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101. Hand-off Communications. | PSNet
     psnet.ahrq.gov/issue/hand-communications
     January 04, 2017 - This article details the early progress of the Center's second major initiative, improving handoff communication … April 5, 2013 Handoff Communication Tools.

102. Communication failures: an insidious contributor to medical mishaps. | PSNet
     psnet.ahrq.gov/issue/communication-failures-insidious-contributor-medical-mishaps
     February 24, 2011 - Study Classic Communication failures: an insidious contributor … Communication failures: an insidious contributor to medical mishaps. … Several anecdotes illustrate the role communication failures played in these mishaps and how common these … The authors conclude that barriers to effective communication are both individual and systemic and that … Communication failures: an insidious contributor to medical mishaps.

103. The science and economics of improving clinical communication. | PSNet
     psnet.ahrq.gov/issue/science-and-economics-improving-clinical-communication
     November 18, 2015 - Commentary The science and economics of improving clinical communication. … The science and economics of improving clinical communication. … The science and economics of improving clinical communication. … reports due to communication errors in an anaesthetic clinic: a prospective intervention study. … December 4, 2013 Patterns of communication breakdowns resulting in injury to surgical

104. Interdisciplinary communication: an uncharted source of medical error? | PSNet
     psnet.ahrq.gov/issue/interdisciplinary-communication-uncharted-source-medical-error
     September 24, 2016 - Review Interdisciplinary communication: an uncharted source of medical error? … Interdisciplinary communication: an uncharted source of medical error? … The authors discuss the literature on communication between clinicians and suggest that research should … examine how communication gaps can affect patient safety in the intensive care unit.  … Interdisciplinary communication: an uncharted source of medical error?

105. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/861880/psn-pdf
     January 31, 2024 - Patient and Family Centered I-PASS (Family-Centered Communication Program to Reduce Medical Errors and … /patient-and-family-centered-i-pass-family-centered-communication- program-reduce-medical Summary … processes could be improved via a family- centered communication program. … around the I-PASS https://psnet.ahrq.gov/innovation/patient-and-family-centered-i-pass-family-centered-communication-program-reduce-medical … https://psnet.ahrq.gov/innovation/patient-and-family-centered-i-pass-family-centered-communication-program-reduce-medical

106. SBAR improves communication and safety climate and decreases incident reports due to communication errors in an anaesthetic clinic: a prospective intervention study. | PSNet
     psnet.ahrq.gov/issue/sbar-improves-communication-and-safety-climate-and-decreases-incident-reports-due
     June 01, 2016 - Study SBAR improves communication and safety climate and decreases incident reports … due to communication errors in an anaesthetic clinic: a prospective intervention study. … SBAR improves communication and safety climate and decreases incident reports due to communication errors … SBAR improves communication and safety climate and decreases incident reports due to communication errors … August 18, 2021 Communication in interdisciplinary teams: exploring closed-loop communication

107. Failures in communication through documents and documentation across the perioperative pathway. | PSNet
     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 … Failures in communication through documents and documentation across the perioperative pathway. … This qualitative study of communication among providers in perioperative care revealed a reliance on … Failures in communication through documents and documentation across the perioperative pathway. … June 18, 2019 Guideline implementation: team communication.

108. Home | PSNet
     psnet.ahrq.gov/
     March 25, 2025 - Results show that even a small amount of medical misinformation in the training dataset can result in … Commentary A framework for the analysis of communication errors in health care. … This article describes the development of a framework to classify communication errors that contributed … Nine types of communication errors were identified. … Falls and delays in diagnosis, treatment, or surgery were the most common adverse events related to communication

109. A policy-based intervention for the reduction of communication breakdowns in inpatient surgical care: results from a Harvard surgical safety collaborative. | PSNet
     psnet.ahrq.gov/issue/policy-based-intervention-reduction-communication-breakdowns-inpatient-surgical-care-results
     January 04, 2010 - Study A policy-based intervention for the reduction of communication breakdowns in … A policy-based intervention for the reduction of communication breakdowns in inpatient surgical care: … Communication failures in the surgical setting are a known threat to patient safety and the second … April 24, 2011 Communication failure in the operating room. … August 18, 2010 Measuring communication in the surgical ICU: better communication equals

110. SBAR: a shared mental model for improving communication between clinicians. | PSNet
     psnet.ahrq.gov/issue/sbar-shared-mental-model-improving-communication-between-clinicians
     January 02, 2017 - Study SBAR: a shared mental model for improving communication between clinicians. … SBAR: a shared mental model for improving communication between clinicians. … SBAR: a shared mental model for improving communication between clinicians. … reports due to communication errors in an anaesthetic clinic: a prospective intervention study. … December 21, 2014 Improving Hand-Off Communication.

