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psnet.ahrq.gov/node/836919/psn-pdf
April 13, 2022 - Psychological intervention to improve communication
and patient safety in obstetrics: examination of the health
action process approach.
April 13, 2022
Derksen C, Kötting L, Keller FM, et al. Psychological intervention to improve communication and patient
safety in obstetrics: examination of the health action proc…
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psnet.ahrq.gov/issue/advancing-patient-safety-through-clinical-application-framework-focused-communication
December 02, 2020 - Review
Advancing patient safety through the clinical application of a framework focused on communication.
Citation Text:
Manojlovich M, Hofer TP, Krein SL. Advancing Patient Safety Through the Clinical Application of a Framework Focused on Communication. J Patient Saf. 2021;17(8):e732-e7…
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psnet.ahrq.gov/node/72509/psn-pdf
November 25, 2020 - Closing the loop on test results to reduce communication
failures: a rapid review of evidence, practice and patient
perspectives.
November 25, 2020
Wright B, Lennox A, Graber ML, et al. Closing the loop on test results to reduce communication failures: a
rapid review of evidence, practice and patient perspectives.…
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psnet.ahrq.gov/node/36804/psn-pdf
August 26, 2011 - Patterns of communication breakdowns resulting in injury
to surgical patients.
August 26, 2011
Greenberg CC, Regenbogen SE, Studdert DM, et al. Patterns of communication breakdowns resulting in
injury to surgical patients. J Am Coll Surg. 2007;204(4):533-40.
https://psnet.ahrq.gov/issue/patterns-communication-brea…
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psnet.ahrq.gov/node/42696/psn-pdf
March 21, 2017 - Evaluation of a problem-specific SBAR tool to improve
after-hours nurse-physician phone communication: a
randomized trial.
March 21, 2017
Joffe E, Turley JP, Hwang KO, et al. Evaluation of a problem-specific SBAR tool to improve after-hours
nurse-physician phone communication: a randomized trial. Jt Comm J Qual Pa…
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psnet.ahrq.gov/node/36926/psn-pdf
September 09, 2011 - Distracting communications in the operating theatre.
September 9, 2011
Sevdalis N, Healey AN, Vincent CA. Distracting communications in the operating theatre. J Eval Clin Pract.
2007;13(3). doi:10.1111/j.1365-2753.2006.00712.x.
https://psnet.ahrq.gov/issue/distracting-communications-operating-theatre
Prior researc…
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psnet.ahrq.gov/node/867747/psn-pdf
March 12, 2025 - A framework for the analysis of communication errors in
health care.
March 12, 2025
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.
https://psnet.ahrq.gov/issue/framework-analysis-co…
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psnet.ahrq.gov/node/40601/psn-pdf
September 29, 2017 - A policy-based intervention for the reduction of
communication breakdowns in inpatient surgical care:
results from a Harvard surgical safety collaborative.
September 29, 2017
Arriaga AF, Elbardissi AW, Regenbogen SE, et al. A policy-based intervention for the reduction of
communication breakdowns in inpatient surg…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.29_slideshow.ppt
September 01, 2003 - Spotlight Case September 2003
Spotlight Case September 2003
Infant Paralyzed for Intubation Before Airway Materials Ready
Source and Credits
This presentation is based on the Sept. 2003 AHRQ WebM&M Spotlight Case in Pediatrics
See the full article at http://webmm.ahrq.gov
CME credit is available through the …
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psnet.ahrq.gov/issue/psychosocial-processes-healthcare-workers-how-individuals-perceptions-interpersonal
July 26, 2023 - Study
Psychosocial processes in healthcare workers: how individuals' perceptions of interpersonal communication is related to patient safety threats and higher-quality care.
Citation Text:
Dietl JE, Derksen C, Keller FM, et al. Psychosocial processes in healthcare workers: how individual…
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psnet.ahrq.gov/web-mm/complicated-course-severe-alcohol-withdrawal-dexmedetomidine-infusion
June 14, 2023 - Free-text orders are not the safest or most effective method for communicating medication management … Free-text computerized provider order entry orders used as workaround for communicating medication information
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psnet.ahrq.gov/node/36697/psn-pdf
February 03, 2011 - Deficits in communication and information transfer
between hospital-based and primary care physicians:
implications for patient safety and continuity of care.
February 3, 2011
Kripalani S, LeFevre F, Phillips CO, et al. Deficits in communication and information transfer between
hospital-based and primary care phys…
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psnet.ahrq.gov/node/42040/psn-pdf
September 28, 2016 - The intended and unintended consequences of
communication systems on general internal medicine
inpatient care delivery: a prospective observational case
study of five teaching hospitals.
September 28, 2016
Wu RC, Lo V, Morra D, et al. The intended and unintended consequences of communication systems on
general in…
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psnet.ahrq.gov/node/50370/psn-pdf
January 01, 2020 - Debunking the myth that the majority of medical errors
are attributed to communication.
September 25, 2019
Clapper TC, Ching K. Debunking the myth that the majority of medical errors are attributed to
communication. Med Educ. 2020;54(1):74-81. doi:10.1111/medu.13821.
https://psnet.ahrq.gov/issue/debunking-myth-maj…
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psnet.ahrq.gov/node/74704/psn-pdf
January 26, 2022 - Improving self-reported empathy and communication
skills through harm in healthcare response training.
January 26, 2022
Samuels A, Broome ME, McDonald TB, et al. Improving self-reported empathy and communication skills
through harm in healthcare response training. J Patient Saf Risk Manage. 2021;26(6):251-260.
doi…
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psnet.ahrq.gov/node/45771/psn-pdf
January 11, 2017 - Closing the loop: a process evaluation of inpatient care
team communication.
January 11, 2017
Broman KK, Kensinger C, Hart H, et al. Closing the loop: a process evaluation of inpatient care team
communication. BMJ Qual Saf. 2017;26(1):30-32. doi:10.1136/bmjqs-2015-004580.
https://psnet.ahrq.gov/issue/closing-loop-…
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psnet.ahrq.gov/node/33626/psn-pdf
January 01, 2006 - Whoever the leader is, that person can really create a team climate that's conducive to everyone
communicating
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psnet.ahrq.gov/node/45940/psn-pdf
October 31, 2017 - Crossing the communication chasm: challenges and
opportunities in transitions of care from the hospital to
the primary care clinic.
October 31, 2017
Rattray NA, Sico JJ, Cox LAM, et al. Crossing the Communication Chasm: Challenges and Opportunities in
Transitions of Care from the Hospital to the Primary Care Clini…
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psnet.ahrq.gov/issue/failures-communication-through-documents-and-documentation-across-perioperative-pathway
August 07, 2013 - Study
Failures in communication through documents and documentation across the perioperative pathway.
Citation Text:
Braaf S, Riley R, Manias E. Failures in communication through documents and documentation across the perioperative pathway. J Clin Nurs. 2015;24(13-14):1874-1884. doi:10.1…
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psnet.ahrq.gov/node/46807/psn-pdf
July 02, 2019 - Communication failure: analysis of prescribers' use of an
internal free-text field on electronic prescriptions.
July 2, 2019
Ai A, Wong A, Amato MG, et al. Communication failure: analysis of prescribers’ use of an internal free-text
field on electronic prescriptions. J Am Med Inform Assoc. 2018;25(6):709-714. doi:1…