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2401. Situation, background, assessment, and recommendation–guided huddles improve communication and teamwork in the emergency department. | PSNet
      psnet.ahrq.gov/issue/situation-background-assessment-and-recommendation-guided-huddles-improve-communication-and
      September 23, 2020 - Study Situation, background, assessment, and recommendation–guided huddles improve communication and teamwork in the emergency department. Citation Text: Martin HA, Ciurzynski SM. Situation, Background, Assessment, and Recommendation-Guided Huddles Improve Communication and Teamwork in t…

2402. Using a risk assessment approach to determine which factors influence whether partially bilingual physicians rely on their non-English language skills or call an interpreter. | PSNet
      psnet.ahrq.gov/issue/using-risk-assessment-approach-determine-which-factors-influence-whether-partially-bilingual
      March 22, 2023 - Study Using a risk assessment approach to determine which factors influence whether partially bilingual physicians rely on their non-English language skills or call an interpreter. Citation Text: Maul L, Regenstein M, Andres E, et al. Using a risk assessment approach to determine which f…

2403. Communication failure: analysis of prescribers' use of an internal free-text field on electronic prescriptions. | PSNet
      psnet.ahrq.gov/issue/communication-failure-analysis-prescribers-use-internal-free-text-field-electronic
      May 20, 2019 - Study Communication failure: analysis of prescribers' use of an internal free-text field on electronic prescriptions. Citation Text: Ai A, Wong A, Amato MG, et al. Communication failure: analysis of prescribers’ use of an internal free-text field on electronic prescriptions. J Am Med Inf…

2404. Communication failures contributing to patient injury in anaesthesia malpractice claims. | PSNet
      psnet.ahrq.gov/issue/communication-failures-contributing-patient-injury-anaesthesia-malpractice-claims
      August 04, 2021 - Study Communication failures contributing to patient injury in anaesthesia malpractice claims. Citation Text: Douglas RN, Stephens LS, Posner KL, et al. Communication failures contributing to patient injury in anaesthesia malpractice claims. Br J Anaesth. 2021;127(3):470-478. doi:10.1016…

2405. A scoping review of communication tools applicable to patients and their primary care providers after discharge from hospital. | PSNet
      psnet.ahrq.gov/issue/scoping-review-communication-tools-applicable-patients-and-their-primary-care-providers-after
      December 15, 2021 - Review A scoping review of communication tools applicable to patients and their primary care providers after discharge from hospital. Citation Text: Spencer RA, Singh Punia H. A scoping review of communication tools applicable to patients and their primary care providers after discharge …

2406. Adherence to national guidelines for timeliness of test results communication to patients in the Veterans Affairs health care system. | PSNet
      psnet.ahrq.gov/issue/adherence-national-guidelines-timeliness-test-results-communication-patients-veterans-affairs
      March 03, 2019 - Study Adherence to national guidelines for timeliness of test results communication to patients in the Veterans Affairs health care system. Citation Text: Meyer AND, Scott TMT, Singh H. Adherence to national guidelines for timeliness of test results communication to patients in the Veter…

2407. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40012/psn-pdf
      May 28, 2014 - Improving Communication During Transitions of Care. May 28, 2014 Oakbrook Terrace, IL: Joint Commission Resources; 2010. ISBN: 9781599404097. https://psnet.ahrq.gov/issue/improving-communication-during-transitions-care This guide discusses the impact of poor communication on care transitions and describes tactics f…

2408. AHRQ Safety Program for Perinatal Care: Safe Medication Administration (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/medication/safemed_facguide.pdf
      May 01, 2017 - AHRQ Safety Program for Perinatal Care: Safe Medication Administration AHRQ Safety Program for Perinatal Care Safe Medication Administration AHRQ Publication No. 17-0003-19-EF May 2017 SAY: The Safe Medication Administration bundle provides information on high-alert medications commonly used in labor and d…

2409. Facilitator-Notes (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module5/facilitator-notes.docx
      March 01, 2017 - Facilitator Notes SAY: The Resident and Family Engagement module focuses on the roles and responsibilities of the resident and family as a member of the facility safety team. Engaging the resident and family as partners will help assure they can be active participants in their care and in the decision-making process …

