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2441. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39677/psn-pdf
      April 12, 2011 - Pharmacy student knowledge and communication of medication errors. April 12, 2011 Rickles NM, Noland CM, Tramontozzi A, et al. Pharmacy student knowledge and communication of medication errors. Am J Pharm Educ. 2010;74(4):60. https://psnet.ahrq.gov/issue/pharmacy-student-knowledge-and-communication-medication-erro…

2442. Good Catch in the Operating Room | PSNet
      psnet.ahrq.gov/web-mm/good-catch-operating-room
      August 27, 2017 - Good Catch in the Operating Room Citation Text: Day J, Paige JT. Good Catch in the Operating Room. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote …

2443. Chapter 6. Measure Maps and Profiles (continued, 24) | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/care/coordination/atlas/chapter6w.html
      June 01, 2014 - Care Coordination Measures Atlas Update Chapter 6. Measure Maps and Profiles (continued, 24) Previous Page Next Page Table of Contents Care Coordination Measures Atlas Update Chapter 1: Background Chapter 2. What is Care Coordination? Chapter 3. Care Coordination Measurement Framework Chapte…

2444. Improving Patient Safety in Hospitals: A Resource List for Users of the AHRQ Hospital Survey on Patient Safety Culture (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospitalresourcelist.pdf
      January 01, 2019 - Handoff Communication Tools https://www.beckersasc.com/asc-quality-infection-control/10-patient-handoff- communications-tools … This article lists 10 tools to assist in better patient handoff communications and to avoid errors.

2445. 2024 Results for the AHRQ Surveys on Patient Safety Culture® (SOPS®) Diagnostic Safety Supplemental Item Set for Medical Offices (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/medical-office-diagnostic-safety-database-report-2024.pdf
      January 01, 2024 - This finding indicates room for improvement in communications with nonprovider staff on these items,

2446. The effects of crew resource management on teamwork and safety climate at Veterans Health Administration facilities. | PSNet
      psnet.ahrq.gov/issue/effects-crew-resource-management-teamwork-and-safety-climate-veterans-health-administration
      December 11, 2024 - Study The effects of crew resource management on teamwork and safety climate at Veterans Health Administration facilities. Citation Text: Schwartz ME, Welsh DE, Paull DE, et al. The effects of crew resource management on teamwork and safety climate at Veterans Health Administration facil…

2447. Patient safety in actioning and communicating blood test results in primary care: a UK wide audit using the Primary Care Academic CollaboraTive (PACT). | PSNet
      psnet.ahrq.gov/issue/patient-safety-actioning-and-communicating-blood-test-results-primary-care-uk-wide-audit
      August 03, 2022 - Study Patient safety in actioning and communicating blood test results in primary care: a UK wide audit using the Primary Care Academic CollaboraTive (PACT). Citation Text: Watson J, Duncan P, Burrell A, et al. Patient safety in actioning and communicating blood test results in primary c…

2448. "First, Do No Harm": Using Health Information Technology to Reduce Use of Preventive Services with Potential Harms | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/first-do-no-harm-using-health-information-technology-reduce-use-preventive
      January 01, 2023 - "First, Do No Harm": Using Health Information Technology to Reduce Use of Preventive Services with Potential Harms Project Description Annual Summaries Project Details - Completed Contract Number 290-09-00032U Funding Mechanism(s) …

2449. Communicating with patients about diagnostic errors in breast cancer care: providers' attitudes, experiences, and advice | PSNet
      psnet.ahrq.gov/issue/communicating-patients-about-diagnostic-errors-breast-cancer-care-providers-attitudes
      March 11, 2013 - Study Communicating with patients about diagnostic errors in breast cancer care: providers' attitudes, experiences, and advice Citation Text: Reisch LM, Prouty CD, Elmore JG, et al. Communicating with patients about diagnostic errors in breast cancer care: Providers’ attitudes, experienc…

2450. Understanding CAHPS® Surveys: A Primer for New Users - Shaller (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/webinar-012220-shaller.pdf
      June 02, 2025 - Understanding CAHPS® Surveys: A Primer for New Users - Shaller HOW ARE SURVEY RESULTS USED? Dale Shaller, M.P.A. Principal Shaller Consulting Group How Are Survey Results Used? • Quality improvement • Public reporting • Value-based payment • Recognition and certification • Research 30 Using CAHPS Surve…

