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201. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73618/psn-pdf
     August 17, 2021 - Safe Communication: Evidence-based Core Competencies with Case Studies from Nursing. … Poor communication is often associated with unsafe medical care. … This companion volume uses the case study format to illustrate nursing communication practices to be … https://psnet.ahrq.gov/issue/using-incident-reports-assess-communication-failures-and-patient-outcomes … https://psnet.ahrq.gov/issue/new-horizons-patient-safety-understanding-communication-case-studies-physicians

202. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837153/psn-pdf
     January 01, 2025 - Annual Communication, Apology, and Resolution (CARe) Forum. …   https://psnet.ahrq.gov/issue/annual-communication-apology-and-resolution-care-forum Communication … https://psnet.ahrq.gov/issue/annual-communication-apology-and-resolution-care-forum https://psnet.ahrq.gov … /issue/ensuring-successful-implementation-communication-and-resolution-programmes https://psnet.ahrq.gov … /issue/when-things-go-wrong-responding-adverse-events https://psnet.ahrq.gov/issue/improving-communication-and-resolution-following-adverse-events-using-patient-created

203. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47913/psn-pdf
     April 10, 2019 - Improving standardization of paging communication using quality improvement methodology. … Improving Standardization of Paging Communication Using Quality Improvement Methodology. … https://psnet.ahrq.gov/issue/improving-standardization-paging-communication-using-quality-improvement … - methodology Pagers have been a mainstay for urgent clinician–clinician communication for many decades … The authors call for institutions to consider standardizing their paging communication.

204. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/843094/psn-pdf
     January 25, 2023 - Getting Started with a Communication and Resolution Program (CRP) Policy or Commitment Statement to … - commitment-statement-cr Communication and resolution programs (CRP) show promise for improving patient … and clinician communication after a harmful preventable adverse event. … https://psnet.ahrq.gov/issue/getting-started-communication-and-resolution-program-crp-policy-or-commitment-statement-cr … https://psnet.ahrq.gov/issue/getting-started-communication-and-resolution-program-crp-policy-or-commitment-statement-cr

205. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/74135/psn-pdf
     December 01, 2021 - Communication regarding adverse neonatal birth events: experiences of parents and clinicians. … Communication regarding adverse neonatal birth events: experiences of parents and clinicians. … https://psnet.ahrq.gov/issue/communication-regarding-adverse-neonatal-birth-events-experiences-parents … - and-clinicians Effective communication between patients and providers – including after an adverse … /issue/patient-perspectives-patient-provider-communication-after-adverse-events

206. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73325/psn-pdf
     May 26, 2021 - Communication of preclinical emergency teams in critical situations: a nationwide study. … Communication of preclinical emergency teams in critical situations: a nationwide study. … https://psnet.ahrq.gov/issue/communication-preclinical-emergency-teams-critical-situations-nationwide … - study Inadequate team communication is a marker of poor safety culture and can threaten patient safety … https://psnet.ahrq.gov/issue/communication-preclinical-emergency-teams-critical-situations-nationwide-study

207. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47400/psn-pdf
     November 28, 2018 - Impact of the communication and patient hand-off tool SBAR on patient safety: a systematic review. … Impact of the communication and patient hand-off tool SBAR on patient safety: a systematic review. … https://psnet.ahrq.gov/issue/impact-communication-and-patient-hand-tool-sbar-patient-safety-systematic … - review Standardized handoff tools are increasingly implemented to improve communication between health … Although this systematic review identified several studies supporting the use of SBAR as a communication

208. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/865811/psn-pdf
     May 08, 2024 - Call me Ishmael: addressing the white whale of team communication in the operating room with labelled … Call me Ishmael: addressing the white whale of team communication in the operating room with labelled … https://psnet.ahrq.gov/issue/call-me-ishmael-addressing-white-whale-team-communication-operating-room … - labelled-surgical Poor communication between team members is associated with poorer patient outcomes … To improve team communication in the operating room (OR), in one health system, personalized surgical

209. Psn-Pdf (pdf file)
     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 … Communication failure: analysis of prescribers’ use of an internal free-text field on electronic prescriptions … https://psnet.ahrq.gov/issue/communication-failure-analysis-prescribers-use-internal-free-text-field- … More than 10% of medication orders exhibited a communication failure between prescriber and pharmacist … Investigators also found that 38% of these communication failures conferred a risk for significant or

210. Using an inpatient portal to engage families in pediatric hospital care. | PSNet
     psnet.ahrq.gov/issue/using-inpatient-portal-engage-families-pediatric-hospital-care
     September 13, 2023 - 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 … December 21, 2018 Patient safety after implementation of a coproduced family centered communication … June 27, 2018 Improving communication with primary care physicians at the time of hospital

