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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/howtogetstarted/How_to_Use_Guide_Ldr_Slide_508.pdf
June 02, 2025 - pain control,
physiologic measures
– Improved CAHPS® Hospital Survey scores
• Patient-provider communication … and family
satisfaction surveys
12 Information to Help Hospitals Get Started
Why focus on communication … the foundation of all interactions with patients and
families
• Research shows patient-centered communication … can
improve:
– Patient safety
• More than 70% of adverse events caused by breakdowns
in communication … Why focus on communication?
Why focus on bedside shift report?
Why focus on discharge planning?
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www.ahrq.gov/policy/electronic/plain-writing/language-access.html
July 01, 2025 - Direct “in-language” communication Monolingual communication in a language other than English between … Effective Communication For communication disabilities, it refers to aids and services to ensure that … as communication for people without disabilities. … Interpretation The act of listening, understanding, analyzing, and processing a spoken communication … For individuals with certain disabilities that affect communication, this can include understanding,
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/frontline-cases-studies.pdf
May 01, 2015 - Because of the
improved communication, staff members on the L&D unit now feel that they are “on the … ENGAGING STAFF IN TEAMWORK AND COMMUNICATION TRAININGS
Although L&D unit staff had prior experience … with teamwork and communication programs,
none of those efforts were sustained. … It also helped to improve the staff’s confidence and cross-
unit communication: for example, direct communication … Hierarchical communication is almost nonexistent, and improved
communication promises to lead to better
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/diagnostic-safety-transitions-care.pdf
June 01, 2023 - In addition to cognitive errors of omission and commission, communication errors may follow
similar … Communication between
inpatient and outpatient providers is quite limited and often only consists of … Communication loads on clinical
staff in the emergency department. … Falling through the cracks: information
breakdowns in critical care handoff communication. … Patterns of communication breakdowns resulting in injury to surgical patients.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/ldusafety.pptx
May 01, 2017 - Care provider clearly states the concern
for shoulder dystocia
Communication to others for assistance … This scenario reinforces teamwork and communication related to—
situational awareness,
ability to get … ,
communication with patient/family, and
use of briefings, huddles, and debriefings. … additional help quickly,
use of cognitive aids,
communication with rapid responders,
communication with … Use SBAR, callouts, huddles, and closed- loop communication techniques.
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2024-child-hcahps-chartbook.pdf
January 01, 2024 - with Parent
Communication Between You and Your Child’s Nurses 86%
Communication Between You and Your … Child’s Doctors 87%
Communication About Your Child’s Medicines 82%
Keeping You Informed About Your … with Parent
Communication Between You and Your Child’s
Nurses 86% 86% 86% 84% 79%
Communication … with Parent
Communication Between You and Your Child’s
Nurses 86% 81% 88% 87% 88% 85%
Communication … Communication with Parent
Child HCAHPS Survey Question Text Response Options
Measures
Communication
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www.ahrq.gov/patient-safety/reports/engage/interventions/warmhandoff.html
June 01, 2023 - handoff of care allows patients and families to hear what is said and engages patients and families in communication … Brief checklist that can be used as a communication tool when conducting a warm handoff to the clinician … meeting or morning huddle as a demonstration or a reminder of how to work with patients to improve communication … Clearly
Creating Patient-centered Team-based Primary Care
TeamSTEPPS for Office-Based Care, Module 3: Communication … Improving Patient Safety Systems for Patients With Limited English Proficiency, Chapter 3: Improving Team Communication
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module1/mod1-facguide.html
March 01, 2017 - Slide 11: Teamwork and Communication
Say:
In the Teamwork and Communication module, we will— … List barriers to effective teamwork and communication. … Explain solutions to the barriers using communication tools. … Train teams to use teamwork and communication tools. … The Teamwork and Communication module also contains useful, structured communication tools, including
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/questionnaire-overview.pdf
March 20, 2017 - The Child Hospital Survey
asks parents/guardians about communication with doctors, communication with … These measures can be organized into the following topics:
Communication with Parents:
• Communication … between you and your child’s nurses
• Communication between you and your child’s doctors
• Communication … child to leave the hospital
• Keeping you informed about your child’s care in the Emergency Room
Communication … with Parents
Communication with Children
Attention to Safety and Comfort
Hospital Environment
Global
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/primer-patient-experience.pdf
June 02, 2025 - care system, including:
Coordinated care
from doctors and
nurses in health
care facilities
Good
communication … Community-Based
Services
18
Examples of CAHPS
Measures
Clinician & Group Survey
► Access to care
► Communication … ► Care coordination
► Customer service
► Overall rating
Hospital Survey
► Communication
► Responsiveness … • Shared Decision-Making
• Health Literacy
• Health Information Technology
• Interpreter Services
• Communication
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/implementation/implementation-guide/appendix-c.docx
June 02, 2025 - The checklist drives us towards zero harm by better communication and teamwork within our facilities.
