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psnet.ahrq.gov/issue/disruptions-surgical-flow-and-their-relationship-surgical-errors-exploratory-investigation
August 26, 2011 - Study
Disruptions in surgical flow and their relationship to surgical errors: an exploratory investigation.
Citation Text:
Wiegmann DA, Elbardissi AW, Dearani JA, et al. Disruptions in surgical flow and their relationship to surgical errors: an exploratory investigation. Surgery. 2007;…
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psnet.ahrq.gov/issue/mind-overlap-how-system-problems-contribute-cognitive-failure-and-diagnostic-errors
August 14, 2019 - Study
Mind the overlap: how system problems contribute to cognitive failure and diagnostic errors.
Citation Text:
Gupta A, Harrod M, Quinn M, et al. Mind the overlap: how system problems contribute to cognitive failure and diagnostic errors. Diagnosis (Berl). 2018;5(3):151-156. doi:10.15…
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psnet.ahrq.gov/issue/multiple-interacting-factors-influence-adherence-and-outcomes-associated-surgical-safety
June 21, 2016 - Study
Multiple interacting factors influence adherence, and outcomes associated with surgical safety checklists: a qualitative study.
Citation Text:
Gagliardi AR, Straus SE, Shojania KG, et al. Multiple interacting factors influence adherence, and outcomes associated with surgical safety…
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psnet.ahrq.gov/issue/beam-me-scotty-impact-personal-wireless-communication-devices-emergency-department
July 17, 2013 - Study
Beam me up Scotty! Impact of personal wireless communication devices in the emergency department.
Citation Text:
Richards JD, Harris T. Beam me up Scotty! Impact of personal wireless communication devices in the emergency department. Emerg Med J. 2011;28(1):29-32. doi:10.1136/emj…
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psnet.ahrq.gov/issue/electronic-test-result-communication-era-21st-century-cures-act
May 25, 2022 - Book/Report
Electronic Test Result Communication in the Era of the 21st Century Cures Act
Citation Text:
Bradford A, Ehsan S, Shahid U, et al. Electronic Test Result Communication In The Era Of The 21St Century Cures Act. Rockville, MD: Agency for Healthcare Research and Quality; July 20…
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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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Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnot…
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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