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  1. Communication and birth experiences among Black birthing people who experienced preterm birth. | PSNet

    psnet.ahrq.gov/issue/communication-and-birth-experiences-among-black-birthing-people-who-experienced-preterm-birth
    September 23, 2020 - Study Communication and birth experiences among Black birthing people who experienced preterm birth. Citation Text: Gregory EF, Johnson GT, Barreto A, et al. Communication and birth experiences among Black birthing people who experienced preterm birth. Ann Fam Med. 2024;22(1):31-36. doi:…

  2. Improving physician's hand over among oncology staff using standardized communication tool. | PSNet

    psnet.ahrq.gov/issue/improving-physicians-hand-over-among-oncology-staff-using-standardized-communication-tool
    November 11, 2020 - Commentary Improving physician's hand over among oncology staff using standardized communication tool. Citation Text: Alolayan A, Alkaiyat M, Ali Y, et al. Improving physician's hand over among oncology staff using standardized communication tool. BMJ Qual Improv Rep. 2017;6(1). doi:10.1…

  3. Adverse events in women giving birth in a labor ward: a retrospective record review study. | PSNet

    psnet.ahrq.gov/issue/adverse-events-women-giving-birth-labor-ward-retrospective-record-review-study
    April 14, 2021 - Study Adverse events in women giving birth in a labor ward: a retrospective record review study. Citation Text: Skoogh A, Hall-Lord ML, Bååth C, et al. Adverse events in women giving birth in a labor ward: a retrospective record review study. BMC Health Serv Res. 2021;21(1):1093. doi:10.…

  4. A novel method for reproducibly measuring the effects of interventions to improve emotional climate, indices of team skills and communication, and threat to patient outcome in a high-volume thoracic surgery center. | PSNet

    psnet.ahrq.gov/issue/novel-method-reproducibly-measuring-effects-interventions-improve-emotional-climate-indices
    March 16, 2011 - Study A novel method for reproducibly measuring the effects of interventions to improve emotional climate, indices of team skills and communication, and threat to patient outcome in a high-volume thoracic surgery center. Citation Text: Nurok M, Lipsitz S, Satwicz P, et al. A novel me…

  5. Error or "act of God"? A study of patients' and operating room team members' perceptions of error definition, reporting, and disclosure. | PSNet

    psnet.ahrq.gov/issue/error-or-act-god-study-patients-and-operating-room-team-members-perceptions-error-definition
    August 10, 2011 - Study Error or "act of God"? A study of patients' and operating room team members' perceptions of error definition, reporting, and disclosure. Citation Text: Espin S, Levinson W, Regehr G, et al. Error or "act of God"? A study of patients' and operating room team members' perceptions o…

  6. Making the transition to nursing bedside shift reports. | PSNet

    psnet.ahrq.gov/issue/making-transition-nursing-bedside-shift-reports
    September 29, 2017 - Study Making the transition to nursing bedside shift reports. Citation Text: 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. Copy Citation Format: Google Scholar PubMed BibTeX End…

  7. Disclosing medical errors to patients: attitudes and practices of physicians and trainees. | PSNet

    psnet.ahrq.gov/issue/disclosing-medical-errors-patients-attitudes-and-practices-physicians-and-trainees
    February 15, 2011 - Study Disclosing medical errors to patients: attitudes and practices of physicians and trainees. Citation Text: Kaldjian LC, Jones EW, Wu BJ, et al. Disclosing medical errors to patients: attitudes and practices of physicians and trainees. J Gen Intern Med. 2007;22(7):988-96. Copy Ci…

  8. Teams, tribes and patient safety: overcoming barriers to effective teamwork in healthcare. | PSNet

    psnet.ahrq.gov/issue/teams-tribes-and-patient-safety-overcoming-barriers-effective-teamwork-healthcare
    November 17, 2014 - Review Teams, tribes and patient safety: overcoming barriers to effective teamwork in healthcare. Citation Text: Weller J, Boyd M, Cumin D. Teams, tribes and patient safety: overcoming barriers to effective teamwork in healthcare. Postgrad Med J. 2014;90(1061):149-54. doi:10.1136/postgra…

  9. The impact of electronic communication of medication discontinuation (CancelRx) on medication safety: a pilot study. | PSNet

    psnet.ahrq.gov/issue/impact-electronic-communication-medication-discontinuation-cancelrx-medication-safety-pilot
    December 07, 2022 - Study The impact of electronic communication of medication discontinuation (CancelRx) on medication safety: a pilot study. Citation Text: Pitts S, Yang Y, Woodroof T, et al. The impact of electronic communication of medication discontinuation (CancelRx) on medication safety: a pilot stud…

  10. "Mr Smith's been our problem child today...": anticipatory management communication (AMC) in VA end-of-shift medicine and nursing handoffs. | PSNet

    psnet.ahrq.gov/issue/mr-smiths-been-our-problem-child-today-anticipatory-management-communication-amc-va-end-shift
    January 22, 2016 - Study "Mr Smith's been our problem child today...": anticipatory management communication (AMC) in VA end-of-shift medicine and nursing handoffs. Citation Text: Bergman AA, Flanagan ME, Ebright PR, et al. "Mr Smith's been our problem child today…": anticipatory management communication (…

