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psnet.ahrq.gov/node/44760/psn-pdf
July 10, 2024 - Collaborative for Accountability and Improvement.
July 10, 2024
University of Washington.
https://psnet.ahrq.gov/issue/collaborative-accountability-and-improvement
Communication-and-resolution programs (CRPs) are a promising strategy to improve respectful and
effective discussions with patients and families after …
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digital.ahrq.gov/ahrq-funded-projects/effect-health-information-technology-health-care-provider-communication/citation/sending
January 01, 2023 - It's like sending a message in a bottle: A qualitative study of the consequences of one-way communication technologies in hospitals.
Citation
Lafferty M, Harrod M, Krein S, Manojlovich M. It's like sending a message in a bottle: A qualitative study of the consequences of one-way communication technolo…
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digital.ahrq.gov/ahrq-funded-projects/effect-health-information-technology-health-care-provider-communication/citation/factors
January 01, 2023 - Factors influencing physician responsiveness to nurse-initiated communication: a qualitative study.
Citation
Manojlovich M, Harrod M, Hofer T, Lafferty M, McBratnie M, Krein SL. Factors influencing physician responsiveness to nurse-initiated communication: a qualitative study. BMJ Qual Saf. 2021 Sep;…
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www.ahrq.gov/teamstepps-program/resources/app/index.html
April 01, 2024 - TeamSTEPPS Pocket Guide App
The Pocket Guide App (released March 2024) is a quick-reference tool for the TeamSTEPPS® communication framework and it mirrors the TeamSTEPPS Pocket Guide .
Download AHRQ’s TeamSTEPPS app to put the structured communication tools and checklists from the TeamSTEPPS Pocket Guide at…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/rapid-response/tool_rapidresponse-systems.docx
May 01, 2017 - AHRQ Safety Program for Perinatal Care: Rapid Response for Perinatal Safety: Rapid Response Systems
AHRQ Safety Program for Perinatal Care
Rapid Response for Perinatal Safety
Rapid Response Systems
Rapid Response for Perinatal Safety—Rapid Response Systems
Purpose of the tool: This tool describes the key perinatal saf…
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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/teamwork-ptsafety-norms-slides.pdf
August 01, 2025 - Improving Safety Using Teamwork and Patient Safety Norms
Creating and Maintaining a Culture of Safety Series
(Session 2)
Improving Safety Using Teamwork and Patient Safety Norms
NATIONAL WEBINAR SERIES
March 18, 2025
Housekeeping Instructions
• This webinar will be recorded and available for viewing on the NAA…
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psnet.ahrq.gov/web-mm/mistaken-identity
December 18, 2014 - Mistaken Identity
Citation Text:
Hall LW. Mistaken Identity. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2008.
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…
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/situ/simulation-shoulder-dystocia.html
July 01, 2023 - Sample Scenario for Shoulder Dystocia In Situ Simulation
AHRQ Safety Program for Perinatal Care
Purpose of the tool: The Shoulder Dystocia In Situ Simulation tool provides a sample scenario for labor and delivery (L&D) staff to practice teamwork, communication, and technical skills in the unit wh…
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psnet.ahrq.gov/web-mm/adverse-event-during-intrahospital-transport
June 16, 2021 - Adverse Event During Intrahospital Transport
Citation Text:
Bergman L, Chaboyer W. Adverse Event During Intrahospital Transport. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019.
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psnet.ahrq.gov/web-mm/40-k
January 12, 2011 - 40 of K
Citation Text:
Lesar TS. 40 of K. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
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digital.ahrq.gov/2018-year-review/research-summary/understanding-and-designing-health-it-persons-disabilities
January 01, 2018 - Understanding and Designing Health IT for Persons With Disabilities
Key Finding and Impact:
Health information communication for individuals with disabilities is multidimensional and includes conversations about support, disclosure, advocacy, and logistics. Informed changes to content, functionality, interfac…
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digital.ahrq.gov/2018-year-review/research-summary/using-technology-enhance-patient-communication-during-clinic
January 01, 2018 - Using Technology to Enhance Patient Communication During Clinic Visits
Key Finding and Impact:
Leveraging clinic room configuration allows the computer to become a facilitator to the patient visit, rather than a barrier between the provider and patient.
Computers have advantages, but may interfere with pa…
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digital.ahrq.gov/principal-investigator/fairbanks-rollin-j
January 01, 2023 - Fairbanks, Rollin J.
Usability in health IT: beyond compliance to meaningful design and assessment.
Citation
Fairbanks RJ, Bisantz A, Hettinger AZ, et al. Usability in health IT: beyond compliance to meaningful design and assessment. In Proceedings of the Human Factors and Er…
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www.ahrq.gov/faqs/index.html?page=4
June 12, 2025 - Frequently Asked Questions
Check to find the answers to your questions about the Agency for Healthcare Research and Quality (AHRQ)
programs and activities. You can search by category or key words. You can also send us your questions or website
feedback here. We will respond to your requests based on the bes…
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psnet.ahrq.gov/issue/factors-influencing-perioperative-nurses-error-reporting-preferences
June 23, 2010 - Study
Factors influencing perioperative nurses' error reporting preferences.
Citation Text:
Espin S, Regehr G, Levinson W, et al. Factors influencing perioperative nurses' error reporting preferences. AORN J. 2007;85(3):527-43.
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psnet.ahrq.gov/issue/medication-safety-emergency-medical-services-approaching-evidence-based-method-verification
September 28, 2022 - Study
Medication safety in emergency medical services: approaching an evidence-based method of verification to reduce errors.
Citation Text:
Misasi P, Keebler JR. Medication safety in emergency medical services: approaching an evidence-based method of verification to reduce errors. Ther …
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psnet.ahrq.gov/issue/system-errors-intrapartum-electronic-fetal-monitoring-case-review
May 16, 2012 - Commentary
System errors in intrapartum electronic fetal monitoring: a case review.
Citation Text:
Miller L. System errors in intrapartum electronic fetal monitoring: a case review. J Midwifery Womens Health. 2005;50(6):507-16.
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psnet.ahrq.gov/issue/schwartz-center-rounds-evaluation-interdisciplinary-approach-enhancing-patient-centered
October 14, 2020 - Study
The Schwartz Center Rounds: evaluation of an interdisciplinary approach to enhancing patient-centered communication, teamwork, and provider support.
Citation Text:
Lown BA, Manning CF. The Schwartz Center Rounds: evaluation of an interdisciplinary approach to enhancing patient-ce…
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psnet.ahrq.gov/issue/protecting-patients-unsafe-system-etiology-and-recovery-intraoperative-deviations-care
October 19, 2012 - Study
Protecting patients from an unsafe system: the etiology and recovery of intraoperative deviations in care.
Citation Text:
Hu Y-Y, Arriaga AF, Roth EM, et al. Protecting patients from an unsafe system: the etiology and recovery of intraoperative deviations in care. Ann Surg. 2012;…
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psnet.ahrq.gov/issue/developing-team-performance-framework-intensive-care-unit
December 01, 2011 - Review
Developing a team performance framework for the intensive care unit.
Citation Text:
Reader TW, Flin R, Mearns K, et al. Developing a team performance framework for the intensive care unit. Crit Care Med. 2009;37(5):1787-1793. doi:10.1097/CCM.0b013e31819f0451.
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