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  1. Challenging authority and speaking up in the operating room environment: a narrative synthesis. | PSNet

    psnet.ahrq.gov/issue/challenging-authority-and-speaking-operating-room-environment-narrative-synthesis
    December 13, 2017 - Review Emerging Classic Challenging authority and speaking up in the operating room environment: a narrative synthesis. Citation Text: Pattni N, Arzola C, Malavade A, et al. Challenging authority and speaking up in the operating room environment: a narrative syn…

  2. Tackling communication barriers between long-term care facility and emergency department transfers to improve medication safety in older adults. | PSNet

    psnet.ahrq.gov/issue/tackling-communication-barriers-between-long-term-care-facility-and-emergency-department
    August 02, 2017 - Commentary Tackling communication barriers between long-term care facility and emergency department transfers to improve medication safety in older adults. Citation Text: Callinan SM, Brandt NJ. Tackling communication barriers between long-term care facility and emergency department tran…

  3. Physician engagement in organisational patient safety through the implementation of a Medical Safety Huddle initiative: a qualitative study. | PSNet

    psnet.ahrq.gov/issue/physician-engagement-organisational-patient-safety-through-implementation-medical-safety
    February 22, 2011 - Study Physician engagement in organisational patient safety through the implementation of a Medical Safety Huddle initiative: a qualitative study. Citation Text: Rotteau L, Othman D, Dunbar-Yaffe R, et al. Physician engagement in organisational patient safety through the implementation o…

  4. Capturing patients' perspectives on medication safety: the development of a patient-centered medication safety framework. | PSNet

    psnet.ahrq.gov/issue/capturing-patients-perspectives-medication-safety-development-patient-centered-medication
    February 17, 2021 - Study Capturing patients' perspectives on medication safety: the development of a patient-centered medication safety framework. Citation Text: Giles SJ, Lewis PJ, Phipps D, et al. Capturing Patients' Perspectives on Medication Safety: The Development of a Patient-Centered Medication Safe…

  5. Exploring physician perspectives of residency holdover handoffs: a qualitative study to understand an increasingly important type of handoff. | PSNet

    psnet.ahrq.gov/issue/exploring-physician-perspectives-residency-holdover-handoffs-qualitative-study-understand
    April 27, 2015 - Study Exploring physician perspectives of residency holdover handoffs: a qualitative study to understand an increasingly important type of handoff. Citation Text: Duong JA, Jensen TP, Morduchowicz S, et al. Exploring Physician Perspectives of Residency Holdover Handoffs: A Qualitative St…

  6. Psn-Pdf (pdf file)

    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

  7. Norepinephrine Dosing Error Associated with Multiple Health System Vulnerabilities | PSNet

    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.

  8. Psn-Pdf (pdf file)

    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

  9. Battle Buddies: rapid deployment of a psychological resilience intervention for health care workers during the COVID-19 pandemic | PSNet

    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

  10. Rapid Response Systems | PSNet

    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

  11. Psn-Pdf (pdf file)

    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

  12. The Consequences of Miscommunication Regarding a Possible Artifact | PSNet

    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

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854973/psn-pdf
    October 31, 2023 - The Federal Communications Commission is currently working to support access to digital health through

  14. Duplicate Insulin Order | PSNet

    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

  15. Handoff Communication. | PSNet

    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. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL …

  16. Teamwork and Communication. | PSNet

    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. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linke…

  17. Communication With Consultants | PSNet

    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. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnot…

  18. In Conversation with…William B. Munier, MD, MBA | PSNet

    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

  19. Becoming a Patient Safety Organization | PSNet

    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

  20. Psn-Pdf (pdf file)

    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
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