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psnet.ahrq.gov/node/854630/psn-pdf
October 18, 2023 - Physician behaviors associated with increased physician
and nurse communication during bedside
interdisciplinary … Physician behaviors associated with increased physician and
nurse communication during bedside interdisciplinary … https://psnet.ahrq.gov/issue/physician-behaviors-associated-increased-physician-and-nurse-
communication-during-bedside … than 1,000 interdisciplinary rounds were observed to assess the extent and timing of
physician-nurse communication … //psnet.ahrq.gov/issue/redesigning-rounds-icu-standardizing-key-elements-improves-interdisciplinary-communication
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psnet.ahrq.gov/node/74695/psn-pdf
January 26, 2022 - Impact of teamwork and communication training
interventions on safety culture and patient safety in … Impact of teamwork and communication training interventions on
safety culture and patient safety in … https://psnet.ahrq.gov/issue/impact-teamwork-and-communication-training-interventions-safety-culture-and … and mortality, and frequently result from potentially
preventable human errors associated with poor communication … The authors conclude that training staff on teamwork
and communication improve the safety culture, and
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psnet.ahrq.gov/node/73488/psn-pdf
July 14, 2021 - Influences of physical layout and space on patient safety
and communication in ambulatory oncology practices … Influences of physical layout and space on patient safety and communication in ambulatory
oncology practices … https://psnet.ahrq.gov/issue/influences-physical-layout-and-space-patient-safety-and-communication- … patients during infusion) and
location (i.e., proximity of infusion center to prescribers) impacted communication … https://psnet.ahrq.gov/issue/influences-physical-layout-and-space-patient-safety-and-communication-ambulatory-oncology
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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
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psnet.ahrq.gov/node/865589/psn-pdf
April 17, 2024 - Why talking is not cheap: adverse events and informal
communication. … Why talking is not cheap: adverse events and informal
communication. … https://psnet.ahrq.gov/issue/why-talking-not-cheap-adverse-events-and-informal-communication
A strong … argues that although staff may not be
using formal channels to report AE, they are engaging in informal communication … https://psnet.ahrq.gov/issue/why-talking-not-cheap-adverse-events-and-informal-communication
https://
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psnet.ahrq.gov/node/838028/psn-pdf
September 15, 2022 - Creating a Communication Coaching Structure and
Support for your CRP Program. … https://psnet.ahrq.gov/issue/creating-communication-coaching-structure-and-support-your-crp-program … Communication and resolution program (CRP) success draws from the participation of staff skilled in … https://psnet.ahrq.gov/issue/creating-communication-coaching-structure-and-support-your-crp-program
https … /issue/ensuring-successful-implementation-communication-and-resolution-programmes
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psnet.ahrq.gov/node/837600/psn-pdf
June 29, 2022 - Handoffs and teamwork: a framework for care transition
communication. … Handoffs and teamwork: a framework for care transition
communication. … https://psnet.ahrq.gov/issue/handoffs-and-teamwork-framework-care-transition-communication
Effective … handoff communication is a key indicator of safe patient care. … These authors outline a new model
for handoff communication, integrating three theoretical frameworks
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psnet.ahrq.gov/node/60051/psn-pdf
March 18, 2020 - Enhancing teamwork communication and patient safety
responsiveness in a paediatric intensive care unit … Enhancing teamwork communication and patient safety
responsiveness in a paediatric intensive care unit … https://psnet.ahrq.gov/issue/enhancing-teamwork-communication-and-patient-safety-responsiveness-
paediatric-intensive-care … The team implemented a daily safety huddle
aimed at improving communication and early identification … safety issues were addressed; the majority involved infection control and
medication errors (32%), communication
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psnet.ahrq.gov/node/74262/psn-pdf
January 19, 2022 - Associations between safety outcomes and
communication practices among pediatric nurses in the
United … Associations between safety outcomes and communication
practices among pediatric nurses in the United … https://psnet.ahrq.gov/issue/associations-between-safety-outcomes-and-communication-practices-among- … 2016 and 2018 Hospital Survey on Patient Culture, researchers explored (1) associations between the
communication … within their teams and the frequency that they reported safety events; (2)
associations between RNs’ communication
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psnet.ahrq.gov/node/837771/psn-pdf
August 03, 2022 - 'I guess I'll wait to hear'- communication of blood test
results in primary care a qualitative study … ‘I guess I’ll wait to hear’— communication of blood test results in
primary care a qualitative study … https://psnet.ahrq.gov/issue/i-guess-ill-wait-hear-communication-blood-test-results-primary-care-qualitative … primary care patients and general practitioners (GPs) were asked about their experiences with
