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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45232/psn-pdf
    August 10, 2016 - Promoting patient safety with perioperative hand-off communication. August 10, 2016 Robinson NL. … Promoting Patient Safety With Perioperative Hand-off Communication. … https://psnet.ahrq.gov/issue/promoting-patient-safety-perioperative-hand-communication Handoffs are … comprised of a multitude of steps that are prone to communication error. … The effort achieved improvements and established a concrete method for nurses to apply safe communication

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39064/psn-pdf
    October 28, 2009 - Use of failure mode and effects analysis for proactive identification of communication and handoff failures … Use of failure mode and effects analysis for proactive identification of communication and handoff failures … https://psnet.ahrq.gov/issue/use-failure-mode-and-effects-analysis-proactive-identification-communication … - and-handoff Failure mode and effects analysis was used to identify vulnerable handoff and communication … A communication error led to the widely publicized death of a lung transplant patient at Duke University

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39331/psn-pdf
    March 03, 2010 - Meta-analysis: effect of interactive communication between collaborating primary care physicians and … Meta-analysis: effect of interactive communication between collaborating primary care physicians and … https://psnet.ahrq.gov/issue/meta-analysis-effect-interactive-communication-between-collaborating- primary-care-physicians … This meta-analysis found that interactive communication between collaborating primary care providers … The interactive communication methods included joint consultations, scheduled phone discussions, and

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47252/psn-pdf
    August 01, 2018 - Communication errors in radiology—pitfalls and how to avoid them. … Communication errors in radiology - Pitfalls and how to avoid them. … https://psnet.ahrq.gov/issue/communication-errors-radiology-pitfalls-and-how-avoid-them Communication … This review highlights steps in the imaging cycle that are vulnerable to communication errors, such … https://psnet.ahrq.gov/issue/communication-errors-radiology-pitfalls-and-how-avoid-them https://psnet.ahrq.gov

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45436/psn-pdf
    August 31, 2016 - Improving the communication between teams managing boarded patients on a surgical specialty ward. … Improving the communication between teams managing boarded patients on a surgical specialty ward. … https://psnet.ahrq.gov/issue/improving-communication-between-teams-managing-boarded-patients- surgical-specialty-ward … implemented a simple cognitive aid to improve patient record review, information sharing, and team communication … https://psnet.ahrq.gov/issue/improving-communication-between-teams-managing-boarded-patients-surgical-specialty-ward

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72911/psn-pdf
    March 15, 2021 - The Impact of Communication on Medication Errors March 15, 2021 Branch J, Hiner D, Jackson V. … The Impact of Communication on Medication Errors. PSNet [internet]. 2021. … https://psnet.ahrq.gov/web-mm/impact-communication-medication-errors The Case   A 93-year-old man … The Joint Commission Center for Transforming Healthcare reports that communication breakdowns occur … each patient encounter offers a chance for the healthcare provider to correct any discrepancies or misinformation

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36150/psn-pdf
    September 29, 2010 - Nurse-physician communication during labor and birth: implications for patient safety. … Nurse-physician communication during labor and birth: implications for patient safety. … https://psnet.ahrq.gov/issue/nurse-physician-communication-during-labor-and-birth-implications-patient … This study used focus groups, structured interviews, and medical record review to describe communication … Physicians also strongly preferred to work with experienced nurses, which created tension and communication

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38923/psn-pdf
    September 09, 2009 - Improving communication in the emergency department. … Improving communication in the emergency department. … https://psnet.ahrq.gov/issue/improving-communication-emergency-department Implementation of structured … processes improved emergency department communication in two areas: communication between paramedics … https://psnet.ahrq.gov/issue/improving-communication-emergency-department

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35241/psn-pdf
    September 11, 2018 - Team communication in the operating room. September 11, 2018 Davies JM. … Team communication in the operating room. Acta Anaesthesiol Scand. 2005;49(7):898-901. … https://psnet.ahrq.gov/issue/team-communication-operating-room The author presents sample cases from … aviation to illustrate failures in team communication and uses principles from crew resource management … and human factors to describe characteristics of good communication.

