-
psnet.ahrq.gov/node/60733/psn-pdf
July 29, 2020 - Communication through the electronic health record:
frequency and implications of free text orders. … Communication through the electronic health record:
frequency and implications of free text orders. … https://psnet.ahrq.gov/issue/communication-through-electronic-health-record-frequency-and-implications … -
free-text-orders
The authors analyzed 26,000 communication for non-medication orders (CNMOs, a type … of free-text
communication order used to communicate information that does not align with structured
-
psnet.ahrq.gov/node/60054/psn-pdf
March 18, 2020 - Ensuring successful implementation of communication-
and-resolution programmes. … Ensuring successful implementation of communication-and-
resolution programmes. … https://psnet.ahrq.gov/issue/ensuring-successful-implementation-communication-and-resolution-
programmes … Communication-and-resolution programs (CRP) emphasize early disclosure of adverse events and
proactive … https://psnet.ahrq.gov/issue/ensuring-successful-implementation-communication-and-resolution-programmes
-
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
-
psnet.ahrq.gov/node/73586/psn-pdf
January 01, 2022 - 'More than words' - interpersonal communication,
cognitive bias and diagnostic errors. … ‘More than words’ – Interpersonal communication, cognitive bias and
diagnostic errors. … https://psnet.ahrq.gov/issue/more-words-interpersonal-communication-cognitive-bias-and-diagnostic-errors … Cognitive biases and poor communication among providers can lead to diagnostic errors. … This commentary
presents the links between biases, provider communication, and diagnostic error, and
-
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
-
psnet.ahrq.gov/node/856586/psn-pdf
November 29, 2023 - The complexities of communication at hospital discharge
of older patients: a qualitative study of healthcare … The complexities of communication at hospital discharge of older
patients: a qualitative study of healthcare … https://psnet.ahrq.gov/issue/complexities-communication-hospital-discharge-older-patients-qualitative … hospital physicians, nurses, and pharmacists highlights several barriers to
complete and effective communication … Support systems, such as electronic health records, can both enable and
hinder communication.
-
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
-
psnet.ahrq.gov/node/47684/psn-pdf
March 20, 2019 - The impact of mobile technology on teamwork and
communication in hospitals: a systematic review. … The impact of mobile technology on teamwork and communication in
hospitals: a systematic review. … https://psnet.ahrq.gov/issue/impact-mobile-technology-teamwork-and-communication-hospitals-systematic … https://psnet.ahrq.gov/issue/impact-mobile-technology-teamwork-and-communication-hospitals-systematic-review … https://psnet.ahrq.gov/issue/impact-mobile-technology-teamwork-and-communication-hospitals-systematic-review
-
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
-
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.
-
psnet.ahrq.gov/sites/default/files/2020-03/final_spotlight_case_delays_in_the_ed_powerpoint_for_cme_review_03.09.2020.pdf
January 01, 2020 - SYSTEMS CHANGE NEEDED/
QUALITY IMPROVEMENT APPROACH
Teamwork & Communication
27
Communication
• … Communication
• When boundaries defining clinical responsibility blur,
organizational communication … Improving Teamwork and Communication
• Improved communication can improve patient care through:
– Role … Triage
Emergency Severity Index
Triage Critique
Communication Failure
Teamwork and Communication … Communication
Communication
Communication Opportunities
Teamwork
Improving Teamwork and Communication
-
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
-
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
-
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
-
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
-
psnet.ahrq.gov/node/862608/psn-pdf
February 14, 2024 - Communication and birth experiences among Black
birthing people who experienced preterm birth. … Communication and birth experiences among Black birthing
people who experienced preterm birth. … https://psnet.ahrq.gov/issue/communication-and-birth-experiences-among-black-birthing-people-who-
experienced-preterm-birth … identified
three priority areas to improve patient experience and safety during preterm birth – improved
communication … mitigated psychological consequences through opportunities
to share birth experiences and improved communication
-
psnet.ahrq.gov/node/867343/psn-pdf
December 11, 2024 - Communication about harm reduction with patients who
have opioid use disorder. … Communication about harm reduction with patients who have opioid use
disorder. … https://psnet.ahrq.gov/issue/communication-about-harm-reduction-patients-who-have-opioid-use-disorder … This article
offers a communication framework based on the Relationship: Establishment, Development, … https://psnet.ahrq.gov/issue/communication-about-harm-reduction-patients-who-have-opioid-use-disorder
-
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
-
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
-
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