211. Spotlight (pdf file)
     psnet.ahrq.gov/sites/default/files/2020-04/final_april-spotlight-implicit_biases_04.02.2020.pdf
     January 01, 2020 - Communication skills and error in the intensive care unit. … Intervention & Strategies: Communication (3) 30 • Use standardized communication models – This can … Interprofessional communication in healthcare: An integrative review. … Communication skills and error in the intensive care unit. … (1) Intervention & Strategies: Communication (2) Intervention & Strategies: Communication (3) Intervention

212. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/846156/psn-pdf
     March 15, 2023 - Communication matters when it comes to adverse events: associations of adverse events during implant … treatment with patients' communication quality and trust assessments. … Communication matters when it comes to adverse events: associations of adverse events during implant … treatment with patients’ communication quality and trust assessments. … https://psnet.ahrq.gov/issue/communication-matters-when-it-comes-adverse-events-associations-adverse-

213. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73494/psn-pdf
     July 14, 2021 - A scoping review of communication tools applicable to patients and their primary care providers after … A scoping review of communication tools applicable to patients and their primary care providers after … https://psnet.ahrq.gov/issue/scoping-review-communication-tools-applicable-patients-and-their-primary … - care-providers-after Communication failures during transitions of care can threaten safe patient … Although this systematic review identified several tools to support communication between inpatient

214. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837071/psn-pdf
     May 11, 2022 - Communication patterns during routine patient care in a pediatric intensive care unit: the behavioral … Communication patterns during routine patient care in a pediatric intensive care unit: the behavioral … https://psnet.ahrq.gov/issue/communication-patterns-during-routine-patient-care-pediatric-intensive-care … - unit-behavioral Closed-loop communication is essential to effective teamwork, particularly during … training for pediatric intensive care unit (PICU) nurses led to significant improvements in closed-loop communication

215. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/845302/psn-pdf
     March 01, 2023 - Reducing preventable adverse events in obstetrics by improving interprofessional communication skills … Reducing preventable adverse events in obstetrics by improving interprofessional communication skills … //psnet.ahrq.gov/issue/reducing-preventable-adverse-events-obstetrics-improving-interprofessional- communication … Safe obstetrical care can be compromised by a variety of controllable risk factors, such as communication … obstetric teams (physicians and midwives) in one hospital received training on the importance of team communication

216. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72634/psn-pdf
     January 13, 2021 - How U.S. teams advanced communication and resolution program adoption at local, state and national levels … Teams advanced communication and resolution program adoption at local, state and national levels. … https://psnet.ahrq.gov/issue/how-us-teams-advanced-communication-and-resolution-program-adoption- local-state-and-national … Healthcare systems have implemented  communication-and-resolution programs (CRPs) to respond and disclose … https://psnet.ahrq.gov/issue/ensuring-successful-implementation-communication-and-resolution-programmes

217. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867037/psn-pdf
     January 01, 2025 - Medicine communication from hospital to residential aged care facilities: a cross-sectional survey of … Medicine communication from hospital to residential aged care facilities: a cross-sectional survey of … https://psnet.ahrq.gov/issue/medicine-communication-hospital-residential-aged-care-facilities-cross- … https://psnet.ahrq.gov/issue/medicine-communication-hospital-residential-aged-care-facilities-cross-sectional-survey-aged … https://psnet.ahrq.gov/issue/improving-communication-hospital-skilled-nursing-facility-through-standardized-hand-quality

218. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867092/psn-pdf
     November 06, 2024 - Surgical intraoperative handoff initiative: standardizing operating room communication using SHRIMPS … Surgical intraoperative handoff initiative: standardizing operating room communication using SHRIMPS … https://psnet.ahrq.gov/issue/surgical-intraoperative-handoff-initiative-standardizing-operating-room- communication-using … Researchers piloted the use of this handoff report in 15 surgical cases and found that it improved communication … https://psnet.ahrq.gov/issue/surgical-intraoperative-handoff-initiative-standardizing-operating-room-communication-using

219. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/853966/psn-pdf
     September 27, 2023 - The delivery of safe and effective test result communication, management and follow-up. … The delivery of safe and effective test result communication, management and follow-up. … https://psnet.ahrq.gov/issue/delivery-safe-and-effective-test-result-communication-management-and-follow … Several systemic factors may hinder communication of test results to patients and clinicians. … Along with previously identified test result communication challenges such as workflow and technology

220. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/854255/psn-pdf
     October 04, 2023 - Empowering telemetry technicians and enhancing communication to improve in-hospital cardiac arrest … Empowering telemetry technicians and enhancing communication to improve in-hospital cardiac arrest survival … https://psnet.ahrq.gov/issue/empowering-telemetry-technicians-and-enhancing-communication-improve- hospital-cardiac-arrest … In-hospital cardiac arrests (IHCAs) are complex clinical scenarios requiring effective communication … the impact of a bundled, multicomponent intervention to empower telemetry technicians and improve communication