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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49491/psn-pdf
    September 01, 2005 - than 60% of events.(12) Observation of teams in the operating room suggest that as many as 30% of communications
  2. psnet.ahrq.gov/issue/closing-loop-process-evaluation-inpatient-care-team-communication
    March 09, 2019 - Study Closing the loop: a process evaluation of inpatient care team communication. Citation Text: Broman KK, Kensinger C, Hart H, et al. Closing the loop: a process evaluation of inpatient care team communication. BMJ Qual Saf. 2017;26(1):30-32. doi:10.1136/bmjqs-2015-004580. Copy Cita…
  3. psnet.ahrq.gov/issue/test-result-communication-primary-care-clinical-and-office-staff-perspectives
    November 20, 2015 - Study Test result communication in primary care: clinical and office staff perspectives. Citation Text: Litchfield I, Bentham L, Lilford RJ, et al. Test result communication in primary care: clinical and office staff perspectives. Fam Pract. 2014;31(5):592-7. doi:10.1093/fampra/cmu041. …
  4. psnet.ahrq.gov/issue/patterns-communication-breakdowns-resulting-injury-surgical-patients
    March 03, 2011 - Study Classic Patterns of communication breakdowns resulting in injury to surgical patients. Citation Text: Greenberg CC, Regenbogen SE, Studdert DM, et al. Patterns of communication breakdowns resulting in injury to surgical patients. J Am Coll Surg. 2007;204…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846158/psn-pdf
    March 15, 2023 - Safety risks and workflow implications associated with nursing-related free-text communication orders. March 15, 2023 Staes CJ, Yusuf S, Hambly M, et al. Safety risks and workflow implications associated with nursing-related free-text communication orders. J Am Med Inform Assoc. 2023;30(5):828-837. doi:10.1093/jami…
  6. psnet.ahrq.gov/web-mm/diagnostic-failure-growing-deficit
    June 01, 2005 - Diagnostic Failure: The Growing Deficit Citation Text: Chang R, Flanders S. Diagnostic Failure: The Growing Deficit. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNo…
  7. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_scienceofsafety_facnotes.docx
    December 01, 2017 - Communication SAY: Communication in health care can be challenging, requiring senders and receivers of communications
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42003/psn-pdf
    May 10, 2013 - The effects of computerized provider order entry implementation on communication in intensive care units. May 10, 2013 Hoonakker P, Carayon P, Walker JM, et al. The effects of Computerized Provider Order Entry implementation on communication in Intensive Care Units. Int J Med Inform. 2013;82(5):e107-17. doi:10.101…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41020/psn-pdf
    January 04, 2012 - A 'Communication and Patient Safety' training programme for all healthcare staff: can it make a difference? January 4, 2012 Lee P, Allen K, Daly M. A ‘Communication and Patient Safety’ training programme for all healthcare staff: can it make a difference? BMJ Qual Saf. 2011;21(1). doi:10.1136/bmjqs-2011-000297. ht…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853966/psn-pdf
    September 27, 2023 - The delivery of safe and effective test result communication, management and follow-up. September 27, 2023 Georgiou A, Li J, Thomas J, et al. The delivery of safe and effective test result communication, management and follow-up. Public Health Res Pract. 2023;33(3):e3332324. doi:10.17061/phrp3332324. https://psnet…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47107/psn-pdf
    June 20, 2018 - Challenges in communication from referring clinicians to pathologists in the electronic health record era. June 20, 2018 Barbieri AL, Fadare O, Fan L, et al. Challenges in Communication from Referring Clinicians to Pathologists in the Electronic Health Record Era. J Pathol Inform. 2018;9:8. doi:10.4103/jpi.jpi_70_1…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45522/psn-pdf
    January 01, 2020 - Is communication improved with the implementation of an obstetrical version of the World Health Organization safe surgery checklist? November 9, 2016 Govindappagari S, Guardado A, Goffman D, et al. Is Communication Improved With the Implementation of an Obstetrical Version of the World Health Organization Safe Sur…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50417/psn-pdf
    September 04, 2019 - Communicating uncertainty: a narrative review and framework for future research. September 4, 2019 Simpkin AL, Armstrong KA. Communicating uncertainty: a narrative review and framework for future research. J Gen Intern Med. 2019;34(11):2586-2591. doi:10.1007/s11606-019-04860-8. https://psnet.ahrq.gov/issue/communi…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39331/psn-pdf
    March 03, 2010 - Meta-analysis: effect of interactive communication between collaborating primary care physicians and specialists. March 3, 2010 Foy R, Hempel S, Rubenstein L, et al. Meta-analysis: effect of interactive communication between collaborating primary care physicians and specialists. Ann Intern Med. 2010;152(4):247-58.…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72708/psn-pdf
    February 03, 2021 - How communication "failed" or "saved the day": counterfactual accounts of medical errors. February 3, 2021 Street RL, Petrocelli JV, Amroze A, et al. How Communication “Failed” or “Saved the Day”: Counterfactual Accounts of Medical Errors. J Patient Exp. 2020;7(6):1247-1254. doi:10.1177/2374373520925270. https://p…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47252/psn-pdf
    August 01, 2018 - Communication errors in radiology—pitfalls and how to avoid them. August 1, 2018 Waite S, Scott JM, Drexler I, et al. Communication errors in radiology - Pitfalls and how to avoid them. Clin Imaging. 2018;51:266-272. doi:10.1016/j.clinimag.2018.05.025. https://psnet.ahrq.gov/issue/communication-errors-radiology-pi…
  17. psnet.ahrq.gov/issue/reducing-diagnostic-errors-through-effective-communication-harnessing-power-information
    March 10, 2011 - Commentary Reducing diagnostic errors through effective communication: harnessing the power of information technology. Citation Text: Singh H, Naik AD, Rao R, et al. Reducing Diagnostic Errors through Effective Communication: Harnessing the Power of Information Technology. J Gen Intern…
  18. psnet.ahrq.gov/issue/theory-based-instrument-evaluate-team-communication-operating-room-balancing-measurement
    June 23, 2010 - Commentary A theory-based instrument to evaluate team communication in the operating room: balancing measurement authenticity and reliability. Citation Text: Lingard LA, Regehr G, Espin S, et al. A theory-based instrument to evaluate team communication in the operating room: balancing …
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49466/psn-pdf
    October 14, 2004 - Hard to Swallow October 1, 2004 Driver J. Hard to Swallow. PSNet [internet]. 2004. https://psnet.ahrq.gov/web-mm/hard-swallow The Case An elderly man underwent hernia surgery. Postoperatively, the patient developed a transient ischemic attack (TIA) and respiratory difficulties. The nurses noted that the patient, …
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40515/psn-pdf
    June 15, 2011 - Implementing handoff communication. June 15, 2011 Ardoin KB, Broussard L. Implementing handoff communication. J Nurses Staff Dev. 2011;27(3):128-35. doi:10.1097/NND.0b013e318217b3dd. https://psnet.ahrq.gov/issue/implementing-handoff-communication This commentary describes how one hospital implemented the SBAR tool…