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  1. Test result communication in primary care: a survey of current practice. | PSNet

    psnet.ahrq.gov/issue/test-result-communication-primary-care-survey-current-practice
    November 20, 2015 - Study Test result communication in primary care: a survey of current practice. Citation Text: Litchfield I, Bentham L, Lilford RJ, et al. Test result communication in primary care: a survey of current practice. BMJ Qual Saf. 2015;24(11):691-9. doi:10.1136/bmjqs-2014-003712. Copy Citati…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47666/psn-pdf
    January 01, 2020 - A partially structured postoperative handoff protocol improves communication in 2 mixed surgical intensive care units: findings from the Handoffs and Transitions in Critical Care (HATRICC) prospective cohort study. February 6, 2019 Lane-Fall MB, Pascual JL, Peifer HG, et al. A Partially Structured Postoperative Ha…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45360/psn-pdf
    July 27, 2016 - Communicating findings of delayed diagnostic evaluation to primary care providers. July 27, 2016 Meyer AND, Murphy DR, Singh H. Communicating Findings of Delayed Diagnostic Evaluation to Primary Care Providers. J Am Board Fam Med. 2016;29(4):469-73. doi:10.3122/jabfm.2016.04.150363. https://psnet.ahrq.gov/issue/co…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45167/psn-pdf
    May 25, 2016 - AHRQ Communication and Optimal Resolution (CANDOR) Toolkit. May 25, 2016 Rockville, MD: Agency for Healthcare Research and Quality; May 2016. https://psnet.ahrq.gov/issue/ahrq-communication-and-optimal-resolution-candor-toolkit Traditionally, health systems have disclosed adverse events to patients only through a …

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38829/psn-pdf
    January 03, 2017 - Implementing standardized operating room briefings and debriefings at a large regional medical center. January 3, 2017 Berenholtz SM, Schumacher K, Hayanga AJ, et al. Implementing standardized operating room briefings and debriefings at a large regional medical center. Jt Comm J Qual Patient Saf. 2009;35(8):391-7. …

  6. D6 Pdi Implementationplan (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d6_pdi_implementationplan.docx
    June 02, 2025 - AHRQ Quality Indicators Toolkit Pediatric Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety Implementation Plan What is the purpose of this tool? The purpose of the implementation plan is to provide a format in which to: Define the tasks/actions required to implement each selected…

  7. D6 Combo Implementationplan (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d6_combo_implementationplan.docx
    June 02, 2025 - AHRQ QI Toolkit Implementation Plan What is the purpose of this tool? The purpose of the implementation plan is to provide a format in which to: Define the tasks/actions required to implement each selected best practice. Develop a communication/training and implementation plan. Set a timeframe and target dates for the …

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49814/psn-pdf
    December 01, 2017 - Miscommunication in the OR Leads to Anticoagulation Mishap December 1, 2017 Solsky I, Haynes AB. Miscommunication in the OR Leads to Anticoagulation Mishap. PSNet [internet]. 2017. https://psnet.ahrq.gov/web-mm/miscommunication-or-leads-anticoagulation-mishap The Case A 63-year-old man with a history of coronary…

  9. Learn About CUSP | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/cusp/modules/learn/sl-cusp.html
    December 01, 2012 - Learn About CUSP CUSP Toolkit The Learn about CUSP module of the CUSP Toolkit offers an outline and brief history of the CUSP model, summarizes the CUSP Toolkit modules, and how to use them. Contents Slide 1. Cover Slide Slide 2. Learning Objectives Slide 3. CUSP Supports Kotter's Eight Steps of Cha…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38224/psn-pdf
    February 18, 2011 - Hospital readmissions: physician awareness and communication practices. February 18, 2011 Roy CL, Kachalia A, Woolf S, et al. Hospital readmissions: physician awareness and communication practices. J Gen Intern Med. 2009;24(3):374-80. doi:10.1007/s11606-008-0848-x. https://psnet.ahrq.gov/issue/hospital-readmission…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/843052/psn-pdf
    January 25, 2023 - Improving communication from hospital to skilled nursing facility through standardized hand-off: a quality improvement project. January 25, 2023 Baluyot A, McNeill C, Wiers S. Improving communication from hospital to skilled nursing facility through standardized hand-off: a quality improvement project. Patient Saf…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45763/psn-pdf
    December 19, 2017 - Expanded pharmacy technician roles: accepting verbal prescriptions and communicating prescription transfers. December 19, 2017 Frost TP, Adams AJ. Expanded pharmacy technician roles: Accepting verbal prescriptions and communicating prescription transfers. Res Social Adm Pharm. 2017;13(6):1191-1195. doi:10.1016/j.s…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867092/psn-pdf
    November 06, 2024 - Surgical intraoperative handoff initiative: standardizing operating room communication using SHRIMPS. November 6, 2024 Stephens WA, Anderson MJ, Levy BE, et al. Surgical intraoperative handoff initiative: standardizing operating room communication using SHRIMPS. J Am Coll Surg. 2024;239(4):387-393. doi:10.1097/xcs…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44810/psn-pdf
    April 21, 2016 - Provider-to-provider communication during transitions of care from outpatient to acute care: a systematic review. April 21, 2016 Luu N-P, Pitts S, Petty BG, et al. Provider-to-Provider Communication during Transitions of Care from Outpatient to Acute Care: A Systematic Review. J Gen Intern Med. 2016;31(4):417-25. …

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45448/psn-pdf
    January 23, 2017 - Accuracy of laboratory data communication on ICU daily rounds using an electronic health record. January 23, 2017 Artis KA, Dyer E, Mohan V, et al. Accuracy of Laboratory Data Communication on ICU Daily Rounds Using an Electronic Health Record. Crit Care Med. 2017;45(2):179-186. doi:10.1097/CCM.0000000000002060. h…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838913/psn-pdf
    October 26, 2022 - Communication during interhospital transfers of emergency general surgery patients: a qualitative study of challenges and opportunities. October 26, 2022 Alagoz E, Saucke M, Arroyo N, et al. Communication during interhospital transfers of emergency general surgery patients: a qualitative study of challenges and op…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837334/psn-pdf
    June 08, 2022 - Safety gaps in medical team communication: closing the loop on quality improvement efforts in the cardiac catheterization lab. June 8, 2022 Doorey AJ, Turi ZG, Lazzara EH, et al. Safety gaps in medical team communication: closing the loop on quality improvement efforts in the cardiac catheterization lab. Catheter …

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42989/psn-pdf
    May 28, 2014 - Interactive questioning in critical care during handovers: a transcript analysis of communication behaviours by physicians, nurses and nurse practitioners. May 28, 2014 Rayo MF, Mount-Campbell AF, O'Brien JM, et al. Interactive questioning in critical care during handovers: a transcript analysis of communication b…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865589/psn-pdf
    April 17, 2024 - Why talking is not cheap: adverse events and informal communication. April 17, 2024 Montgomery A, Lainidi O, Georganta K. Why talking is not cheap: adverse events and informal communication. Healthcare (Basel). 2024;12(6):635. doi:10.3390/healthcare12060635. https://psnet.ahrq.gov/issue/why-talking-not-cheap-adver…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46187/psn-pdf
    December 06, 2017 - A randomised controlled trial assessing the efficacy of an electronic discharge communication tool for preventing death or hospital readmission. December 6, 2017 Santana MJ, Holroyd-Leduc J, Southern DA, et al. A randomised controlled trial assessing the efficacy of an electronic discharge communication tool for p…
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