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  1. Section 7A (pdf file)

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

  2. Enhancing Surgical Team Communication: SOPS® and TeamSTEPPS®in Action Webcast (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/05-sops-teamstepps-webcast-mazur.pdf
    April 30, 2022 - Enhancing Surgical Team Communication: SOPS® and TeamSTEPPS®in Action Webcast Using TeamSTEPPS and SOPS to Enhance Surgical Team Communication Lukasz Mazur, Ph.D. Division of Healthcare Engineering University of North Carolina – Chapel Hill Disclosures Communify.us (quality/safety improvement management …

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35236/psn-pdf
    June 30, 2011 - Patient perspectives of patient–provider communication after adverse events. June 30, 2011 Duclos CW, Eichler M, Taylor L, et al. Patient perspectives of patient-provider communication after adverse events. Int J Qual Health Care. 2005;17(6):479-86. https://psnet.ahrq.gov/issue/patient-perspectives-patient-provide…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72770/psn-pdf
    February 24, 2021 - Communication about medical errors. February 24, 2021 Kaldjian LC. Communication about medical errors. Patient Educ Couns. 2021;104(5):989-993. doi:10.1016/j.pec.2020.11.035. https://psnet.ahrq.gov/issue/communication-about-medical-errors Disclosure of and communication about errors and adverse events is increasin…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35695/psn-pdf
    February 23, 2015 - Communication in critical care environments: mobile telephones improve patient care. February 23, 2015 Soto RG, Chu LF, Goldman JM, et al. Communication in critical care environments: mobile telephones improve patient care. Anesth Analg. 2006;102(2):535-41. https://psnet.ahrq.gov/issue/communication-critical-care-…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39364/psn-pdf
    March 10, 2010 - Improving communication in the ICU using daily goals. March 10, 2010 Pronovost P, Berenholtz SM, Dorman T, et al. Improving communication in the ICU using daily goals. J Crit Care. 2003;18(2):71-5. https://psnet.ahrq.gov/issue/improving-communication-icu-using-daily-goals This study sought to improve communication…

  7. Spotlight

    psnet.ahrq.gov/sites/default/files/2024-10/spotlight_case_a_cognitive_and_communication_blind_spot_slides.pptx
    January 01, 2024 - Spotlight Spotlight A Cognitive and Communication Blind Spot Contributes to Permanent Paralysis 1 Source and Credits This presentation is based on the October 2024 AHRQ WebM&M Spotlight Case See the full article at https://psnet.ahrq.gov/webmm  CME credit is available  Commentary by: Garth Utter, MD, MSc, FACS…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/847048/psn-pdf
    April 05, 2023 - Comparison of health care worker satisfaction before vs after implementation of a communication and optimal resolution program in acute care hospitals. April 5, 2023 Friedson AI, Humphreys A, LeCraw F, et al. Comparison of health care worker satisfaction before vs after implementation of a communication and optima…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74728/psn-pdf
    February 02, 2022 - Technology-based closed-loop tracking for improving communication and follow-up of pathology results. February 2, 2022 Rajan SS, Baldwin J, Giardina TD, et al. Technology-based closed-loop tracking for improving communication and follow-up of pathology results. J Patient Saf. 2022;18(1):e262-e266. doi:10.1097/pts.…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45746/psn-pdf
    December 14, 2016 - Moving toward improved teamwork in cancer care: the role of psychological safety in team communication. December 14, 2016 Jain AK, Fennell ML, Chagpar AB, et al. Moving Toward Improved Teamwork in Cancer Care: The Role of Psychological Safety in Team Communication. J Oncol Pract. 2016;12(11):1000-1011. https://psn…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36634/psn-pdf
    March 03, 2011 - Surgeon information transfer and communication: factors affecting quality and efficiency of inpatient care. March 3, 2011 Williams RG, Silverman R, Schwind C, et al. Surgeon information transfer and communication: factors affecting quality and efficiency of inpatient care. Ann Surg. 2007;245(2):159-69. https://psn…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854630/psn-pdf
    October 18, 2023 - Physician behaviors associated with increased physician and nurse communication during bedside interdisciplinary rounds. October 18, 2023 Huang KX, Chen CK, Pessegueiro AM, et al. Physician behaviors associated with increased physician and nurse communication during bedside interdisciplinary rounds. J Hosp Med. 20…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851647/psn-pdf
    July 26, 2023 - Statewide perinatal quality improvement, teamwork, and communication activities in Oklahoma and Texas. July 26, 2023 Stierman EK, O'Brien BT, Stagg J, et al. Statewide perinatal quality improvement, teamwork, and communication activities in Oklahoma and Texas. Qual Manag Health Care. 2023;32(3):177-188. doi:10.109…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38176/psn-pdf
    October 29, 2008 - Human error, not communication and systems, underlies surgical complications. October 29, 2008 Fabri PJ, Zayas-Castro JL. Human error, not communication and systems, underlies surgical complications. Surgery. 2008;144(4):557-63; discussion 563-5. doi:10.1016/j.surg.2008.06.011. https://psnet.ahrq.gov/issue/human-e…