  11. For World Patient Safety Day 2023, AHRQ Recognizes the Imperative of Engaging Patients in Their Care | Agency for Healthcare Research and Quality

    www.ahrq.gov/news/blog/ahrqviews/world-patient-safety-day.html
    September 01, 2023 - AHRQ Views: Blog posts from AHRQ leaders For World Patient Safety Day 2023, AHRQ Recognizes the Imperative of Engaging Patients in Their Care SEP 14 2023 By Robert Otto Valdez, Ph.D., M.H.S.A. Robert Otto Valdez, Ph.D., M.H.S.A. The theme of World Patient Safety Day…

  12. Medical team training: applying crew resource management in the Veterans Health Administration. | PSNet

    psnet.ahrq.gov/issue/medical-team-training-applying-crew-resource-management-veterans-health-administration
    April 30, 2014 - Study Classic Medical team training: applying crew resource management in the Veterans Health Administration. Citation Text: Dunn EJ, Mills PD, Neily J, et al. Medical team training: applying crew resource management in the Veterans Health Administration. Jt Com…

  13. The effect of an electronic SBAR communication tool on documentation of acute events in the pediatric intensive care unit. | PSNet

    psnet.ahrq.gov/issue/effect-electronic-sbar-communication-tool-documentation-acute-events-pediatric-intensive-care
    August 12, 2015 - Study The effect of an electronic SBAR communication tool on documentation of acute events in the pediatric intensive care unit. Citation Text: Panesar RS, Albert B, Messina C, et al. The Effect of an Electronic SBAR Communication Tool on Documentation of Acute Events in the Pediatric In…

  14. Pending studies at hospital discharge: a pre-post analysis of an electronic medical record tool to improve communication at hospital discharge. | PSNet

    psnet.ahrq.gov/issue/pending-studies-hospital-discharge-pre-post-analysis-electronic-medical-record-tool-improve
    September 16, 2020 - Study Pending studies at hospital discharge: a pre-post analysis of an electronic medical record tool to improve communication at hospital discharge. Citation Text: Kantor MA, Evans KH, Shieh L. Pending studies at hospital discharge: a pre-post analysis of an electronic medical record to…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45375/psn-pdf
    September 27, 2016 - Association of a web-based handoff tool with rates of medical errors. September 27, 2016 Mueller SK, Yoon CS, Schnipper JL. Association of a Web-Based Handoff Tool With Rates of Medical Errors. JAMA Intern Med. 2016;176(9):1400-2. doi:10.1001/jamainternmed.2016.4258. https://psnet.ahrq.gov/issue/association-web-ba…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36184/psn-pdf
    June 13, 2011 - Developing and implementing new safe practices: voluntary adoption through statewide collaboratives. June 13, 2011 Leape L, Rogers G, Hanna D, et al. Developing and implementing new safe practices: voluntary adoption through statewide collaboratives. Qual Saf Health Care. 2006;15(4):289-95. https://psnet.ahrq.gov/…

  17. USA, VA, Charlottesville | Digital Healthcare Research

    digital.ahrq.gov/location/usa-va-charlottesville
    January 01, 2023 - USA, VA, Charlottesville Improving Pediatric Donor Heart Utilization with Predictive Analytics Description This study aims to optimize the use of donor hearts for infants and children awaiting heart transplantation by developing predictive models to assess in real-time the pot…

  18. Introduction to Communication and Optimal Resolution (CANDOR): Video | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/hospital/candor/videos/introduction.html
    August 01, 2022 - Introduction to Communication and Optimal Resolution (CANDOR): Video AHRQ Communication and Optimal Resolution Toolkit Communication and Optimal Resolution (CANDOR) is a process that health care institutions and practitioners can use to respond in a timely, thorough, and just way when unexpected events cause …

  19. Staff Roles and Training forYour Pressure Ulcer Prevention Program (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/webinars/webinar3_pu_staffroles.pdf
    January 01, 2014 - Staff Roles and Training forYour Pressure Ulcer Prevention Program Staff Roles and Training for Your Pressure Ulcer Prevention Program Presented by Elizabeth A. Ayello Ph.D., RN, ACNS-BC, CWON, ETN, MAPWCA, FAAN Excelsior College School of Nursing Welcome! Thank you for joining this webinar about staff role…

  20. Speech Telerehabilition after stroke: Proof of Concept and Feasibility - Final Report (pdf file)

    digital.ahrq.gov/sites/default/files/docs/citation/r03hs025043-ellis-final-report-2019.pdf
    January 01, 2019 - Speech Telerehabilition after stroke: Proof of Concept and Feasibility - Final Report 1. TITLE PAGE Title of Project: Speech Telerehabilition after stroke: Proof of Concept and Feasibility Principal Investigator and Team Members: Charles Ellis (PI), Xiangming Fang (Co-I) Organization: East Ca…
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