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2181. Supporting Continuity of Care for Poisonings With Electronic Information Exchange | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/supporting-continuity-care-poisonings-electronic-information-exchange
      January 01, 2023 - Supporting Continuity of Care for Poisonings With Electronic Information Exchange Project Final Report ( PDF , 197.08 KB) Disclaimer Disclaimer The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily …

2182. Implementation Plan (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d6_combo_implementationplan.pdf
      June 02, 2025 - Implementation Plan Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety i Tool D.6 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 selec…

2183. Smartphones let surgeons know WhatsApp: an analysis of communication in emergency surgical teams. | PSNet
      psnet.ahrq.gov/issue/smartphones-let-surgeons-know-whatsapp-analysis-communication-emergency-surgical-teams
      April 06, 2015 - Study Smartphones let surgeons know WhatsApp: an analysis of communication in emergency surgical teams. Citation Text: 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:…

2184. Formative evaluation of the video reflexive ethnography method, as applied to the physician–nurse dyad. | PSNet
      psnet.ahrq.gov/issue/formative-evaluation-video-reflexive-ethnography-method-applied-physician-nurse-dyad
      December 02, 2020 - Study Formative evaluation of the video reflexive ethnography method, as applied to the physician–nurse dyad. Citation Text: Manojlovich M, Frankel RM, Harrod M, et al. Formative evaluation of the video reflexive ethnography method, as applied to the physician-nurse dyad. BMJ Qual Saf. 2…

2185. Discrepant perceptions of communication, teamwork and situation awareness among surgical team members. | PSNet
      psnet.ahrq.gov/issue/discrepant-perceptions-communication-teamwork-and-situation-awareness-among-surgical-team
      August 12, 2020 - Study Discrepant perceptions of communication, teamwork and situation awareness among surgical team members. Citation Text: Wauben LSGL, van Doorn CMD-, van Wijngaarden JDH, et al. Discrepant perceptions of communication, teamwork and situation awareness among surgical team members. In…

2186. Supporting patient safety: examining communication within delivery suite teams through contrasting approaches to research observation. | PSNet
      psnet.ahrq.gov/issue/supporting-patient-safety-examining-communication-within-delivery-suite-teams-through
      March 25, 2009 - Study Supporting patient safety: examining communication within delivery suite teams through contrasting approaches to research observation. Citation Text: Berridge E-J, Mackintosh NJ, Freeth DS. Supporting patient safety: Examining communication within delivery suite teams through con…

2187. A 'Communication and Patient Safety' training programme for all healthcare staff: can it make a difference? | PSNet
      psnet.ahrq.gov/issue/communication-and-patient-safety-training-programme-all-healthcare-staff-can-it-make
      July 01, 2017 - Study A 'Communication and Patient Safety' training programme for all healthcare staff: can it make a difference? Citation Text: 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).…

2188. Byrne JM et al. 2009 "Initial experience with patient-clinician secure messaging at a VA medical center." | Digital Healthcare Research
      digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/experience-research/byrne-jm-et
      January 01, 2023 - Byrne JM et al. 2009 "Initial experience with patient-clinician secure messaging at a VA medical center." Reference Byrne JM, Elliott S, Firek A. Initial experience with patient-clinician secure messaging at a VA medical center. J Am Med Inform Assoc 2009;16(2):267-270. [Link] Abstract "The …

2189. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41670/psn-pdf
      September 12, 2012 - Task uncertainty and communication during nursing shift handovers. September 12, 2012 Mayor E, Bangerter A, Aribot M. Task uncertainty and communication during nursing shift handovers. J Adv Nurs. 2012;68(9):1956-66. doi:10.1111/j.1365-2648.2011.05880.x. https://psnet.ahrq.gov/issue/task-uncertainty-and-communicat…

2190. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40408/psn-pdf
      July 08, 2013 - Assessing residents' communication skills: disclosure of an adverse event to a standardized patient. July 8, 2013 Posner G, Nakajima A. Assessing residents' communication skills: disclosure of an adverse event to a standardized patient. J Obstet Gynaecol Can. 2011;33(3):262-268. https://psnet.ahrq.gov/issue/assess…

