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  1. Psn-Pdf (pdf file)

    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
  2. Psn-Pdf (pdf file)

    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
  3. Psn-Pdf (pdf file)

    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
  4. 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
  5. Psn-Pdf (pdf file)

    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
  6. Psn-Pdf (pdf file)

    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
  7. Psn-Pdf (pdf file)

    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
  8. psnet.ahrq.gov/issue/using-risk-assessment-approach-determine-which-factors-influence-whether-partially-bilingual
    March 22, 2023 - December 18, 2014 Health literacy and communication quality in health care organizations … December 21, 2011 Making it easier to do the right thing: a modern communication QI agenda … Program to Reduce Medical Errors and Improve Family Experience and Communication Processes) January … April 16, 2018 Reducing diagnostic errors through effective communication: harnessing … February 18, 2011 Communication errors in dispatch of air medical transport.
  9. Psn-Pdf (pdf file)

    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
  10. Psn-Pdf (pdf file)

    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
  11. Psn-Pdf (pdf file)

    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
  12. Psn-Pdf (pdf file)

    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
  13. Psn-Pdf (pdf file)

    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
  14. Psn-Pdf (pdf file)

    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
  15. Spotlight (pdf file)

    psnet.ahrq.gov/sites/default/files/2022-10/spotlight_case_missed_pneumothorax_10.09.2022_-_final.pdf
    January 01, 2022 - • In this case, poor communication and confusion of responsibility resulted in a near-miss due to … Post-Transbronchial Biopsy  Improving Patient Safety and Communication Post-Transbronchial Biopsy ( … and Communication Post-Transbronchial Biopsy (3) Improving Patient Safety and Communication Post-Transbronchial … Safety and Communication Post-Transbronchial Biopsy (7) Improving Patient Safety and Communication … Post-Transbronchial Biopsy (8) Improving Patient Safety and Communication Post-Transbronchial Biopsy
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72708/psn-pdf
    February 03, 2021 - How communication "failed" or "saved the day": counterfactual accounts of medical errors. … How Communication “Failed” or “Saved the Day”: Counterfactual Accounts of Medical Errors. … https://psnet.ahrq.gov/issue/how-communication-failed-or-saved-day-counterfactual-accounts-medical- … https://psnet.ahrq.gov/issue/how-communication-failed-or-saved-day-counterfactual-accounts-medical-errors … https://psnet.ahrq.gov/issue/how-communication-failed-or-saved-day-counterfactual-accounts-medical-errors
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45522/psn-pdf
    January 01, 2020 - Is communication improved with the implementation of an obstetrical version of the World Health Organization … Is Communication Improved With the Implementation of an Obstetrical Version of the World Health Organization … https://psnet.ahrq.gov/issue/communication-improved-implementation-obstetrical-version-world-health- … This retrospective chart review examined communication among staff members before and after implementation … https://psnet.ahrq.gov/issue/communication-improved-implementation-obstetrical-version-world-health-organization-safe
  18. Psn-Pdf (pdf file)

    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
  19. 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
  20. Psn-Pdf (pdf file)

    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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