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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.
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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
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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? … 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?
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psnet.ahrq.gov/issue/poor-resident-attending-intraoperative-communication-may-compromise-patient-safety
September 23, 2020 - Study
Poor resident–attending intraoperative communication may compromise patient … Poor resident-attending intraoperative communication may compromise patient safety. … The authority gradient has been implicated in prior studies that also documented suboptimal communication … Poor resident-attending intraoperative communication may compromise patient safety.
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psnet.ahrq.gov/issue/guidelines-informing-media-after-adverse-event
May 08, 2019 - Communication Advisory Committee. Edmonton, AB, Canada: Canadian Patient Safety Institute; 2010. … Share
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September 8, 2010
Communication … provides an organizational strategy, flow charts, and a task list to improve internal and external communication … Communication Advisory Committee. Edmonton, AB, Canada: Canadian Patient Safety Institute; 2010. … Health Care Executives and Administrators
Quality and Safety Professionals
Role of the Media
Communication
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psnet.ahrq.gov/issue/human-error-not-communication-and-systems-underlies-surgical-complications
November 18, 2020 - Study
Human error, not communication and systems, underlies surgical complications … Human error, not communication and systems, underlies surgical complications. … System and communication errors were infrequently identified, a notable finding given past research … Human error, not communication and systems, underlies surgical complications.
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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. … Communication between primary and secondary care: deficits and danger. … Clear communication between primary care physicians and the providers to whom they refer patients has … The authors conclude that significant communication gaps exist between primary and secondary care and … Communication between primary and secondary care: deficits and danger.
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psnet.ahrq.gov/web-mm/prolonged-dka-pregnancy-case-communication-breakdown
June 28, 2023 - Prolonged DKA in Pregnancy: A Case of Communication Breakdown.. PSNet [internet]. … Prolonged DKA in Pregnancy: A Case of Communication Breakdown.. PSNet [internet]. … When communication breaks down, patient safety can be compromised. … Effective communication: The team prioritizes and continuously refines its communication skills. … communication.
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psnet.ahrq.gov/issue/role-technology-clinician-clinician-communication
September 09, 2015 - Commentary
The role of technology in clinician-to-clinician communication. … The role of technology in clinician-to-clinician communication. … This commentary discusses electronic communication in hospitals, including unintended consequences … The role of technology in clinician-to-clinician communication. … May 29, 2019
Dissecting communication barriers in healthcare: a path to enhancing communication
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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.
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psnet.ahrq.gov/issue/using-incident-reports-assess-communication-failures-and-patient-outcomes
February 06, 2019 - Study
Using incident reports to assess communication failures and patient outcomes … Using Incident Reports to Assess Communication Failures and Patient Outcomes. … Communication failures are a common underlying factor in adverse events. … of measuring communication issues compared to other types of safety events. … Using Incident Reports to Assess Communication Failures and Patient Outcomes.
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psnet.ahrq.gov/issue/parents-perceptions-patient-safety-paediatric-hospital-care-mixed-methods-systematic-review
May 01, 2024 - parents’ perspectives on pediatric patient safety in hospital settings, such as parental engagement and communication … authors conclude that parents need to be treated as valuable partners but require support and improved communication … June 14, 2019
View More
Related Resources
Improving communication … Patient Safety Innovations
Patient and Family Centered I-PASS (Family-Centered Communication … Program to Reduce Medical Errors and Improve Family Experience and Communication Processes)
January
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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.
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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
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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
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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
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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 … 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.
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psnet.ahrq.gov/node/854973/psn-pdf
October 31, 2023 - and use of telehealth services2 requires a population with
the skills to evaluate information, avoid misinformation … Digital literacy4 is the ability to use information and
communication technologies to find, evaluate … Communicative: The ability to collaborate, adapt, and control communication about health with
users … Public health and online misinformation: challenges and
recommendations.
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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
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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.