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psnet.ahrq.gov/issue/communication-matters-when-it-comes-adverse-events-associations-adverse-events-during-implant
December 15, 2021 - Study
Communication matters when it comes to adverse events: associations of adverse events during implant treatment with patients' communication quality and trust assessments.
Citation Text:
Schrimpff C, Link E, Fisse T, et al. Communication matters when it comes to adverse events: asso…
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psnet.ahrq.gov/issue/closed-loop-communication-interprofessional-emergency-teams-cross-sectional-observation-study
September 24, 2016 - Study
Closed-loop communication in interprofessional emergency teams: a cross-sectional observation study on the use of closed-loop communication among anesthesia personnel.
Citation Text:
Gjøvikli K, Valeberg BT. Closed-loop communication in interprofessional emergency teams: a cross-se…
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psnet.ahrq.gov/innovation/patient-and-family-centered-i-pass-family-centered-communication-program-reduce-medical
February 26, 2025 - Patient and Family Centered I-PASS (Family-Centered Communication Program to Reduce Medical Errors and Improve Family Experience and Communication Processes)
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psnet.ahrq.gov/node/37498/psn-pdf
April 30, 2014 - Evaluation of a preoperative checklist and team briefing
among surgeons, nurses, and anesthesiologists to
reduce failures in communication.
April 30, 2014
Lingard LA. Evaluation of a Preoperative Checklist and Team Briefing Among Surgeons, Nurses, and
Anesthesiologists to Reduce Failures in Communication. Archives…
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psnet.ahrq.gov/node/60298/psn-pdf
May 06, 2020 - Impact of simulation-based closed-loop communication
training on medical errors in a pediatric emergency
department.
May 6, 2020
Diaz MCG, Dawson K. Impact of Simulation-Based Closed-Loop Communication Training on Medical
Errors in a Pediatric Emergency Department. Am J Med Qual. 2020;35(6):474-478.
doi:10.1177/1…
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/resources/diagnostic-toolkit/11a-pfe-patient-survey.pdf
August 01, 2021 - Patient Exit Survey
Patient Exit Survey
Toolkit for Engaging Patients
To Improve Diagnostic Safety
Surveys are quick and easy to administer and in most cases can be completed immediately after
a patient finishes his or her visit. Three sample exit surveys are provided that may be completed
by patients to aid in…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Perry_49.pdf
March 27, 2008 - Severinghaus, Naval Submarine Operations, personal communications, 2007).
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www.ahrq.gov/teamstepps-program/curriculum/communication/overview/index.html
June 01, 2023 - Section 1: Overview of Key Concepts and Tools
This section provides an overview of the key concepts and tools in the Communication Module. More explanations and illustrations are provided in section 2 of this module ; methods for teaching the concepts and tools for this module are in section 3 . Information a…
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www.ahrq.gov/hai/cusp/toolkit/observing-rounds.html
December 01, 2012 - Observing Patient Care Rounds
CUSP Toolkit
Communication among disciplines can be improved if viewed through the eyes of an objective observer.
Problem statement: Interdisciplinary rounds are in the best interest of patients. Poor communication among staff is a root cause of many patient adverse and sentin…
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psnet.ahrq.gov/node/836852/psn-pdf
April 06, 2022 - Frequency and nature of communication and handoff
failures in medical malpractice claims.
April 6, 2022
Humphrey KE, Sundberg M, Milliren CE, et al. Frequency and nature of communication and handoff
failures in medical malpractice claims. J Patient Saf. 2022;18(2):130-137.
doi:10.1097/pts.0000000000000937.
https:…
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psnet.ahrq.gov/node/45179/psn-pdf
July 13, 2016 - Communication and shared understanding between
parents and resident-physicians at night.
July 13, 2016
Khan A, Rogers JE, Forster CS, et al. Communication and Shared Understanding Between Parents and
Resident-Physicians at Night. Hosp Pediatr. 2016;6(6):319-29. doi:10.1542/hpeds.2015-0224.
https://psnet.ahrq.gov/i…
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psnet.ahrq.gov/node/73657/psn-pdf
September 01, 2021 - Communication failures contributing to patient injury in
anaesthesia malpractice claims.
September 1, 2021
Douglas RN, Stephens LS, Posner KL, et al. Communication failures contributing to patient injury in
anaesthesia malpractice claims. Br J Anaesth. 2021;127(3):470-478. doi:10.1016/j.bja.2021.05.030.
https://ps…
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psnet.ahrq.gov/node/865877/psn-pdf
May 15, 2024 - Refining a framework to enhance communication in the
emergency department during the diagnostic process: an
eDelphi approach.
May 15, 2024
Manojlovich M, Bettencourt AP, Mangus CW, et al. Refining a framework to enhance communication in the
emergency department during the diagnostic process: an eDelphi approach. J…
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psnet.ahrq.gov/node/46435/psn-pdf
August 20, 2018 - Patients' experiences with communication-and-resolution
programs after medical injury.
August 20, 2018
Moore J, Bismark M, Mello MM. Patients' Experiences With Communication-and-Resolution Programs After
Medical Injury. JAMA Intern Med. 2017;177(11):1595-1603. doi:10.1001/jamainternmed.2017.4002.
https://psnet.ahr…
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digital.ahrq.gov/technology/clinical-messaging
January 01, 2023 - Clinical Messaging
It's like sending a message in a bottle: A qualitative study of the consequences of one-way communication technologies in hospitals.
Citation
Lafferty M, Harrod M, Krein S, Manojlovich M. It's like sending a message in a bottle: A qualitative study of the co…
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/dxsafety-team-assessment-tool.pdf
February 01, 2022 - TeamSTEPPS® Diagnosis Improvement: Team Assessment Tool
TeamSTEPPS® Team Assessment Tool
for Improving Diagnosis – Instructions
How to use this Team Assessment Tool
This tool assesses the maturity level of your healthcare setting in five critical teamwork
domains: Team Structure, Communication, Leadership, Situat…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/obsrounds.doc
June 02, 2025 - Observing Patient Care Rounds
Problem statement: Interdisciplinary rounds are in the best interest of patients. Poor communication among staff is a root cause of many patient adverse and sentinel events. Communication among disciplines can be improved if viewed through the eyes of an objective observer.
What are obser…
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psnet.ahrq.gov/node/47575/psn-pdf
December 19, 2018 - Effects of a communication-and-resolution program on
hospitals' malpractice claims and costs.
December 19, 2018
Kachalia A, Sands K, Van Niel M, et al. Effects Of A Communication-And-Resolution Program On
Hospitals' Malpractice Claims And Costs. Health Aff (Millwood). 2018;37(11):1836-1844.
doi:10.1377/hlthaff.201…
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psnet.ahrq.gov/node/61109/psn-pdf
November 11, 2020 - Making communication and resolution programmes
mission critical in healthcare organisations.
November 11, 2020
Gallagher TH, Boothman RC, Schweitzer L, et al. Making communication and resolution programmes
mission critical in healthcare organisations. BMJ Qual Saf. 2020;29(11):875-878. doi:10.1136/bmjqs-2020-
0108…
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meps.ahrq.gov/data_stats/summ_tables/insr/national/series_4/1996/ic96_496iva-b.pdf
January 01, 1996 - __________________________________________________________________________________
Transportation, communications … or Transportation, communications or utilitiesutilities Total Standard error Total … __________________________________________________________________________________
Transportation, communications … or utilities / Self-insured plansTransportation, communications or utilities / Self-insured plans … , or utilities $ Transport, communications, or utilities $907 907 $116$116
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