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34956/psn-pdf
    February 28, 2011 - Processes for effective communication in primary care. … Processes for effective communication in primary care. Ann Intern Med. 2005;142(8):709-714. … https://psnet.ahrq.gov/issue/processes-effective-communication-primary-care The authors address obstacles … to effective communication with a conceptual framework that includes attention to information exchange … https://psnet.ahrq.gov/issue/processes-effective-communication-primary-care

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36396/psn-pdf
    December 22, 2010 - Interdisciplinary communication: an uncharted source of medical error? … Interdisciplinary communication: an uncharted source of medical error? … discuss the literature on communication between clinicians and suggest that research should examine … how communication gaps can affect patient safety in the intensive care unit.  … https://psnet.ahrq.gov/issue/interdisciplinary-communication-uncharted-source-medical-error

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44205/psn-pdf
    June 21, 2015 - Teamwork, communication and safety climate: a systematic review of interventions to improve surgical … Teamwork, communication and safety climate: a systematic review of interventions to improve surgical … https://psnet.ahrq.gov/issue/teamwork-communication-and-safety-climate-systematic-review-interventions … improve-surgical Previous literature has shown that safety culture and nontechnical skills (such as communication … demonstrated effectiveness at improving various aspects of surgical culture, including teamwork and communication

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37473/psn-pdf
    December 27, 2014 - provides checklists, worksheets, and other aids to help implement a reliable critical test result communication … program. … A previous AHRQ WebM&M commentary addressed the issue of communication surrounding critical laboratory

  14. Patient. | PSNet

    psnet.ahrq.gov/issue/patient
    May 22, 2019 - 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 … May 22, 2019 Patient safety after implementation of a coproduced family centered communication

  15. Communicating Critical Test Results. | PSNet

    psnet.ahrq.gov/issue/communicating-critical-test-results
    May 24, 2006 - Topic Physicians Diagnostic Test Interpretation Error Missed or Critical Lab Results Communication

  16. Nurses and patients: natural partners to advance patient safety | PSNet

    psnet.ahrq.gov/issue/nurses-and-patients-natural-partners-advance-patient-safety
    July 11, 2018 - Falls December 18, 2024 Annual Perspective Communication … 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 … June 9, 2011 Nurses' role in communication and patient safety.

  17. Patient Reminders and Notifications - Final Report (pdf file)

    digital.ahrq.gov/sites/default/files/docs/citation/r01hs021590-ralston-final-report-2017.pdf
    January 01, 2017 - of patients for notifications and reminders by studying patient workflow models, user requirements, personal … communication patterns, and contextual factors … of patients for notifications and reminders by studying patient workflow models, user requirements, personal … communication patterns, and contextual factors. … of patients for notifications and reminders by studying patient workflow models, user requirements, personal

  18. A family-centered rounds checklist, family engagement, and patient safety: a randomized trial. | PSNet

    psnet.ahrq.gov/issue/family-centered-rounds-checklist-family-engagement-and-patient-safety-randomized-trial
    December 22, 2018 - 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 … January 16, 2019 Patient safety after implementation of a coproduced family centered communication … Health Care Providers Pediatrics Epidemiology of Errors and Adverse Events Provider-Patient Communication

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49819/psn-pdf
    February 01, 2018 - https://psnet.ahrq.gov/web-mm/signout-fallout Case Objectives Understand the role of communication … Describe the role of closed-loop communication in patient handoffs. … Castro, written communication) in 2016 involved handoff (handover) failures. … A central hallmark of I-PASS and other high-quality handoff communication programs is the emphasis on … closed-loop communication techniques.

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36832/psn-pdf
    August 26, 2011 - role-information-technology-healthcare-communications-efficiency-and-patient- safety The authors describe a patient care communication … program that uses radio frequency identification to streamline patient requests, medication orders,
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