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  1. 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. …
  2. 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…
  3. 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/…
  4. Psn-Pdf (pdf file)

    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…
  5. Psn-Pdf (pdf file)

    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…
  6. 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…
  7. Psn-Pdf (pdf file)

    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…
  8. Psn-Pdf (pdf file)

    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…
  9. 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…
  10. Psn-Pdf (pdf file)

    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…
  11. 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…
  12. 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…
  13. 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…
  14. 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.
  15. 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…
  16. 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…
  17. 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…
  18. 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
  19. 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
  20. Psn-Pdf (pdf file)

    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. …