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psnet.ahrq.gov/issue/development-rating-system-surgeons-non-technical-skills
June 12, 2008 - Study
Development of a rating system for surgeons' non-technical skills.
Citation Text:
Yule S, Flin R, Paterson-Brown S, et al. Development of a rating system for surgeons' non-technical skills. Med Educ. 2006;40(11):1098-104.
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psnet.ahrq.gov/issue/communication-critical-care-environments-mobile-telephones-improve-patient-care
June 27, 2018 - Study
Communication in critical care environments: mobile telephones improve patient care.
Citation Text:
Soto RG, Chu LF, Goldman JM, et al. Communication in critical care environments: mobile telephones improve patient care. Anesth Analg. 2006;102(2):535-41.
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psnet.ahrq.gov/issue/time-out-patient-safety
October 26, 2022 - Commentary
Time out for patient safety.
Citation Text:
Meginniss A, Damian F, Falvo F. Time out for patient safety. J Emerg Nurs. 2012;38(1):51-53. doi:10.1016/j.jen.2011.04.007.
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psnet.ahrq.gov/issue/risk-factors-preventable-adverse-drug-events-pediatric-outpatients
December 15, 2011 - Study
Risk factors in preventable adverse drug events in pediatric outpatients.
Citation Text:
Zandieh SO, Goldmann DA, Keohane C, et al. Risk factors in preventable adverse drug events in pediatric outpatients. J Pediatr. 2008;152(2):225-31. doi:10.1016/j.jpeds.2007.09.054.
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psnet.ahrq.gov/issue/human-factors-surgery-three-mile-island-operating-room
July 12, 2019 - Review
Human factors in surgery: from Three Mile Island to the operating room.
Citation Text:
D'Addessi A, Bongiovanni L, Volpe A, et al. Human factors in surgery: from Three Mile Island to the operating room. Urol Int. 2009;83(3):249-57. doi:10.1159/000241662.
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psnet.ahrq.gov/node/49857/psn-pdf
March 01, 2019 - handoff methods and
tools are available, such as forms and checklists, face-to-face and electronic communications … readmissions.(13) The Joint Commission Targeted Solutions
Tool can be used to examine current handoff communications
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psnet.ahrq.gov/web-mm/norepinephrine-dosing-error-associated-multiple-health-system-vulnerabilities
November 27, 2019 - In all communications among healthcare providers, complete dosing units should always be stated. … Reduce distractions and utilize closed-loop communications to reduce risk of errors.
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psnet.ahrq.gov/node/33661/psn-pdf
December 01, 2007 - A systematic review of discharge communications, conducted by the
joint Society of Hospital Medicine … recently provided complementary recommendations about
the content, format, and delivery of discharge communications
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psnet.ahrq.gov/innovation/battle-buddies-rapid-deployment-psychological-resilience-intervention-health-care
September 09, 2020 - Patient Safety Innovations
The I-READI Quality and Safety Framework: Strong Communications
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psnet.ahrq.gov/curated-library/rapid-response-systems
September 15, 2024 - contribution of knowledge deficits and cognitive biases to diagnostic errors and the importance of structured communications
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psnet.ahrq.gov/node/73434/psn-pdf
June 30, 2021 - practices for radiologists to follow.3 A summary of the Group's findings, in terms
of the timing of communications … that may not directly relate
to clinical presentation
In addition to emphasizing the timeliness of communications
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psnet.ahrq.gov/web-mm/consequences-miscommunication-regarding-possible-artifact
May 11, 2019 - practices for radiologists to follow. 3 A summary of the Group's findings, in terms of the timing of communications … not directly relate to clinical presentation
In addition to emphasizing the timeliness of communications
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psnet.ahrq.gov/node/854973/psn-pdf
October 31, 2023 - The Federal Communications Commission is currently working to support access to digital health
through
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psnet.ahrq.gov/web-mm/duplicate-insulin-order
May 04, 2012 - handoff methods and tools are available, such as forms and checklists, face-to-face and electronic communications … readmissions.( 13 ) The Joint Commission Targeted Solutions Tool can be used to examine current handoff communications
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psnet.ahrq.gov/issue/handoff-communication
October 16, 2019 - Special or Theme Issue
Handoff Communication.
Citation Text:
Handoff Communication. APSF Newsletter. October 2017;32:29-56.
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psnet.ahrq.gov/issue/teamwork-and-communication
February 06, 2019 - Special or Theme Issue
Teamwork and Communication.
Citation Text:
Teamwork and Communication. Pa Patient Saf Advis. June 2010;7(suppl 2):1-16.
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psnet.ahrq.gov/web-mm/communication-consultants
October 01, 2018 - Communication With Consultants
Citation Text:
Cohn SL. Communication With Consultants. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016.
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psnet.ahrq.gov/perspective/becoming-patient-safety-organization
July 01, 2011 - trusted colleagues. 5 The rules governing preexisting protections (e.g., peer review, attorney–client communications … ), while reasonably secure in California, are oriented towards restricting communications to a limited … And in states with limited protections, communications even within small groups can be inhibited by fear
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psnet.ahrq.gov/perspective/conversation-withwilliam-b-munier-md-mba
July 01, 2011 - trusted colleagues. 5 The rules governing preexisting protections (e.g., peer review, attorney–client communications … ), while reasonably secure in California, are oriented towards restricting communications to a limited … And in states with limited protections, communications even within small groups can be inhibited by fear
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psnet.ahrq.gov/node/49519/psn-pdf
September 01, 2006 - Goal 2E, which requires all health care
providers to "implement a standardized approach to handoff communications … JCAHO's expectations for this goal include interactive communications, up-
to-date and accurate information