-
psnet.ahrq.gov/issue/do-safety-checklists-improve-teamwork-and-communication-operating-room-systematic-review
January 19, 2016 - Review
Do safety checklists improve teamwork and communication in the operating room? A systematic review.
Citation Text:
Russ S, Rout S, Sevdalis N, et al. Do safety checklists improve teamwork and communication in the operating room? A systematic review. Ann Surg. 2013;258(6):856-71. …
-
psnet.ahrq.gov/issue/use-briefings-and-debriefings-tool-improving-team-work-efficiency-and-communication-operating
September 07, 2011 - Study
Use of briefings and debriefings as a tool in improving team work, efficiency, and communication in the operating theatre.
Citation Text:
Bethune R, Sasirekha G, Sahu A, et al. Use of briefings and debriefings as a tool in improving team work, efficiency, and communication in the…
-
psnet.ahrq.gov/issue/effects-interdisciplinary-collaboration-hospitals-medication-errors-integrative-review
June 16, 2021 - Review
Effects of interdisciplinary collaboration in hospitals on medication errors: an integrative review.
Citation Text:
Manias E. Effects of interdisciplinary collaboration in hospitals on medication errors: an integrative review. Expert Opin Drug Saf. 2018;17(3):259-275. doi:10.1080/…
-
psnet.ahrq.gov/node/38808/psn-pdf
January 01, 2013 - Patient Safety Organizations: a new paradigm in quality
management and communication systems in healthcare.
July 22, 2009
Dotan DB. Patient safety organizations. J Clin Engineer. 2013;34(3):142-146.
doi:10.1097/jce.0b013e3181aae4b2.
https://psnet.ahrq.gov/issue/patient-safety-organizations-new-paradigm-quality-man…
-
psnet.ahrq.gov/node/34603/psn-pdf
September 29, 2017 - Disclosure of unanticipated events: creating an effective
patient communication policy (part 2 of 3).
September 29, 2017
American Society of Healthcare Risk Management; ASHRM
https://psnet.ahrq.gov/issue/disclosure-unanticipated-events-creating-effective-patient-communication-
policy-part-2-3
The process for craf…
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-241-bmi-communication-section-6-tables-3-4.pdf
June 02, 2025 - CHIPRA 241: Section 6, Tables 3 and 4
Table 3: Agreement and Kappa Statistics for Inter-Rater Reliability
Variable Description
Records
Reviewed
For IRR (N)
N Agreed
(%)
Kappa
Statistic
Documentation of communication of weight status 20 18 (90) 0.899
Documentation of height 20 20 (100) 1
Docum…
-
psnet.ahrq.gov/node/44542/psn-pdf
December 22, 2018 - The prevalence of medical error related to end-of-life
communication in Canadian hospitals: results of a
multicentre observational study.
December 22, 2018
Heyland DK, Ilan R, Jiang X, et al. The prevalence of medical error related to end-of-life communication in
Canadian hospitals: results of a multicentre observ…
-
psnet.ahrq.gov/node/36909/psn-pdf
January 05, 2017 - Medical team training: applying crew resource
management in the Veterans Health Administration.
January 5, 2017
Dunn EJ, Mills PD, Neily J, et al. Medical team training: applying crew resource management in the
Veterans Health Administration. Jt Comm J Qual Patient Saf. 2007;33(6):317-325.
https://psnet.ahrq.gov/i…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/envscan-app-f.pdf
January 01, 2015 - Appendix F. Interventions
Guide to Improving Patient Safety in Primary Care Settings b…
-
psnet.ahrq.gov/node/42357/psn-pdf
December 04, 2016 - Disclosing medical mistakes: a communication
management plan for physicians.
December 4, 2016
Petronio S, Torke A, Bosslet G, et al. Disclosing medical mistakes: a communication management plan for
physicians. Perm J. 2013;17(2):73-9. doi:10.7812/TPP/12-106.
https://psnet.ahrq.gov/issue/disclosing-medical-mistakes…
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/nft-state-simulation.xlsx
June 02, 2025 - Child HCAHPS NFT State Simulation
census division
Table 1 Mean, Standard Deviation (SD), Range of Hospital-Level Top Scores by Census Division in Child HCAHPS National Field Test
Census Division Census division 1 Census division 2 Census division 3 Census division 4 Census division 5 Census division 6 Census divisio…
-
digital.ahrq.gov/sites/default/files/docs/citation/r01hs023793-gold-final-report-2021.pdf
January 01, 2021 - EHR Solutions for Accurate Reporting of Data on Interprofessional ICU Rounds - Final Report
Title of Project: EHR solutions for accurate reporting of data on interprofessional ICU rounds
Principal Investigator: Jeffrey A. Gold
Co-Investigators: Vishnu Mohan, Judith Baggs, David Bearden, Debo…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/safe-electronic/e-fetal-monitoring.pptx
May 01, 2017 - AHRQ Safety Program for Perinatal Care: Monitoring for Perinatal Safety: Electronic Fetal Monitoring
AHRQ Safety Program for Perinatal Care
Monitoring for Perinatal Safety:
Electronic Fetal Monitoring
AHRQ Publication No. 17-0003-18-EF
May 2017
1
Learning Objectives
2
AHRQ Safety Program for Perinatal Care
Elect…
-
cdsic.ahrq.gov/sites/default/files/2024-09/SRF_Patient%20Preference%20Standardization%20Priorities_508.pdf
January 01, 2024 - Protection Act, which requires that
organizations receive consent before sending
certain digital communications … Federal Communications Commission. Published July 23, 2018.
-
psnet.ahrq.gov/web-mm/dangerous-dapsone
January 10, 2011 - Dangerous Dapsone
Citation Text:
Bookwalter T. Dangerous Dapsone. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS…
-
www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/medication/safe-medication-slides.html
July 01, 2023 - Safe Medication Administration: Slide Presentation
AHRQ Safety Program for Perinatal Care
Slide 1: AHRQ Safety Program for Perinatal Care
Safe Medication Administration
Slide 2: Learning Objectives
Image: Four ascending steps show the learning objectives:
Define high-alert medications.
Identif…
-
www.ahrq.gov/ncepcr/care/coordination/atlas/chapter6v.html
June 01, 2014 - Care Coordination Measures Atlas Update
Chapter 6. Measure Maps and Profiles (continued, 23)
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…
-
www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/resources/issue-briefs/dx-safety-patient-role.pdf
September 01, 2024 - or Get Off the Blood Glucose Roller Coaster are informative but generalized unidirectional
communications … patient’s needs in the
current healthcare setting26,27––means patients feel they have to ensure complete communications
-
www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/dx-safety-issue-brief-co-design-rev.pdf
September 01, 2024 - or Get Off the Blood Glucose Roller Coaster are informative but generalized unidirectional
communications … patient’s needs in the
current healthcare setting26,27––means patients feel they have to ensure complete communications
-
psnet.ahrq.gov/node/49654/psn-pdf
June 01, 2012 - Transfer Troubles
June 1, 2012
Hains IM. Transfer Troubles. PSNet [internet]. 2012.
https://psnet.ahrq.gov/web-mm/transfer-troubles
Case Objectives
Recognize that transfer of patients between hospitals is common.
Understand the frequency of errors and adverse events in the transfer of patients between hospitals.
…