-
www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/tool-cord-prolapse.html
July 01, 2023 - Communication to others for assistance to put plan for safe delivery into place. … Standardize communication of information during episode. … Communication with rapid responders.
Communication with patient/family. … Use SBAR, callouts, huddles, and closed-loop communication among team members. … Communication is continuous, valued, and expected.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/107-cusp-psychological-safety.pptx
October 01, 2024 - Psychological Safety
3
Core Attributes of Psychological Safety2-5
Trust and respect
Accountability
Open communication … expectations
Role clarity
Fear of speaking up Common goals
Supportive
Individual
Abilities Poor communication … skills
Staff confidence Good communication skills
Staff confidence
| 5
AHRQ Safety Program for MRSA … non-punitive environment
Emphasize respect and trust
Team building exercises
Creates trust and practices communication … Use open communication and listening.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/106-cusp-psychological-safety.pptx
April 01, 2025 - Psychological Safety
3
Core Attributes of Psychological Safety2-5
Trust and respect
Accountability
Open communication … expectations
Role clarity
Fear of speaking up Common goals
Supportive
Individual
Abilities Poor communication … skills
Staff confidence Good communication skills
Staff confidence
| 5
AHRQ Safety Program for MRSA … nonpunitive environment
Emphasize respect and trust
Team building exercises
Creates trust and practices communication … Use open communication and listening.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/safe-electronic/e-fetal-monitoring.pptx
May 01, 2017 - interpreting EFM;
High intra-observer and inter-observer variability in the interpretation of EFM;
Poor communication … A unit culture of safety and teamwork may improve communication of EFM findings and reduce fear of conflict … These scenarios reinforce teamwork and communication related to—
Situational awareness;
Ability to get … with rapid responders;
Communication with patient/family; and
Use of briefings, huddles, and debriefings … Communication is continuous, valued, and expected.
-
www.ahrq.gov/diagnostic-safety/resources/issue-briefs/healthit-ed-6.html
February 01, 2021 - Electronic Patient Portals
Mobile Text Messaging
Health Applications for Synchronous and Asynchronous Communication … Diagnostic processes that are specifically ready for intervention include timely communication of test … results, communication regarding diagnostic uncertainty, and shared decision making with patients and … Applications to facilitate shared decision making and patient-provider communication.
-
www.ahrq.gov/sites/default/files/2024-01/landrigan-report.pdf
January 01, 2024 - program was associated with improved handoff communication quality as well
as reductions in rates of … Quality of verbal and written handoff communication. … Doctor talk: physicians’ use of clear verbal
communication. … SBAR: A Shared Mental Model for Improving
Communication Between Clinicians. … Effects of the I-PASS nursing handoff bundle on
communication quality and workflow.
-
www.ahrq.gov/patient-safety/reports/engage/interventions/prepared-slides.html
May 01, 2017 - Structured communication tools. … Facilitating Communication
Unlocking shared meaning. … Preventing communication breakdowns that can result in medical error. … Patient perspectives on test result communication in primary care: a qualitative study. … Safe and effective communication to prevent diagnostic errors.
-
www.ahrq.gov/sites/default/files/publications2/files/distributed-cognition-er-nurses_0.pdf
August 01, 2022 - The explicit role of communication in diagnostic processes, as well as the
impact of suboptimal communication … Information flow Optimize information flow by improving
communication. … Interdisciplinary communication: an uncharted source of medical error? … Communication failures: an insidious contributor to medi-
cal mishaps. … Ten best practices for improving emergency medicine provider–nurse communication.
-
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/distributed-cognition-er-nurses.pdf
August 01, 2022 - The explicit role of communication in diagnostic processes, as well as the
impact of suboptimal communication … Information flow Optimize information flow by improving
communication. … Interdisciplinary communication: an uncharted source of medical error? … Communication failures: an insidious contributor to medi-
cal mishaps. … Ten best practices for improving emergency medicine provider–nurse communication.