the communication … both expected the other to follow up on results
and had conflicting experiences with the method of communication
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psnet.ahrq.gov/node/33567/psn-pdf
June 15, 2024 - cared for by a covering resident was a risk factor for
preventable adverse events; more recently, communication … A simulation
study in the United Kingdom tested the Traffic Light communication tool with operating … The standard that requires “the
organization's process for hand-off communication provides for the opportunity … A Sentinel Event Alert was issued in 2017 to improve the quality of hand off
communication. … The Joint Commission does not recommend a specific handoff tool, but states the
communication should
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psnet.ahrq.gov/node/60533/psn-pdf
May 27, 2020 - What constitutes effective team communication after an
error? … What constitutes effective team communication after an error? … https://psnet.ahrq.gov/issue/what-constitutes-effective-team-communication-after-error
Communication … importance of transparency, disclosure
and collaboration as elements of a successful approach to communication … https://psnet.ahrq.gov/issue/what-constitutes-effective-team-communication-after-error
https://psnet.ahrq.gov
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psnet.ahrq.gov/node/849602/psn-pdf
May 31, 2023 - Psychosocial processes in healthcare workers: how
individuals' perceptions of interpersonal communication … Psychosocial processes in healthcare workers: how individuals'
perceptions of interpersonal communication … interpersonal
Miscommunication between healthcare providers can contribute to adverse events, but communication … This paper describes two studies on the
association of communication, patient safety threats, and higher … Results suggest psychological safety mediates the association of
communication with quality of care
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psnet.ahrq.gov/node/866596/psn-pdf
August 28, 2024 - Electronic Test Result Communication in the Era of the
21st Century Cures Act
August 28, 2024
Bradford … Electronic Test Result Communication In The Era Of The 21St
Century Cures Act. … AHRQ
Publication No. 24-0010-3-EF
https://psnet.ahrq.gov/issue/electronic-test-result-communication-era … https://psnet.ahrq.gov/issue/electronic-test-result-communication-era-21st-century-cures-act
https:// … psnet.ahrq.gov/issue/delivery-safe-and-effective-test-result-communication-management-and-follow
https
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psnet.ahrq.gov/node/50575/psn-pdf
October 23, 2019 - Dynamic pocket card for implementing ISBAR in shift
handover communication. … Dynamic Pocket Card for Implementing ISBAR in Shift
Handover Communication. … https://psnet.ahrq.gov/issue/dynamic-pocket-card-implementing-isbar-shift-handover-communication
Structured … communication methods such as SBAR (situation, background, assessment, recommendation)
or ISBAR (identify … https://psnet.ahrq.gov/issue/dynamic-pocket-card-implementing-isbar-shift-handover-communication
https
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psnet.ahrq.gov/issue/partnering-pediatric-patients-and-families-high-reliability-identify-and-reduce-preventable
December 02, 2020 - July 14, 2021
How communication "failed" or "saved the day": counterfactual accounts … 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 22, 2018
Patient safety after implementation of a coproduced family centered communication
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psnet.ahrq.gov/node/47037/psn-pdf
October 03, 2018 - Redesigning rounds in the ICU: standardizing key
elements improves interdisciplinary communication. … Redesigning Rounds in the ICU: Standardizing Key Elements
Improves Interdisciplinary Communication. … psnet.ahrq.gov/issue/redesigning-rounds-icu-standardizing-key-elements-improves-interdisciplinary-
communication … Consistent with prior research, they found that this
structured approach led to overall improved communication … //psnet.ahrq.gov/issue/redesigning-rounds-icu-standardizing-key-elements-improves-interdisciplinary-communication
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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
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psnet.ahrq.gov/node/47502/psn-pdf
June 02, 2019 - Failure to debrief after critical events in anesthesia is
associated with failures in communication … Failure to Debrief after Critical Events in Anesthesia Is
Associated with Failures in Communication … https://psnet.ahrq.gov/issue/failure-debrief-after-critical-events-anesthesia-associated-failures-
communication-during … Debriefs were less likely to occur when critical
communication breakdowns were involved, and more than … Interviews with care teams revealed that communication breakdowns present in some
incidents impeded
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psnet.ahrq.gov/node/73468/psn-pdf
July 07, 2021 - The implementation of communication didactics for
OB/GYN residents on the disclosure of adverse
perioperative … The implementation of communication didactics for OB/GYN
residents on the disclosure of adverse perioperative … https://psnet.ahrq.gov/issue/implementation-communication-didactics-obgyn-residents-disclosure-adverse … Immediately, and 3-months after training, residents indicated an
improvement in their communication … https://psnet.ahrq.gov/issue/implementation-communication-didactics-obgyn-residents-disclosure-adverse-perioperative