111. How policy makers can smooth the way for communication-and-resolution programs. | PSNet
     psnet.ahrq.gov/issue/how-policy-makers-can-smooth-way-communication-and-resolution-programs
     December 19, 2018 - Commentary How policy makers can smooth the way for communication-and-resolution … How policy makers can smooth the way for communication-and- resolution programs. … How policy makers can smooth the way for communication-and- resolution programs. … December 19, 2018 Communication-and-resolution programs: the challenges and lessons learned … December 19, 2018 Case outcomes in a communication-and-resolution program in New York

112. Preventing communication errors in telephone medicine. | PSNet
     psnet.ahrq.gov/issue/preventing-communication-errors-telephone-medicine
     December 01, 2004 - Commentary Preventing communication errors in telephone medicine. … Preventing communication errors in telephone medicine. J Gen Intern Med. 2005;20(10):959-63. … Preventing communication errors in telephone medicine. J Gen Intern Med. 2005;20(10):959-63. … Topic Ambulatory Care Health Care Providers Narrative/Storytelling Provider-Patient Communication

113. Silence, power and communication in the operating room. | PSNet
     psnet.ahrq.gov/issue/silence-power-and-communication-operating-room
     June 08, 2011 - Study Silence, power and communication in the operating room. … Silence, power and communication in the operating room. … Communication failures are a known problem in operating rooms, with past studies examining the role … Silence, power and communication in the operating room. … April 6, 2011 Communication failure in the operating room.

114. Reducing diagnostic errors through effective communication: harnessing the power of information technology. | PSNet
     psnet.ahrq.gov/issue/reducing-diagnostic-errors-through-effective-communication-harnessing-power-information
     March 10, 2011 - Commentary Reducing diagnostic errors through effective communication: harnessing … Reducing Diagnostic Errors through Effective Communication: Harnessing the Power of Information Technology … This commentary explores potential communication breakdowns that contribute to diagnostic errors and … January 9, 2019 Dissecting communication barriers in healthcare: a path to enhancing … communication resiliency, reliability, and patient safety.

115. Beyond communication: the role of standardized protocols in a changing health care environment. | PSNet
     psnet.ahrq.gov/issue/beyond-communication-role-standardized-protocols-changing-health-care-environment
     October 12, 2011 - Study Beyond communication: the role of standardized protocols in a changing health … Beyond communication: the role of standardized protocols in a changing health care environment.   … This qualitative study found that implementation of the SBAR communication protocol had effects beyond … Beyond communication: the role of standardized protocols in a changing health care environment.   … March 2, 2012 Implementing handoff communication.

116. A theory-based instrument to evaluate team communication in the operating room: balancing measurement authenticity and reliability. | PSNet
     psnet.ahrq.gov/issue/theory-based-instrument-evaluate-team-communication-operating-room-balancing-measurement
     June 23, 2010 - Commentary A theory-based instrument to evaluate team communication in the operating … A theory-based instrument to evaluate team communication in the operating room: balancing measurement … This study describes the process of developing a tool to measure communication failures in the operating … A theory-based instrument to evaluate team communication in the operating room: balancing measurement … June 8, 2011 Silence, power and communication in the operating room.

117. Intensive care units, communication between nurses and physicians, and patients' outcomes. | PSNet
     psnet.ahrq.gov/issue/intensive-care-units-communication-between-nurses-and-physicians-and-patients-outcomes
     May 28, 2008 - Study Intensive care units, communication between nurses and physicians, and patients … Intensive care units, communication between nurses and physicians, and patients' outcomes. … Although some relationship between communication and adverse events was documented, the relationship … Intensive care units, communication between nurses and physicians, and patients' outcomes. … December 19, 2018 Using incident reports to assess communication failures and patient

118. Closed-loop communication in interprofessional emergency teams: a cross-sectional observation study on the use of closed-loop communication among anesthesia personnel. | PSNet
     psnet.ahrq.gov/issue/closed-loop-communication-interprofessional-emergency-teams-cross-sectional-observation-study
     September 24, 2016 - Study Closed-loop communication in interprofessional emergency teams: a cross-sectional … observation study on the use of closed-loop communication among anesthesia personnel. … Closed-loop communication in interprofessional emergency teams: a cross-sectional observation study on … the use of closed-loop communication among anesthesia personnel. … the use of closed-loop communication among anesthesia personnel.

119. Evaluation of a preoperative checklist and team briefing among surgeons, nurses, and anesthesiologists to reduce failures in communication. | PSNet
     psnet.ahrq.gov/issue/evaluation-preoperative-checklist-and-team-briefing-among-surgeons-nurses-and
     August 28, 2013 - preoperative checklist and team briefing among surgeons, nurses, and anesthesiologists to reduce failures in communication … Structured communication tools are being used increasingly to prevent critical communication failures … While past studies have similarly demonstrated benefits from improved communication in the operating … room, this is the first to directly observe how briefings affect team communication. … April 6, 2011 Information transfer and communication in surgery: a systematic review.

120. Communication failures in the operating room: an observational classification of recurrent types and effects. | PSNet
     psnet.ahrq.gov/issue/communication-failures-operating-room-observational-classification-recurrent-types-and
     April 06, 2011 - Study Classic Communication failures in the operating room … Communication failures in the operating room: an observational classification of recurrent types and … This study used direct observation of 48 surgical procedures to characterize deficits in communication … Communication failures in the operating room: an observational classification of recurrent types and … June 8, 2011 Silence, power and communication in the operating room.