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  1. Preventing Falls Through Patient and Family Engagement to Create Customized Prevention Plans | PSNet

    psnet.ahrq.gov/innovation/preventing-falls-through-patient-and-family-engagement-create-customized-prevention
    July 23, 2024 - Patient Safety Innovations The I-READI Quality and Safety Framework: Strong Communications

  2. The Case for Patient Flow Management | PSNet

    psnet.ahrq.gov/web-mm/case-patient-flow-management
    February 23, 2019 - To reduce and eliminate this risk, several steps, including improved communications and checklists, must

  3. Hospital SOPS Translation Information | Agency for Healthcare Research and Quality

    www.ahrq.gov/sops/international/hospital/translators.html
    October 01, 2014 - Organizations with a positive safety culture are characterized by communications founded on mutual trust

  4. Meeting Minutes, March 2018 | Agency for Healthcare Research and Quality

    www.ahrq.gov/news/events/nac/2018-03-nac/nacmtg0317-minutes.html
    July 01, 2018 - Howard Holland, Director of AHRQ’s Office of Communications, reported that AHRQ’s outreach efforts will

  5. A Seasonal Care Transition Failure | PSNet

    psnet.ahrq.gov/web-mm/seasonal-care-transition-failure
    June 01, 2016 - transitions in care.( 8 ) Similarly, The Joint Commission mandates a standardized approach to handoff communications

  6. Treating Disruptive Behavior Disorders in Children and Teens (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/pdf/disruptive-behavior-disorder_consumer.pdf
    August 01, 2016 - Eisenberg Center for Clinical Decisions and Communications Science at Baylor College of Medicine,

  7. 127-Roles-Responsibilities-Tool (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/127-roles-responsibilities-tool.docx
    April 01, 2025 - Listen to concerns both during and outside of CUSP meetings and helps to represent staff concerns in communications

  8. Management of Insomnia Disorder in Adults: Current State of the Evidence (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/pdf/insomnia_clinician.pdf
    August 01, 2017 - Eisenberg Center for Clinical Decisions and Communications Science at Baylor College of Medicine, Houston

  9. Institute for the Design of Environments Aligned for Patient Safety (IDEA4PS) | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/resources/learning-lab/design-environments-long-desc.html
    April 01, 2021 - Assessing mental models from communications: patient, family, and care team messaging within the hospital

  10. Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare July Meeting Summary (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/topics/IAWG-July-2024-meeting-notes.pdf
    January 01, 2024 - The Division of Laboratory Systems has developed a communications plan to reach the nation’s laboratories

  11. Section 7D (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/outcomes/chipra-140-section-7-d.pdf
    June 02, 2025 - Section 7D …

  12. Section 7C (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/outcomes/chipra-140-section-7-c.pdf
    June 02, 2025 - Section 7C …

  13. Detailed Findings | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/hospital/candor/demo-program/grants/findings.html
    August 01, 2022 - Overall, 75 percent of communications were concluded within 32 days.

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42919/psn-pdf
    February 05, 2014 - Implementing hospital-based communication-and- resolution programs: lessons learned in New York City. February 5, 2014 Mello MM, Senecal SK, Kuznetsov Y, et al. Implementing hospital-based communication-and-resolution programs: lessons learned in New York City. Health Aff (Millwood). 2014;33(1):30-8. doi:10.1377/h…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47037/psn-pdf
    October 03, 2018 - Redesigning rounds in the ICU: standardizing key elements improves interdisciplinary communication. October 3, 2018 O'Brien A, O'Reilly K, Dechen T, et al. Redesigning Rounds in the ICU: Standardizing Key Elements Improves Interdisciplinary Communication. Jt Comm J Qual Patient Saf. 2018;44(10):590-598. doi:10.101…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45232/psn-pdf
    August 10, 2016 - Promoting patient safety with perioperative hand-off communication. August 10, 2016 Robinson NL. Promoting Patient Safety With Perioperative Hand-off Communication. J Perianesth Nurs. 2016;31(3):245-53. doi:10.1016/j.jopan.2014.08.144. https://psnet.ahrq.gov/issue/promoting-patient-safety-perioperative-hand-commun…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39064/psn-pdf
    October 28, 2009 - Use of failure mode and effects analysis for proactive identification of communication and handoff failures from organ procurement to transplantation. October 28, 2009 Steinberger DM, Douglas S, Kirschbaum MS. Use of failure mode and effects analysis for proactive identification of communication and handoff failur…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43777/psn-pdf
    January 01, 2015 - Smartphones let surgeons know WhatsApp: an analysis of communication in emergency surgical teams. December 17, 2014 Johnston MJ, King D, Arora S, et al. Smartphones let surgeons know WhatsApp: an analysis of communication in emergency surgical teams. Am J Surg. 2015;209(1):45-51. doi:10.1016/j.amjsurg.2014.08.030.…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42920/psn-pdf
    February 05, 2014 - How well do we communicate? A comparison of intraoperative diagnoses listed in pathology reports and operative notes. February 5, 2014 Talmon G, Horn A, Wedel W, et al. How well do we communicate?: a comparison of intraoperative diagnoses listed in pathology reports and operative notes. Am J Clin Pathol. 2013;140(…

  20. Spotlight (pdf file)

    psnet.ahrq.gov/sites/default/files/2022-10/spotlight_case_missed_pneumothorax_10.09.2022_-_final.pdf
    January 01, 2022 - Spotlight Spotlight False Assumptions Result in a Missed Pneumothorax after Bronchoscopy with Transbronchial Biopsy Source and Credits • This presentation is based on the September 2022 AHRQ WebM&M Spotlight Case o See the full article at https://psnet.ahrq.gov/webmm o CME credit is available o Commentary by:…
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