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441. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46317/psn-pdf
     October 11, 2017 - A communication training program to encourage speaking-up behavior in surgical oncology. … A Communication Training Program to Encourage Speaking- Up Behavior in Surgical Oncology. … https://psnet.ahrq.gov/issue/communication-training-program-encourage-speaking-behavior-surgical- oncology … This pre–post study of a communication training program used findings from interdisciplinary focus groups … The training was highly rated and authors believe it has potential to improve team communication.

442. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45571/psn-pdf
     January 18, 2017 - How communication among members of the health care team affects maternal morbidity and mortality. … How Communication Among Members of the Health Care Team Affects Maternal Morbidity and Mortality. … Communication failures in obstetric care can increase risk of harm for the mother and the infant. … This commentary highlights how nurses can incorporate teamwork principles and structured communication … https://psnet.ahrq.gov/issue/nurse-physician-communication-during-labor-and-birth-implications-patient-safety

443. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45771/psn-pdf
     January 11, 2017 - Closing the loop: a process evaluation of inpatient care team communication. … Closing the loop: a process evaluation of inpatient care team communication. … https://psnet.ahrq.gov/issue/closing-loop-process-evaluation-inpatient-care-team-communication This … observational study compared nurse–physician communication on two units, one in which the physicians … The study team found no statistically significant difference in communication-related disruptions in

444. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34839/psn-pdf
     April 06, 2011 - Communication failures in the operating room: an observational classification of recurrent types and … Communication failures in the operating room: an observational classification of recurrent types and … https://psnet.ahrq.gov/issue/communication-failures-operating-room-observational-classification-recurrent … Problematic communication occurred in nearly one-third of all exchanges between team members, and appeared … Communication and teamwork in the operating room was the subject of a classic study of safety culture

445. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47400/psn-pdf
     November 28, 2018 - Impact of the communication and patient hand-off tool SBAR on patient safety: a systematic review. … Impact of the communication and patient hand-off tool SBAR on patient safety: a systematic review. … https://psnet.ahrq.gov/issue/impact-communication-and-patient-hand-tool-sbar-patient-safety-systematic … - review Standardized handoff tools are increasingly implemented to improve communication between health … Although this systematic review identified several studies supporting the use of SBAR as a communication

446. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43719/psn-pdf
     November 26, 2014 - Four-year impact of an alert notification system on closed-loop communication of critical test results … Four-year impact of an alert notification system on closed- loop communication of critical test results … https://psnet.ahrq.gov/issue/four-year-impact-alert-notification-system-closed-loop-communication-critical … - test-results The communication of critical test results is a National Patient Safety Goal. … The introduction of the system led to better closed-loop communication and appropriate documentation

447. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45870/psn-pdf
     March 25, 2017 - Improving communication with primary care physicians at the time of hospital discharge. … Improving Communication with Primary Care Physicians at the Time of Hospital Discharge. … https://psnet.ahrq.gov/issue/improving-communication-primary-care-physicians-time-hospital-discharge … Prior research demonstrates that communication and information transfer between inpatient providers … Discharge communication with PCPs across other services improved as well.

448. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47193/psn-pdf
     September 05, 2018 - Situation, background, assessment, recommendation (SBAR) communication tool for handoff in health care … Situation, background, assessment, recommendation (SBAR) communication tool for handoff in health care … https://psnet.ahrq.gov/issue/situation-background-assessment-recommendation-sbar-communication-tool- … Background, Assessment, Recommendation (SBAR) is a mnemonic used to structure information sharing to avoid communication … and benefits associated with SBAR use and provides a comparative assessment with other standardized communication

449. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44008/psn-pdf
     April 27, 2015 - We need to talk: primary care provider communication at discharge in the era of a shared electronic … We need to talk: Primary care provider communication at discharge in the era of a shared electronic … https://psnet.ahrq.gov/issue/we-need-talk-primary-care-provider-communication-discharge-era-shared- … physicians at an academic medical center continued to speak up about concerns regarding the quality of communication … They also expressed a desire for increased direct communication at discharge for complex patients and

450. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45706/psn-pdf
     September 01, 2018 - Improving communication and resolution following adverse events using a patient-created simulation … Improving Communication and Resolution Following Adverse Events Using a Patient-Created Simulation Exercise … https://psnet.ahrq.gov/issue/improving-communication-and-resolution-following-adverse-events-using- … patient-created Communication-and-resolution programs emphasize early disclosure of adverse events to … https://psnet.ahrq.gov/issue/improving-communication-and-resolution-following-adverse-events-using-patient-created

451. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45791/psn-pdf
     September 01, 2018 - Changes in physician practice patterns after implementation of a communication-and-resolution program … Changes in Physician Practice Patterns after Implementation of a Communication-and-Resolution Program … https://psnet.ahrq.gov/issue/changes-physician-practice-patterns-after-implementation-communication-and … - resolution-program Programs to disclose errors and offer compensation, known as communication-and-resolution … https://psnet.ahrq.gov/issue/changes-physician-practice-patterns-after-implementation-communication-and-resolution-program

452. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44723/psn-pdf
     December 16, 2015 - Situation, background, assessment, and recommendation–guided huddles improve communication and teamwork … Situation, Background, Assessment, and Recommendation-Guided Huddles Improve Communication and Teamwork … ://psnet.ahrq.gov/issue/situation-background-assessment-and-recommendation-guided-huddles- improve-communication-and … In an effort to improve communication in an urban emergency department, nurse practitioners and registered … both the nurse practitioner and registered nurse simultaneously followed by a huddle using the SBAR communication

453. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39975/psn-pdf
     March 03, 2011 - Communication failure in the operating room. … Communication failure in the operating room. … https://psnet.ahrq.gov/issue/communication-failure-operating-room Communication failures are a well-characterized … direct observation of surgical procedures to assess the incidence, types, and consequences of surgical communication … Teamwork training and implementation of formalized checklists have successfully improved communication

454. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46273/psn-pdf
     August 30, 2017 - Increasing patient safety with neonates via handoff communication during delivery: a call for interprofessional … https://psnet.ahrq.gov/issue/increasing-patient-safety-neonates-handoff-communication-during-delivery-call … Handoffs are vulnerable to communication missteps, and they are further complicated when complex patients … This commentary suggests that interprofessional simulation and communication tools can help teams build … https://psnet.ahrq.gov/issue/increasing-patient-safety-neonates-handoff-communication-during-delivery-call

455. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45640/psn-pdf
     September 01, 2018 - Case outcomes in a communication-and-resolution program in New York hospitals. … Case Outcomes in a Communication-and-Resolution Program in New York Hospitals. … https://psnet.ahrq.gov/issue/case-outcomes-communication-and-resolution-program-new-york-hospitals Communication-and-resolution … https://psnet.ahrq.gov/issue/case-outcomes-communication-and-resolution-program-new-york-hospitals https … ://psnet.ahrq.gov/issue/communication-and-resolution-programs-challenges-and-lessons-learned-six-early-adopters

456. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45697/psn-pdf
     August 29, 2018 - Challenges of implementing a communication-and- resolution program where multiple organizations must … Challenges of Implementing a Communication-and-Resolution Program Where Multiple Organizations Must … https://psnet.ahrq.gov/issue/challenges-implementing-communication-and-resolution-program-where- multiple-organizations … Implementation of communication-and-resolution programs remains challenging despite the demonstrated … Using data obtained from sites implementing communication-and-resolution programs in Washington State

457. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44716/psn-pdf
     April 15, 2016 - An integrative review of patient safety in studies on the care and safety of patients with communication … An integrative review of patient safety in studies on the care and safety of patients with communication … Patients with communication disabilities, such as impaired hearing or speech, are at risk for adverse … This literature review found a need for further studies of patient safety and communication disabilities … https://psnet.ahrq.gov/issue/impact-patient-communication-problems-risk-preventable-adverse-events-acute-care-settings

458. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37495/psn-pdf
     September 27, 2016 - Emergency department communication links and patterns. … Emergency department communication links and patterns. Ann Emerg Med. 2007;50(4):396-406. … https://psnet.ahrq.gov/issue/emergency-department-communication-links-and-patterns This study used link … analysis techniques in observing that face-to-face communication was the most common mode among different … The charge nurse was observed to be the center of communication while interruptions were a common event

459. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44873/psn-pdf
     March 21, 2016 - Malpractice Risks in Communication Failures: 2015 Annual Benchmarking Report. … https://psnet.ahrq.gov/issue/malpractice-risks-communication-failures-2015-annual-benchmarking-report … Communication failures are known to contribute to medical errors. … Analyzing more than 7000 cases in which communication breakdowns led to patient harm, this report explores … https://psnet.ahrq.gov/issue/malpractice-risks-communication-failures-2015-annual-benchmarking-report

460. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45175/psn-pdf
     February 22, 2017 - Improving physician's hand over among oncology staff using standardized communication tool. … Improving physician's hand over among oncology staff using standardized communication tool. … https://psnet.ahrq.gov/issue/improving-physicians-hand-over-among-oncology-staff-using-standardized- communication-tool … Complex care regimens and poor team communication can influence the safety of patients with cancer. … This project report describes how an organization used a standardized communication tool to augment