-
psnet.ahrq.gov/node/72509/psn-pdf
November 25, 2020 - Closing the loop on test results to reduce communication
failures: a rapid review of evidence, practice … Closing the loop on test results to reduce communication failures: a
rapid review of evidence, practice … https://psnet.ahrq.gov/issue/closing-loop-test-results-reduce-communication-failures-rapid-review-evidence … -
practice-and
Incomplete or delayed test result communication can contribute to diagnostic errors, … /issue/four-year-impact-alert-notification-system-closed-loop-communication-critical-test-results
https
-
www.ahrq.gov/ncepcr/care/coordination/atlas/chapter6p.html
June 01, 2014 - accountability or negotiate responsibility
□
Communicate
Interpersonal communication … Establish accountability or negotiate responsibility: 2H, 2K
Communicate:
Interpersonal communication … Huber, personal communication, September 11, 2010). … as measured by a 16-item health care systems hassles scale. 3 CPCI scale scores for interpersonal communication … as the core elements of the 1978 IOM components of access, continuity, coordination, interpersonal communication
-
www.ahrq.gov/ncepcr/care/coordination/atlas/chapter6l.html
June 01, 2014 - accountability or negotiate responsibility
Communicate
□
Interpersonal communication … Lee, personal communication, September 12, 2010). … primary care: (1) accumulated knowledge of the patient by the clinician, (2) coordination of care, (3) communication … Parchman, personal communication, September 10, 2010).
Sources:
1. … Communicate:
Between health care professional(s) and patient/family: 11i, 11k
Interpersonal communication
-
psnet.ahrq.gov/node/860717/psn-pdf
January 17, 2024 - A combined assessment tool of teamwork,
communication, and workload in hospital procedural
units. … A combined assessment tool of teamwork, communication, and workload in
hospital procedural units. … https://psnet.ahrq.gov/issue/combined-assessment-tool-teamwork-communication-and-workload-hospital- … procedural-units
Effective teamwork and communication are cornerstone to the delivery of safe patient … observation tool, semi-
structured interview guide, and surveys) to assess and improve teamwork and communication
-
psnet.ahrq.gov/node/74704/psn-pdf
January 26, 2022 - Improving self-reported empathy and communication
skills through harm in healthcare response training … Improving self-reported empathy and communication skills
through harm in healthcare response training … https://psnet.ahrq.gov/issue/improving-self-reported-empathy-and-communication-skills-through-harm- … healthcare-response
Healthcare systems have implemented communication-and-resolution programs (CRPs) … https://psnet.ahrq.gov/issue/ahrq-communication-and-optimal-resolution-candor-toolkit
-
psnet.ahrq.gov/node/72531/psn-pdf
January 01, 2021 - Factors influencing physician responsiveness to nurse-
initiated communication: a qualitative study. … Factors influencing physician responsiveness to nurse-initiated
communication: a qualitative study. … https://psnet.ahrq.gov/issue/factors-influencing-physician-responsiveness-nurse-initiated-communication … -
qualitative-study
Communication failures can lead to patient harm. … https://psnet.ahrq.gov/issue/communication-failure-operating-room
https://psnet.ahrq.gov/web-mm/communication-failure-whos-charge
-
psnet.ahrq.gov/node/50370/psn-pdf
January 01, 2020 - Debunking the myth that the majority of medical errors
are attributed to communication. … Debunking the myth that the majority of medical errors are attributed to
communication. … communication during handoffs in the operating room and many other contexts within health
care is key … , the degree to which medical errors can be attributed
to communication failures as the primary cause … Of the 42 articles that met inclusion criteria, errors of
communication were common in 3 studies.
-
digital.ahrq.gov/principal-investigator/wolf-michael
January 01, 2023 - Investigator
Wolf, Michael
Project Name
Using Information Technology for Patient-Centered Communication … Investigator
Wolf, Michael
Project Name
Using Information Technology for Patient-Centered Communication … Decisionmaking about Medications
Using Information Technology for Patient-Centered Communication … Using Information Technology for Patient-Centered Communication and Decisionmaking about Medications … Investigator
Wolf, Michael
Project Name
Using Information Technology for Patient-Centered Communication
-
psnet.ahrq.gov/node/837150/psn-pdf
May 18, 2022 - Video-based communication assessment of physician
error disclosure skills by crowdsourced laypeople … Video-based communication assessment of physician error
disclosure skills by crowdsourced laypeople … https://psnet.ahrq.gov/issue/video-based-communication-assessment-physician-error-disclosure-skills- … Findings suggest that patient advocates
rate communication skills more stringently than laypeople, but … laypeople can correctly identify physicians
with high and low communication skills.
-
psnet.ahrq.gov/node/73116/psn-pdf
April 07, 2021 - Communication on safe caregiving between community
nurse case managers and family caregivers. … Communication on safe caregiving
between community nurse case managers and family caregivers. … Clear communication between patients, family caregivers, and nurses is crucial to improve patient safety … This qualitative study identified four key concepts around communication of safe family
caregiving: … communication-related aspects, professional skills of nurse case managers, communication on
safety,
-
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/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/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/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