2451. Closing the loop on test results to reduce communication failures: a rapid review of evidence, practice and patient perspectives. | PSNet
      psnet.ahrq.gov/issue/closing-loop-test-results-reduce-communication-failures-rapid-review-evidence-practice-and
      March 11, 2020 - Review Closing the loop on test results to reduce communication failures: a rapid review of evidence, practice and patient perspectives. Citation Text: Wright B, Lennox A, Graber ML, et al. Closing the loop on test results to reduce communication failures: a rapid review of evidence, pra…

2452. Nurse-physician communication in the long-term care setting: perceived barriers and impact on patient safety. | PSNet
      psnet.ahrq.gov/issue/nurse-physician-communication-long-term-care-setting-perceived-barriers-and-impact-patient
      February 23, 2011 - Study Nurse-physician communication in the long-term care setting: perceived barriers and impact on patient safety. Citation Text: Tjia J, Mazor KM, Field T, et al. Nurse-physician communication in the long-term care setting: perceived barriers and impact on patient safety. J Patient S…

2453. Does team reflexivity impact teamwork and communication in interprofessional hospital-based healthcare teams? A systematic review and narrative synthesis. | PSNet
      psnet.ahrq.gov/issue/does-team-reflexivity-impact-teamwork-and-communication-interprofessional-hospital-based
      July 21, 2017 - Review Emerging Classic Does team reflexivity impact teamwork and communication in interprofessional hospital-based healthcare teams? A systematic review and narrative synthesis. Citation Text: McHugh SK, Lawton R, O'Hara JK, et al. Does team reflexivity impact …

2454. Technology-based closed-loop tracking for improving communication and follow-up of pathology results. | PSNet
      psnet.ahrq.gov/issue/technology-based-closed-loop-tracking-improving-communication-and-follow-pathology-results
      May 25, 2022 - Study Technology-based closed-loop tracking for improving communication and follow-up of pathology results. Citation Text: 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…

2455. Communication Strategies for Keeping Families Up to Date | Agency for Healthcare Research and Quality
      www.ahrq.gov/nursing-home/resources/communication-strategies.html
      May 01, 2021 - Communication Strategies for Keeping Families Up to Date Resource: Communication Strategies for Keeping Families Up to Date (PDF, 75.2 KB)  ​This document provides ideas for communicating with family members of residents during COVID-19. It offers a list of tactics to ensure important communication is sha…

2456. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35956/psn-pdf
      August 02, 2010 - Patient Guide: 10 Ways to Improve Communication with Your Doctor. August 2, 2010 Patient Guide: 10 Ways to Improve Communication With Your Doctor. J Patient Saf. 2008;1(4). doi:10.1097/01.jps.0000199856.82316.50. https://psnet.ahrq.gov/issue/patient-guide-10-ways-improve-communication-your-doctor This article lis…

2457. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49858/psn-pdf
      April 01, 2019 - What Happened on Telemetry? April 1, 2019 Sandau KE, Funk M. What Happened on Telemetry? PSNet [internet]. 2019. https://psnet.ahrq.gov/web-mm/what-happened-telemetry Case Objectives Describe current hospital practices for continuous telemetry monitoring. Appreciate key recommendations from the Update to Practice…

2458. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41437/psn-pdf
      January 03, 2017 - Making the transition to nursing bedside shift reports. January 3, 2017 Wakefield DS, Ragan R, Brandt J, et al. Making the transition to nursing bedside shift reports. Jt Comm J Qual Patient Saf. 2012;38(6):243-53. https://psnet.ahrq.gov/issue/making-transition-nursing-bedside-shift-reports Efforts to improve comm…

2459. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866111/psn-pdf
      June 12, 2024 - Does nurse use of a standardized flowsheet to document communication with advanced providers provide a mechanism to detect pulse oximetry failures? A retrospective study of electronic health record data. June 12, 2024 Gleason KT, Tran A, Fawzy A, et al. Does nurse use of a standardized flowsheet to document commu…

2460. Introducing the Child HCAHPS® Survey Database webcast-Toomey-1 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/child-hcahps-overview-survey.pdf
      June 02, 2025 - Introducing the Child HCAHPS® Survey Database webcast-Toomey-1 OVERVIEW OF THE CHILD HCAHPS SURVEY Sara Toomey, MD, MPhil, MPH, MSc Chief Safety and Quality Officer, SVP Chief Experience Officer Director/PI, Center of Excellence for Pediatric Quality Measurement Boston Children’s Hospital Child HCAHPS Survey I…