  15. Zhu, Xi | Digital Healthcare Research

    digital.ahrq.gov/principal-investigator/zhu-xi
    January 01, 2024 - Zhu, Xi Patient care in complex Sociotechnological ecosystems and learning health systems. Citation Tu SP, Garcia B, Zhu X, Sewell D, Mishra V, Matin K, Dow A. Patient care in complex Sociotechnological ecosystems and learning health systems. Learn Health Syst. 2024 May 23;8(S…

  16. Mod01-Grand-Rounds-Slides (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/grandrounds/mod01-grand-rounds-slides.pdf
    April 01, 2016 - Say: This presentation will introduce you to Communication and Optimal Resolution, or the CANDOR process. Some organizations struggle to improve the way they and their care teams respond to medical harm. The CANDOR process aims to change that. Slide 1 Say: To get started, let’s watch this video. Video: Do Less…

  17. Grand Rounds Presentation | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/hospital/candor/grand-rounds.html
    August 01, 2022 - Grand Rounds Presentation AHRQ Communication and Optimal Resolution Toolkit Say: This presentation will introduce you to Communication and Optimal Resolution, or the CANDOR process. Some organizations struggle to improve the way they and their care teams respond to medical harm. The CANDOR process a…

  18. Evaluation of a problem-specific SBAR tool to improve after-hours nurse-physician phone communication: a randomized trial. | PSNet

    psnet.ahrq.gov/issue/evaluation-problem-specific-sbar-tool-improve-after-hours-nurse-physician-phone-communication
    December 30, 2014 - Study Evaluation of a problem-specific SBAR tool to improve after-hours nurse-physician phone communication: a randomized trial. Citation Text: Joffe E, Turley JP, Hwang KO, et al. Evaluation of a problem-specific SBAR tool to improve after-hours nurse-physician phone communication: a ra…

  19. Evaluation of a preoperative checklist and team briefing among surgeons, nurses, and anesthesiologists to reduce failures in communication. | PSNet

    psnet.ahrq.gov/issue/evaluation-preoperative-checklist-and-team-briefing-among-surgeons-nurses-and
    August 28, 2013 - Study Evaluation of a preoperative checklist and team briefing among surgeons, nurses, and anesthesiologists to reduce failures in communication. Citation Text: Lingard LA. Evaluation of a Preoperative Checklist and Team Briefing Among Surgeons, Nurses, and Anesthesiologists to Reduce Fa…

  20. Improving self-reported empathy and communication skills through harm in healthcare response training. | PSNet

    psnet.ahrq.gov/issue/improving-self-reported-empathy-and-communication-skills-through-harm-healthcare-response
    March 09, 2022 - Study Improving self-reported empathy and communication skills through harm in healthcare response training. Citation Text: Samuels A, Broome ME, McDonald TB, et al. Improving self-reported empathy and communication skills through harm in healthcare response training. J Patient Saf Risk …
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