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psnet.ahrq.gov/node/45031/psn-pdf
February 18, 2017 - Information transfer in multidisciplinary operating room
teams: a simulation-based observational study.
February 18, 2017
Cumin D, Skilton C, Weller J. Information transfer in multidisciplinary operating room teams: a simulation-
based observational study. BMJ Qual Saf. 2017;26(3):209-216. doi:10.1136/bmjqs-2015-00…
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psnet.ahrq.gov/node/47990/psn-pdf
June 18, 2019 - The admission conference call: a novel approach to
optimizing pediatric emergency department to admitting
floor communication.
June 18, 2019
Hendrickson MA, Schempf EN, Furnival RA, et al. The Admission Conference Call: A Novel Approach to
Optimizing Pediatric Emergency Department to Admitting Floor Communication.…
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psnet.ahrq.gov/node/43065/psn-pdf
April 09, 2014 - Multiprofessional team simulation training, based on an
obstetric model, can improve teamwork in other areas of
health care.
April 9, 2014
van der Nelson HA, Siassakos D, Bennett J, et al. Multiprofessional team simulation training, based on an
obstetric model, can improve teamwork in other areas of health care. A…
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psnet.ahrq.gov/node/73092/psn-pdf
March 31, 2021 - SAFER Care: improving caregiver comprehension of
discharge instructions.
March 31, 2021
Uong A, Philips K, Hametz P, et al. SAFER care: improving caregiver comprehension of discharge
instructions. Pediatrics. 2021;147(4):e20200031. doi:10.1542/peds.2020-0031.
https://psnet.ahrq.gov/issue/safer-care-improving-careg…
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psnet.ahrq.gov/node/47975/psn-pdf
May 29, 2019 - Surgical Innovation, New Techniques and Technologies:
A Guide to Good Practice.
May 29, 2019
London, UK: Royal College of Surgeons of England; 2019.
https://psnet.ahrq.gov/issue/surgical-innovation-new-techniques-and-technologies-guide-good-practice
Introducing innovations in practice involves taking calculated ri…
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psnet.ahrq.gov/node/41206/psn-pdf
March 14, 2012 - SBAR M&M: a feasible, reliable, and valid tool to assess
the quality of, surgical morbidity and mortality conference
presentations.
March 14, 2012
Mitchell EL, Lee DY, Arora S, et al. SBAR M&M: a feasible, reliable, and valid tool to assess the quality of,
surgical morbidity and mortality conference presentations.…
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psnet.ahrq.gov/node/50569/psn-pdf
October 23, 2019 - Design and implementation of a tool for pharmacists to
register potential errors in prescribed medication.
October 23, 2019
Frid S, Zapico V, Mansilla A, et al. Design and Implementation of a Tool for Pharmacists to Register
Potential Errors in Prescribed Medication. Stud Health Technol Inform. 2019;264:581-585.
d…
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psnet.ahrq.gov/node/844781/psn-pdf
September 11, 2019 - Implementation and spread of a simple and effective way
to improve the accuracy of medicines reconciliation on
discharge: a hospital-based quality improvement project
and success story.
September 11, 2019
Botros S, Dunn J. Implementation and spread of a simple and effective way to improve the accuracy of
medicine…
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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/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/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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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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psnet.ahrq.gov/node/49579/psn-pdf
March 21, 2009 - Safety Goal 2E requires all health care providers to "implement a standardized approach to handoff
communications … of care in the ED should follow the Joint Commission standardized guidelines for
effective handoff communications
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psnet.ahrq.gov/web-mm/triple-handoff
March 01, 2004 - 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