestimate-effectiveness-their-hand-communication
March 02, 2011 - Study
Interns overestimate the effectiveness of their hand-off communication.
Citation Text:
Chang VY, Arora V, Lev-Ari S, et al. Interns overestimate the effectiveness of their hand-off communication. Pediatrics. 2010;125(3):491-496. doi:10.1542/peds.2009-0351.
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psnet.ahrq.gov/issue/improving-doctor-patient-communication-digital-world
March 02, 2022 - Audiovisual
Improving doctor–patient communication in a digital world.
Citation Text:
Improving doctor–patient communication in a digital world. Lakshmanan I. The Diane Rehm Show. February 9, 2016.
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psnet.ahrq.gov/issue/effective-perioperative-communication-enhance-patient-care
March 17, 2015 - Commentary
Effective perioperative communication to enhance patient care.
Citation Text:
Garrett H. Effective Perioperative Communication to Enhance Patient Care. AORN J. 2016;104(2):111-20. doi:10.1016/j.aorn.2016.06.001.
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psnet.ahrq.gov/issue/enhanced-time-out-improved-communication-process
October 19, 2022 - Commentary
Enhanced time out: an improved communication process.
Citation Text:
Nelson PE. Enhanced Time Out: An Improved Communication Process. AORN J. 2017;105(6):564-570. doi:10.1016/j.aorn.2017.03.014.
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psnet.ahrq.gov/issue/framework-analysis-communication-errors-health-care
October 21, 2020 - Commentary
A framework for the analysis of communication errors in health care.
Citation Text:
Bender JA, Thiyagarajan S, Morrish W, et al. A framework for the analysis of communication errors in health care. J Patient Saf. 2025;21(2):69-81. doi:10.1097/pts.0000000000001303.
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psnet.ahrq.gov/issue/improving-communication-icu-using-daily-goals
December 19, 2018 - Study
Improving communication in the ICU using daily goals.
Citation Text:
Pronovost P, Berenholtz SM, Dorman T, et al. Improving communication in the ICU using daily goals. J Crit Care. 2003;18(2):71-5.
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psnet.ahrq.gov/issue/improving-transitions-care-hand-communications
May 06, 2015 - Tools/Toolkit
Improving Transitions of Care: Hand-off Communications.
Citation Text:
Improving Transitions of Care: Hand-off Communications. Oakbrook Terrace, IL: Joint Commission Center for Transforming Healthcare; June 2012.
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psnet.ahrq.gov/issue/pharmacy-student-knowledge-and-communication-medication-errors
June 24, 2009 - Study
Pharmacy student knowledge and communication of medication errors.
Citation Text:
Rickles NM, Noland CM, Tramontozzi A, et al. Pharmacy student knowledge and communication of medication errors. Am J Pharm Educ. 2010;74(4):60.
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psnet.ahrq.gov/issue/high-reliability-and-i-pass-communication-tool
June 02, 2021 - Newspaper/Magazine Article
High-reliability and the I-PASS communication tool.
Citation Text:
Clements K. High-reliability and the I-PASS communication tool. Nursing Management (Springhouse). 2017;48(3). doi:10.1097/01.numa.0000512897.68425.e5.
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psnet.ahrq.gov/issue/ahrq-communication-and-optimal-resolution-candor-toolkit
May 25, 2016 - Toolkit
AHRQ Communication and Optimal Resolution (CANDOR) Toolkit.
Citation Text:
AHRQ Communication and Optimal Resolution (CANDOR) Toolkit. Rockville, MD: Agency for Healthcare Research and Quality; May 2016.
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psnet.ahrq.gov/issue/hospital-readmissions-physician-awareness-and-communication-practices
December 19, 2009 - Study
Classic
Hospital readmissions: physician awareness and communication practices.
Citation Text:
Roy CL, Kachalia A, Woolf S, et al. Hospital readmissions: physician awareness and communication practices. J Gen Intern Med. 2009;24(3):374-80. doi:10.1007/s1…
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psnet.ahrq.gov/issue/annual-communication-apology-and-resolution-care-forum
May 03, 2023 - United States Meeting/Conference
Annual Communication, Apology, and Resolution (CARe) Forum.
Citation Text:
Annual Communication, Apology, and Resolution (CARe) Forum. Betsy Lehman Center for Patient Safety.
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psnet.ahrq.gov/web-mm/risks-malpositioned-gastrostomy-tube-and-poor-communication
August 01, 2012 - SPOTLIGHT CASE
The Risks of a Malpositioned Gastrostomy Tube and Poor Communication
Citation Text:
Hight RA. The Risks of a Malpositioned Gastrostomy Tube and Poor Communication. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Servic…
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psnet.ahrq.gov/node/852808/psn-pdf
August 30, 2023 - The physicians in this case were not communicating effectively, nor were they functioning as a
team,
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psnet.ahrq.gov/web-mm/or
August 22, 2013 - Engage in formal mechanisms for communicating changes in patient plans: orders, checklists, and briefings