2410. National Quality Strategy Priority: Person-Centered Care | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/hispanichealth/part3-nqs3.html
      October 01, 2015 - Chartbook for Hispanic Health Care National Quality Strategy Priority: Person-Centered Care Previous Page Next Page Table of Contents Chartbook for Hispanic Health Care Acknowledgments Health Care For Hispanics National Quality Strategy Priorities: Patient Safety National Quality Strategy Pr…

2411. Monitoring for Perinatal Safety: Electronic Fetal Monitoring: Slide Presentation | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/safe-electronic-slides.html
      July 01, 2023 - Monitoring for Perinatal Safety: Electronic Fetal Monitoring: Slide Presentation AHRQ Safety Program for Perinatal Care Slide 1: Monitoring for Perinatal Safety: Electronic Fetal Monitoring Monitoring for Perinatal Safety: Electronic Fetal Monitoring Slide 2: Learning Objectives Image: This slide sh…

2412. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41980/psn-pdf
      January 16, 2013 - Handoff Communication Tools. January 16, 2013 Landrigan CP, Lyons A, Gannon P, et al. FIRST Do No Harm. December 2012;1-8. https://psnet.ahrq.gov/issue/handoff-communication-tools This newsletter issue highlights initiatives and tools developed to improve handoff communication in Massachusetts. https://psnet.ahrq…

2413. Improving Patient Safety by Engaging Patients and Families (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/ps-research-summary-pfe.pdf
      April 30, 2025 - Products included six topical action plans; a Challenge to Chicago; scholarly articles, public communications … Publications: 0 Chatham Communications JV, LLC Bethesda, Maryland 75Q80123P00008 [Contract] TeamSTEPPS

2414. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39666/psn-pdf
      April 16, 2018 - Teamwork and Communication. April 16, 2018 Pa Patient Saf Advis. June 2010;7(suppl 2):1-16. https://psnet.ahrq.gov/issue/teamwork-and-communication Articles in this special supplement outline tactics to improve communication including crew resource management, chain-of-command policies, and teamwork training. htt…

2415. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/838067/psn-pdf
      September 14, 2022 - The Psychological Safety Scale of the Safety, Communication, Operational, Reliability, and Engagement (SCORE) survey: a brief, diagnostic, and actionable metric for the ability to speak up in healthcare settings. September 14, 2022 Adair KC, Heath A, Frye MA, et al. The Psychological Safety Scale of the Safety, Co…

2416. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46309/psn-pdf
      December 22, 2018 - Effects of the I-PASS nursing handoff bundle on communication quality and workflow. December 22, 2018 Starmer AJ, Schnock KO, Lyons A, et al. Effects of the I-PASS Nursing Handoff Bundle on communication quality and workflow. BMJ Qual Saf. 2017;26(12):949-957. doi:10.1136/bmjqs-2016-006224. https://psnet.ahrq.gov/…

2417. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44179/psn-pdf
      November 20, 2015 - Routine failures in the process for blood testing and the communication of results to patients in primary care in the UK: a qualitative exploration of patient and provider perspectives. November 20, 2015 Litchfield I, Bentham L, Hill A, et al. Routine failures in the process for blood testing and the communication…

2418. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837967/psn-pdf
      September 01, 2022 - Free-text computerized provider order entry orders used as workaround for communicating medication information. September 1, 2022 Kandaswamy S, Grimes J, Hoffman D, et al. Free-text computerized provider order entry orders used as workaround for communicating medication information. J Patient Saf. 2022;18(5):430-4…

2419. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49447/psn-pdf
      June 01, 2004 - Dangerous Dapsone June 1, 2004 Bookwalter T. Dangerous Dapsone. PSNet [internet]. 2004. https://psnet.ahrq.gov/web-mm/dangerous-dapsone The Case A 78-year-old woman with newly diagnosed multiple myeloma on corticosteroids presented to the emergency department with dyspnea. Upon admission, she was found to be hypo…

2420. Improving Patient Safety in Ambulatory Surgery Centers: A Resource List for Users of the AHRQ Ambulatory Surgery Center Survey on Patient Safety Culture. (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/resources/asc-resource_list.pdf
      March 01, 2016 - Improving Patient Safety in Ambulatory Surgery Centers: A Resource List for Users of the AHRQ Ambulatory Surgery Center Survey on Patient Safety Culture. Improving Patient Safety in Ambulatory Surgery Centers: A Resource List for Users of the AHRQ Ambulatory Surgery Center Survey on Patient Safety Culture Purpos…