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  1. psnet.ahrq.gov/issue/epidemiology-adverse-events-air-medical-transport
    July 03, 2014 - Study Epidemiology of adverse events in air medical transport. Citation Text: MacDonald RD, Banks BA, Morrison M. Epidemiology of adverse events in air medical transport. Acad Emerg Med. 2008;15(10):923-931. doi:10.1111/j.1553-2712.2008.00241.x. Copy Citation Format: DOI Go…
  2. psnet.ahrq.gov/issue/systematic-review-falls-hospital-patients-communication-disability-highlighting-invisible
    April 15, 2016 - Review A systematic review of falls in hospital for patients with communication disability: highlighting an invisible population. Citation Text: Hemsley B, Steel J, Worrall L, et al. A systematic review of falls in hospital for patients with communication disability: Highlighting an invi…
  3. psnet.ahrq.gov/issue/reflection-adverse-event-disclosure-postsurgical-hospital-context
    August 20, 2018 - Commentary Reflection on adverse event disclosure in the postsurgical hospital context. Citation Text: Roberts F, Gettings P, Torbeck L, et al. Reflection on adverse event disclosure in the postsurgical hospital context. J Surg Educ. 2015;72(4):767-70. doi:10.1016/j.jsurg.2014.12.016. …
  4. psnet.ahrq.gov/issue/postoperative-handover-problems-pitfalls-and-prevention-error
    September 26, 2012 - Image/Poster Postoperative handover: problems, pitfalls, and prevention of error. Citation Text: Nagpal K, Arora S, Abboudi M, et al. Postoperative handover: problems, pitfalls, and prevention of error. Ann Surg. 2010;252(1):171-6. doi:10.1097/SLA.0b013e3181dc3656. Copy Citation …
  5. psnet.ahrq.gov/issue/physician-understanding-and-ability-communicate-harms-and-benefits-common-medical-treatments
    September 28, 2016 - Study Physician understanding and ability to communicate harms and benefits of common medical treatments. Citation Text: Krouss M, Croft LD, Morgan DJ. Physician Understanding and Ability to Communicate Harms and Benefits of Common Medical Treatments. JAMA Intern Med. 2016;176(10):1565-1…
  6. psnet.ahrq.gov/issue/persistence-unsafe-practice-everyday-work-exploration-organizational-and-psychological
    April 06, 2011 - Study Persistence of unsafe practice in everyday work: an exploration of organizational and psychological factors constraining safety in the operating room. Citation Text: Espin S, Lingard L, Baker GR, et al. Persistence of unsafe practice in everyday work: an exploration of organizati…
  7. psnet.ahrq.gov/issue/team-communication-during-patient-handover-operating-room-more-facts-and-figures
    December 16, 2009 - Study Team communication during patient handover from the operating room: more than facts and figures. Citation Text: Manser T, Foster S, Flin R, et al. Team communication during patient handover from the operating room: more than facts and figures. Hum Factors. 2013;55(1):138-56. Cop…
  8. psnet.ahrq.gov/issue/educational-intervention-increase-speaking-behaviors-nurses-and-improve-patient-safety
    May 08, 2013 - Study An educational intervention to increase "speaking-up" behaviors in nurses and improve patient safety. Citation Text: Sayre MM, McNeese-Smith D, Leach LS, et al. An educational intervention to increase "speaking-up" behaviors in nurses and improve patient safety. J Nurs Care Qual.…
  9. psnet.ahrq.gov/issue/slowing-down-stay-out-trouble-operating-room-remaining-attentive-automaticity
    December 12, 2012 - Study Slowing down to stay out of trouble in the operating room: remaining attentive in automaticity. Citation Text: Moulton C-A, Regehr G, Lingard LA, et al. Slowing down to stay out of trouble in the operating room: remaining attentive in automaticity. Acad Med. 2010;85(10):1571-7. d…
  10. psnet.ahrq.gov/issue/error-omission-simple-checklist-approach-improving-operating-room-safety
    August 03, 2022 - Commentary The error of omission: a simple checklist approach for improving operating room safety. Citation Text: Rosenfield LK, Chang DS. The error of omission: a simple checklist approach for improving operating room safety. Plast Reconstr Surg. 2009;123(1):399-402. doi:10.1097/PRS.0…
  11. psnet.ahrq.gov/issue/changes-physician-practice-patterns-after-implementation-communication-and-resolution-program
    September 01, 2018 - Study Changes in physician practice patterns after implementation of a communication-and-resolution program. Citation Text: Helmchen LA, Lambert BL, McDonald TB. Changes in Physician Practice Patterns after Implementation of a Communication-and-Resolution Program. Health Serv Res. 2016;5…
  12. psnet.ahrq.gov/issue/experimental-study-nurse-physician-relationships
    July 14, 2010 - Study Classic An experimental study in nurse-physician relationships. Citation Text: Hofling CK, Brotzman E, Dalrymple S, et al. An experimental study in nurse-physician relationships. J Nerv Ment Dis. 1966;143(2):171-80. Copy Citation Format: Go…
  13. psnet.ahrq.gov/issue/interventions-improve-timely-cancer-diagnosis-integrative-review
    May 25, 2022 - Study Interventions to improve timely cancer diagnosis: an integrative review. Citation Text: Graber ML, Winters BD, Matin R, et al. Interventions to improve timely cancer diagnosis: an integrative review. Diagnosis (Berl). 2024;Epub Oct 18. doi:10.1515/dx-2024-0113. Copy Citation …
  14. psnet.ahrq.gov/issue/case-based-simulation-empowering-pediatric-residents-communicate-about-diagnostic-uncertainty
    November 27, 2017 - Study Case-based simulation empowering pediatric residents to communicate about diagnostic uncertainty. Citation Text: Olson ME, Borman-Shoap E, Mathias K, et al. Case-based simulation empowering pediatric residents to communicate about diagnostic uncertainty. Diagnosis (Berl). 2018;5(4)…
  15. Dailygoals (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/dailygoals.docx
    January 01, 2003 - Daily Goals Checklist Problem statement: Clear communication among health care providers is paramount. Communication failures lead to patient harm, increased length of stay, provider dissatisfaction, and staff turnover. Effective communication is particularly important in the unit if complicated care plans are to be …
  16. psnet.ahrq.gov/issue/patients-and-physicians-attitudes-regarding-disclosure-medical-errors
    March 21, 2017 - Study Classic Patients' and physicians' attitudes regarding the disclosure of medical errors. Citation Text: Gallagher TH, Waterman AD, Ebers AG, et al. Patients' and physicians' attitudes regarding the disclosure of medical errors. JAMA. 2003;289(8):1001-7. …
  17. psnet.ahrq.gov/issue/problems-after-discharge-and-understanding-communication-their-primary-care-physicians-pcps
    March 28, 2018 - Study Problems after discharge and understanding of communication with their primary care physicians (PCPs) among hospitalized seniors: a mixed methods study. Citation Text: Arora V, Prochaska ML, Farnan JM, et al. Problems after discharge and understanding of communication with their p…
  18. psnet.ahrq.gov/issue/long-term-sustainability-and-adaptation-i-pass-handovers
    September 09, 2020 - Study Long-term sustainability and adaptation of I-PASS handovers. Citation Text: Ryan SL, