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psnet.ahrq.gov/node/46199/psn-pdf
September 27, 2017 - The development and implementation of checklists in
obstetrics.
September 27, 2017
Medicine S for M-F, Bernstein PS, Combs A, et al. The development and implementation of checklists in
obstetrics. Am J Obstet Gynecol. 2017;217(2):B2-B6. doi:10.1016/j.ajog.2017.05.032.
https://psnet.ahrq.gov/issue/development-and-i…
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psnet.ahrq.gov/node/46736/psn-pdf
December 17, 2018 - Back to basics: the Universal Protocol.
December 17, 2018
Spruce L. Back to Basics: The Universal Protocol: 1.4 www.aornjournal.org/content/cme. AORN J.
2018;107(1):116-125. doi:10.1002/aorn.12002.
https://psnet.ahrq.gov/issue/back-basics-universal-protocol
Wrong-site, wrong-procedure, and wrong-patient errors are…
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psnet.ahrq.gov/node/42965/psn-pdf
April 20, 2014 - Development of a Web-based surgical booking and
informed consent system to reduce the potential for error
and improve communication.
April 20, 2014
Siracuse JJ, Benoit E, Burke J, et al. Development of a Web-based surgical booking and informed consent
system to reduce the potential for error and improve communicat…
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psnet.ahrq.gov/node/44048/psn-pdf
November 20, 2015 - Clinical handover of the critically ill postoperative patient:
an integrative review.
November 20, 2015
Gardiner TM, Marshall AP, Gillespie BM. Clinical handover of the critically ill postoperative patient: an
integrative review. Aust Crit Care. 2015;28(4):226-34. doi:10.1016/j.aucc.2015.02.001.
https://psnet.ahrq…
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psnet.ahrq.gov/node/35786/psn-pdf
May 07, 2007 - When Things Go Wrong: Responding to Adverse Events.
May 7, 2007
Boston, MA: Massachusetts Coalition for the Prevention of Medical Errors; 2006.
https://psnet.ahrq.gov/issue/when-things-go-wrong-responding-adverse-events
This consensus paper of the Harvard-affiliated hospitals was prepared by clinicians, risk manage…
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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/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/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/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/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/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/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/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/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