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161. Implementing hospital-based communication-and-resolution programs: lessons learned in New York City. | PSNet
     psnet.ahrq.gov/issue/implementing-hospital-based-communication-and-resolution-programs-lessons-learned-new-york
     September 01, 2018 - Study Implementing hospital-based communication-and-resolution programs: lessons … Implementing hospital-based communication-and-resolution programs: lessons learned in New York City. … This study reports on an AHRQ-funded effort to establish communication-and-resolution protocols for … Implementing hospital-based communication-and-resolution programs: lessons learned in New York City. … September 29, 2017 Challenges of implementing a communication-and-resolution program

162. The Consequences of Miscommunication Regarding a Possible Artifact | PSNet
     psnet.ahrq.gov/web-mm/consequences-miscommunication-regarding-possible-artifact
     May 11, 2019 - 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.

163. Reducing risks in complex care transitions in rural areas: a grounded theory. | PSNet
     psnet.ahrq.gov/issue/reducing-risks-complex-care-transitions-rural-areas-grounded-theory
     June 23, 2021 - Participants cited concerns regarding care coordination, communication, and logistics. … October 12, 2022 A partially structured postoperative handoff protocol improves communication … Innovation Summary July 23, 2024 Annual Perspective 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

164. Parent–provider miscommunications in hospitalized children. | PSNet
     psnet.ahrq.gov/issue/parent-provider-miscommunications-hospitalized-children
     May 08, 2017 - Breakdowns in communication between clinicians and patients are common and are associated with adverse … and physicians at the time of hospital discharge to identify caregiver and clinician perspectives on communication … May 8, 2017 Communication and shared understanding between parents and resident-physicians … Program to Reduce Medical Errors and Improve Family Experience and Communication Processes) January … April 24, 2019 Patient safety after implementation of a coproduced family centered communication

165. Formative evaluation of the video reflexive ethnography method, as applied to the physician–nurse dyad. | PSNet
     psnet.ahrq.gov/issue/formative-evaluation-video-reflexive-ethnography-method-applied-physician-nurse-dyad
     December 02, 2020 - Researchers describe the use of video reflexive ethnography to improve communication between physicians … They conclude that video reflexive ethnography is feasible and may have the potential to improve communication … It's like sending a message in a bottle: a qualitative study of the consequences of one-way communication … December 19, 2018 Using incident reports to assess communication failures and patient … November 14, 2012 Communication failures in the operating room: an observational classification

166. 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

167. People’s Experiences of Diagnosis. | PSNet
     psnet.ahrq.gov/issue/peoples-experiences-diagnosis
     June 17, 2014 - highlight successes that support patient-centered care, including multidisciplinary teams, improved communication … Population: ED-SAFE April 24, 2024 Annual Perspective 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 … View More See More About The Topic Hospitals Ambulatory Care Medicine Communication

168. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/864868/psn-pdf
     March 27, 2024 - patient satisfaction, compliance, and overall health status.1 Communication Breakdowns Healthcare … It is crucial to establish effective communication and handoffs between these teams to guarantee the … Subpar communication may contribute to various negative outcomes, including diminished adherence to … a complex exchange of patient information and an effective communication process. … psnet.ahrq.gov//#4 https://psnet.ahrq.gov/innovation/patient-and-family-centered-i-pass-family-centered-communication-program-reduce-medical

169. High-reliability and the I-PASS communication tool. | PSNet
     psnet.ahrq.gov/issue/high-reliability-and-i-pass-communication-tool
     June 02, 2021 - Newspaper/Magazine Article High-reliability and the I-PASS communication tool. … High-reliability and the I-PASS communication tool. … High-reliability and the I-PASS communication tool. … October 13, 2018 Inadequate hand-off communication. … May 23, 2018 Crossing the communication chasm: challenges and opportunities in transitions

170. 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

171. Clinical Handover: Critical Communications. | PSNet
     psnet.ahrq.gov/issue/clinical-handover-critical-communications
     February 18, 2015 - discusses Australian efforts to improve handover safety with emphasis on flexible standardization, communication … View More Related Resources Annual Perspective Communication

172. Press Play on Safety Conversations. | PSNet
     psnet.ahrq.gov/issue/press-play-safety-conversations
     August 24, 2022 - This website houses collections of materials to support constructive communication should a failure … 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

173. Incivility in healthcare: the impact of poor communication. | PSNet
     psnet.ahrq.gov/issue/incivility-healthcare-impact-poor-communication
     October 19, 2022 - Review Incivility in healthcare: the impact of poor communication. … Incivility in healthcare: the impact of poor communication. … Incivility in healthcare: the impact of poor communication.

174. Patients' and families' perspectives of patient safety at the end of life: a video-reflexive ethnography study. | PSNet
     psnet.ahrq.gov/issue/patients-and-families-perspectives-patient-safety-end-life-video-reflexive-ethnography-study
     December 18, 2013 - Communication-related harms were considered distressing to the patients and their families. … Patient Safety March 27, 2024 Annual Perspective 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

175. 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.

176. Improving Patient Safety and Team Communication through Daily Huddles | PSNet
     psnet.ahrq.gov/primer/improving-patient-safety-and-team-communication-through-daily-huddles
     December 15, 2024 - Improving Patient Safety and Team Communication through Daily Huddles Citation Text: Shaikh … Improving Patient Safety and Team Communication through Daily Huddles. PSNet [internet]. … Improving Patient Safety and Team Communication through Daily Huddles. PSNet [internet]. … Malpractice risk in communication failures. Boston, MA. 2015. … Improving Patient Safety Through Provider Communication Strategy Enhancements.

177. Patients' perspectives of diagnostic error: a qualitative study. | PSNet
     psnet.ahrq.gov/issue/patients-perspectives-diagnostic-error-qualitative-study
     February 10, 2012 - the causes of diagnostic error: problems with clinical evaluation, limited time with clinicians, poor communication … diagnostic error included improvements to clinical management, increase patient access to clinicians, communication … Related Resources From the Same Author(s) Consensus statement on effective 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

178. 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

179. Digital Health Literacy | PSNet
     psnet.ahrq.gov/primer/digital-health-literacy
     August 30, 2023 - use of telehealth services 2 requires a population with the skills to evaluate information, avoid misinformation … Digital literacy 4 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. … WebM&M Cases Be Picky about your PICCs—Fragmented Care and Poor Communication

180. 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.