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161. Nurse-to-physician communications: connecting for safety. | PSNet
     psnet.ahrq.gov/issue/nurse-physician-communications-connecting-safety
     July 29, 2009 - Exploring communication gaps and errors between nurses and physicians , this article details how safety … July 2, 2014 SBAR improves nurse–physician communication and reduces unexpected death … March 2, 2012 Beyond communication: the role of standardized protocols in a changing … January 11, 2012 Implementing handoff communication. … June 15, 2011 A leadership initiative to improve communication and enhance safety.

162. A Thematic Analysis of HSIB's First 22 Investigations.  | PSNet
     psnet.ahrq.gov/issue/thematic-analysis-hsibs-first-22-investigations
     October 28, 2020 - recommendations for improvement on themes related to care transitions and access, decision making, 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

163. Patients and families as teachers: a mixed methods assessment of a collaborative learning model for medical error disclosure and prevention. | PSNet
     psnet.ahrq.gov/issue/patients-and-families-teachers-mixed-methods-assessment-collaborative-learning-model-medical
     July 12, 2017 - pre–post evaluation showed that the majority of patient and clinician participants reported improved communication … February 20, 2019 Can communication-and-resolution programs achieve their potential? … 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 … 31, 2024 Communication and Resolution After an Adverse Health Care Incident.

164. Nurse/physician communication through a sensemaking lens: shifting the paradigm to improve patient safety. | PSNet
     psnet.ahrq.gov/issue/nursephysician-communication-through-sensemaking-lens-shifting-paradigm-improve-patient
     June 05, 2024 - Review Nurse/physician communication through a sensemaking lens: shifting the paradigm … Nurse/physician communication through a sensemaking lens: shifting the paradigm to improve patient safety … Nurse/physician communication through a sensemaking lens: shifting the paradigm to improve patient safety … June 5, 2024 Refining a framework to enhance communication in the emergency department … December 19, 2018 Using incident reports to assess communication failures and patient

165. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33584/psn-pdf
     March 15, 2025 - Communication Between Clinicians March 15, 2025 Communication Between Clinicians. … https://psnet.ahrq.gov/primer/communication-between-clinicians PSNet primers are regularly reviewed … Issues involving communication between clinicians at times of transitions in care are discussed in the … Methods of Improving Communication Between Providers The factors that impair effective communication … communication protocols for transmission of important information.

166. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867040/psn-pdf
     October 30, 2024 - Preoperative multidisciplinary team huddle improves communication and safety for unscheduled cesarean … Preoperative multidisciplinary team huddle improves communication and safety for unscheduled cesarean … https://psnet.ahrq.gov/issue/preoperative-multidisciplinary-team-huddle-improves-communication-and- … safety-unscheduled After a staff survey demonstrated dissatisfaction with team communication prior to … The huddle ensured direct communication, shared understanding of urgency, and clear role assignments

167. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/865455/psn-pdf
     March 27, 2024 - Communication During Transitions of Care March 27, 2024 Gurses AP, Sousane Z, Mossburg S. … Communication During Transitions of Care. PSNet [internet]. 2024. … https://psnet.ahrq.gov/perspective/communication-during-transitions-care Introduction Inaccurate or … Communication Training and Organizational Emphasis on Safety Culture Communication and teamwork are … TeamSTEPPS Module 1: Communication teaches communication strategies for healthcare professionals including

168. Critical conversations: a call for a nonprocedural "time out." | PSNet
     psnet.ahrq.gov/issue/critical-conversations-call-nonprocedural-time-out
     February 18, 2011 - This commentary describes a structured communication strategy that targets discussions at time of admission … , change in clinical condition, and time of discharge, to reduce communication failures and improve patient … February 18, 2011 Patient whiteboards as a communication tool in the hospital setting … November 8, 2012 A leadership initiative to improve communication and enhance safety. … March 2, 2011 Patient whiteboards as a communication tool in the hospital setting: A

169. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867747/psn-pdf
     March 12, 2025 - A framework for the analysis of communication errors in health care. … A framework for the analysis of communication errors in health care. … https://psnet.ahrq.gov/issue/framework-analysis-communication-errors-health-care Miscommunication is … This article describes the development of a framework to classify communication errors that contributed … Nine types of communication errors were identified.