2191. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46442/psn-pdf
      October 04, 2017 - Handoff Communication. October 4, 2017 APSF Newsletter. October 2017;32:29-56. https://psnet.ahrq.gov/issue/handoff-communication Handoff processes are known to carry risks of communication errors. This special issue focuses on transfers involving anesthesia care. Articles review different types of handoffs, chara…

2192. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39584/psn-pdf
      June 11, 2010 - Patterns of nurse–physician communication and agreement on the plan of care. June 11, 2010 O'Leary KJ, Thompson JA, Landler MP, et al. Patterns of nurse-physician communication and agreement on the plan of care. Qual Saf Health Care. 2010;19(3):195-9. doi:10.1136/qshc.2008.030221. https://psnet.ahrq.gov/issue/patt…

2193. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41753/psn-pdf
      March 11, 2013 - Barriers and facilitators to communicating nursing errors in long-term care settings. March 11, 2013 Wagner LM, Damianakis T, Pho L, et al. Barriers and facilitators to communicating nursing errors in long- term care settings. J Patient Saf. 2013;9(1):1-7. doi:10.1097/PTS.0b013e3182699919. https://psnet.ahrq.gov/i…

2194. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41353/psn-pdf
      May 09, 2012 - Speaking up, being heard: registered nurses' perceptions of workplace communication. May 9, 2012 Garon M. Speaking up, being heard: registered nurses' perceptions of workplace communication. J Nurs Manag. 2012;20(3):361-71. doi:10.1111/j.1365-2834.2011.01296.x. https://psnet.ahrq.gov/issue/speaking-being-heard-reg…

2195. New Horizons in Patient Safety: Understanding Communication: Case Studies for Physicians. | PSNet
      psnet.ahrq.gov/issue/new-horizons-patient-safety-understanding-communication-case-studies-physicians
      December 15, 2021 - Book/Report New Horizons in Patient Safety: Understanding Communication: Case Studies for Physicians. Citation Text: New Horizons in Patient Safety: Understanding Communication: Case Studies for Physicians. Hannawa AF, Wu AW, Juhasz RS, eds. Berlin, Germany: DeGruyter; 2017. ISBN: 978311…

2196. TeamSTEPPS® Diagnosis Improvement: Module 7: Putting It All Together (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module7-presenters-notes.pdf
      January 01, 2008 - TeamSTEPPS® Diagnosis Improvement: Module 7: Putting It All Together Slide 1 TeamSTEPPS® for Diagnosis Improvement                                                                                                                                                                                                   …

2197. Labor and Delivery Unit Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/ldusafety_facguide.pdf
      May 01, 2017 - Labor and Delivery Unit Safety AHRQ Safety Program for Perinatal Care Labor and Delivery Unit Safety AHRQ Publication No. 17-0003-21-EF May 2017 SAY: The “Labor and Delivery Unit Safety” bundle provides information on the key safety elements concerning four specific situations encountered in labor and deliv…

2198. TO (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d8_combo_projectevaluation.docx
      June 02, 2025 - TO Project Evaluation and Debriefing What is the purpose of this tool? The purpose of the project evaluation is to: Identify factors that contributed to the team’s success. Identify factors that hindered the team’s success. Identify additional clinical areas in the organization where the best practice can be implemen…

2199. Final Progress Report: Promoting Safe Care Transitions: Simulation-Based Mastery Learning to Improve Communication in Times of Diagnostic Uncertainty (pdf file)
      www.ahrq.gov/sites/default/files/2025-04/rising-report.pdf
      January 01, 2025 - Final Progress Report: Promoting Safe Care Transitions: Simulation-Based Mastery Learning to Improve Communication in Times of Diagnostic Uncertainty Title Page TITLE: Promoting safe care transitions: Simulation-based mastery learning to improve communication in times of diagnostic uncertainty PRINCIPAL INVESTIG…

2200. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42495/psn-pdf
      November 18, 2013 - The role of technology in clinician-to-clinician communication. November 18, 2013 McElroy LM, Ladner DP, Holl JL. The role of technology in clinician-to-clinician communication. BMJ Qual Saf. 2013;22(12):981-3. doi:10.1136/bmjqs-2013-002191. https://psnet.ahrq.gov/issue/role-technology-clinician-clinician-communic…