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psnet.ahrq.gov/issue/health-literacy-and-communication-quality-health-care-organizations
November 26, 2014 - Study
Health literacy and communication quality in health care organizations.
Citation Text:
Wynia M, Osborn CY. Health literacy and communication quality in health care organizations. J Health Commun. 2010;15 Suppl 2:102-15. doi:10.1080/10810730.2010.499981.
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psnet.ahrq.gov/issue/hand-communication-requisite-perioperative-patient-safety
October 19, 2022 - Commentary
Hand-off communication: a requisite for perioperative patient safety.
Citation Text:
Amato-Vealey EJ, Barba MP, Vealey RJ. Hand-off communication: a requisite for perioperative patient safety. AORN J. 2008;88(5):763-770; quiz 771-4.
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psnet.ahrq.gov/issue/interventions-improve-teamwork-and-communications-among-healthcare-staff
March 03, 2011 - Review
Interventions to improve teamwork and communications among healthcare staff.
Citation Text:
McCulloch P, Rathbone J, Catchpole K. Interventions to improve teamwork and communications among healthcare staff. Br J Surg. 2011;98(4):469-79. doi:10.1002/bjs.7434.
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psnet.ahrq.gov/issue/importance-teamwork-communication-and-culture-failure-rescue-elderly
April 04, 2011 - Review
Importance of teamwork, communication and culture on failure-to-rescue in the elderly.
Citation Text:
Ghaferi AA, Dimick JB. Importance of teamwork, communication and culture on failure-to-rescue in the elderly. Br J Surg. 2016;103(2):e47-51. doi:10.1002/bjs.10031.
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psnet.ahrq.gov/issue/communication-errors-radiology-pitfalls-and-how-avoid-them
September 24, 2017 - Review
Communication errors in radiology—pitfalls and how to avoid them.
Citation Text:
Waite S, Scott JM, Drexler I, et al. Communication errors in radiology - Pitfalls and how to avoid them. Clin Imaging. 2018;51:266-272. doi:10.1016/j.clinimag.2018.05.025.
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psnet.ahrq.gov/web-mm/cognitive-and-communication-blind-spot-contributes-permanent-paralysis
January 13, 2010 - SPOTLIGHT CASE
A Cognitive and Communication Blind Spot Contributes to Permanent Paralysis
Citation Text:
Utter GH. A Cognitive and Communication Blind Spot Contributes to Permanent Paralysis. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health an…
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psnet.ahrq.gov/issue/ismp-guidelines-safe-electronic-communication-medication-information
May 07, 2019 - Book/Report
ISMP Guidelines for Safe Electronic Communication of Medication Information.
Citation Text:
ISMP Guidelines for Safe Electronic Communication of Medication Information. Horsham, PA: Institute for Safe Medication Practices; January 2019.
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psnet.ahrq.gov/issue/communication-disparities-between-nursing-home-team-members
May 25, 2022 - Study
Communication disparities between nursing home team members.
Citation Text:
Farrell TW, Butler JM, Towsley GL, et al. Communication disparities between nursing home team members. Int J Environ Res Public Health. 2022;19(10):5975. doi:10.3390/ijerph19105975.
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psnet.ahrq.gov/issue/patterns-communication-breakdowns-resulting-injury-surgical-patients
March 03, 2011 - Study
Classic
Patterns of communication breakdowns resulting in injury to surgical patients.
Citation Text:
Greenberg CC, Regenbogen SE, Studdert DM, et al. Patterns of communication breakdowns resulting in injury to surgical patients. J Am Coll Surg. 2007;204…
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psnet.ahrq.gov/issue/teamwork-and-communication-surgical-teams-implications-patient-safety
March 25, 2020 - Study
Teamwork and communication in surgical teams: implications for patient safety.
Citation Text:
Teamwork and communication in surgical teams: implications for patient safety. Mills P; Neily J; Dunn E.
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psnet.ahrq.gov/issue/promoting-patient-safety-perioperative-hand-communication
April 22, 2011 - Commentary
Promoting patient safety with perioperative hand-off communication.
Citation Text:
Robinson NL. Promoting Patient Safety With Perioperative Hand-off Communication. J Perianesth Nurs. 2016;31(3):245-53. doi:10.1016/j.jopan.2014.08.144.
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psnet.ahrq.gov/issue/massachusetts-alliance-communication-and-resolution-following-medical-injury
May 03, 2023 - Multi-use Website
Massachusetts Alliance for Communication and Resolution Following Medical Injury.
Citation Text:
Massachusetts Alliance for Communication and Resolution Following Medical Injury. Betsy Lehman Center for Patient Safety.
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psnet.ahrq.gov/issue/patterns-nurse-physician-communication-and-agreement-plan-care
December 21, 2014 - Study
Patterns of nurse–physician communication and agreement on the plan of care.
Citation Text:
O'Leary KJ, Thompson JA, Landler MP, et al. Patterns of nurse-physician communication and agreement on the plan of care. Qual Saf Health Care. 2010;19(3):195-9. doi:10.1136/qshc.2008.03022…
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psnet.ahrq.gov/issue/communication-between-primary-and-secondary-care-deficits-and-danger
September 23, 2020 - Study
Communication between primary and secondary care: deficits and danger.
Citation Text:
Dinsdale E, Hannigan A, O’Connor R, et al. Communication between primary and secondary care: deficits and danger. Fam Pract. 2019;17(1):63-68. doi:10.1093/fampra/cmz037.
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psnet.ahrq.gov/issue/communication-and-resolution-after-adverse-health-care-incident
August 01, 2014 - Legislation/Regulation
Communication and Resolution After an Adverse Health Care Incident.
Citation Text:
Communication and Resolution After an Adverse Health Care Incident. Pettersen B, Tate J, Tipper K, McKean H. Colorado Senate Bill 19-201.
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psnet.ahrq.gov/node/46435/psn-pdf
August 20, 2018 - Patients' experiences with communication-and-resolution
programs after medical injury.
August 20, 2018
Moore J, Bismark M, Mello MM. Patients' Experiences With Communication-and-Resolution Programs After
Medical Injury. JAMA Intern Med. 2017;177(11):1595-1603. doi:10.1001/jamainternmed.2017.4002.
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psnet.ahrq.gov/node/47575/psn-pdf
December 19, 2018 - Effects of a communication-and-resolution program on
hospitals' malpractice claims and costs.
December 19, 2018
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):1836-1844.
doi:10.1377/hlthaff.201…
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psnet.ahrq.gov/node/61109/psn-pdf
November 11, 2020 - Making communication and resolution programmes
mission critical in healthcare organisations.
November 11, 2020
Gallagher TH, Boothman RC, Schweitzer L, et al. Making communication and resolution programmes
mission critical in healthcare organisations. BMJ Qual Saf. 2020;29(11):875-878. doi:10.1136/bmjqs-2020-
0108…
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psnet.ahrq.gov/node/60733/psn-pdf
July 29, 2020 - Communication through the electronic health record:
frequency and implications of free text orders.
July 29, 2020
Kandaswamy S, Hettinger AZ, Hoffman DJ, et al. Communication through the electronic health record:
frequency and implications of free text orders. JAMIA Open. 2020;3(2):154-159.
doi:10.1093/jamiaopen/o…
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psnet.ahrq.gov/node/867040/psn-pdf
October 30, 2024 - Preoperative multidisciplinary team huddle improves
communication and safety for unscheduled cesarean
deliveries: a system redesign using improvement science.
October 30, 2024
Girnius A, Snyder C, Czarny H, et al. Preoperative multidisciplinary team huddle improves communication
and safety for unscheduled cesarean…