170. PSNet Curated Library (pdf file)
     psnet.ahrq.gov/print/pdf/node/867461
     January 31, 2024 - Program to Reduce Medical Errors and Improve Family Experience and Communication Processes) January … 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 … Patient and Family Centered I-PASS (Family-Centered Communication Program to Reduce Medical Errors and … https://psnet.ahrq.gov/innovation/patient-and-family-centered-i-pass-family-centered-communication-program-reduce-medical

171. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47921/psn-pdf
     June 18, 2019 - 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. … A WebM&M commentary discussed a series of communication errors that led to a child's death.

172. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72834/psn-pdf
     March 10, 2021 - Communication with Patients When engaging and caring for patients, effective communication is an essential … Communication across Providers Communication, and teamwork in particular, are pillars of patient safety … Structured Communication Techniques The use of structured and codified communication practices can help … from communication breakdowns. … Transparent decision-making and continuous communication with the workforce, using all communication

173. Identifying factors leading to harm in English general practices: a mixed-methods study based on patient experiences integrating structural equation modeling and qualitative content analysis. | PSNet
     psnet.ahrq.gov/issue/identifying-factors-leading-harm-english-general-practices-mixed-methods-study-based-patient
     June 01, 2016 - Factors included incidents related to communication, care coordination, and incorrect or delayed;  diagnosis … June 15, 2016 A partially structured postoperative handoff protocol improves 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

174. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/863756/psn-pdf
     March 06, 2024 - Preoperative communication between anesthesia, surgery, and primary care providers for older surgical … Preoperative communication between anesthesia, surgery, and primary care providers for older surgical … https://psnet.ahrq.gov/issue/preoperative-communication-between-anesthesia-surgery-and-primary-care- … providers-older Communication breakdowns between clinicians can detract from safe care. … https://psnet.ahrq.gov/primer/communication-between-clinicians https://psnet.ahrq.gov/issue/effective-communication-primary-care-providers

175. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/865877/psn-pdf
     May 15, 2024 - Refining a framework to enhance communication in the emergency department during the diagnostic process … Refining a framework to enhance communication in the emergency department during the diagnostic process … Communication breakdowns can lead to diagnostic errors in the emergency department (ED). … The revised framework identifies critical points where communication breakdowns are likely to occur … https://psnet.ahrq.gov/perspective/approach-improving-patient-safety-communication

176. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47356/psn-pdf
     September 05, 2018 - cyberloafing-health-care-real-risk-patient-safety The health care environment is rife with distractions during cognitive, clinical, and communication … This commentary focuses on how mobile communication technologies contribute to distractions in health … The author suggests raising awareness of the risks associated with personal communication technology

177. Spotlight (pdf file)
     psnet.ahrq.gov/sites/default/files/2021-06/final_spotlight_miscommunication_possible_artifact_06.21.2021.pdf
     January 01, 2021 - • Explain clinical criteria for urgent communication and “closed loop” communication between radiologists … Errors in Radiology 9 Communication Errors in Radiology • In radiology, communication errors are … by the radiologist accounted for about 47% of communication-related errors • Although some communication … “Communication.” Merriam-Webster.com Dictionary, Merriam-Webster. … Strategies for radiology reporting and communication.

178. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73434/psn-pdf
     June 30, 2021 - Explain clinical criteria for urgent communication and “closed loop” communication between radiologists … , and patients, to reduce communication-related errors. … by the radiologist, accounting for about 47% of communication-related errors.2 Although some communication … Although this safeguard is a one-way method of communication, the communication loop could be closed … Strategies for radiology reporting and communication.

179. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47263/psn-pdf
     January 01, 2021 - Dissecting communication barriers in healthcare: a path to enhancing communication resiliency, reliability … Dissecting Communication Barriers in Healthcare: A Path to Enhancing Communication Resiliency, Reliability … https://psnet.ahrq.gov/issue/dissecting-communication-barriers-healthcare-path-enhancing-communication … https://psnet.ahrq.gov/issue/dissecting-communication-barriers-healthcare-path-enhancing-communication-resiliency … https://psnet.ahrq.gov/issue/dissecting-communication-barriers-healthcare-path-enhancing-communication-resiliency

180. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/846443/psn-pdf
     March 22, 2023 - 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. … https://psnet.ahrq.gov/glossary-0#glossary-heading-term-836951 https://psnet.ahrq.gov/issue/communication-interdisciplinary-teams-exploring-closed-loop-communication-during-situ-trauma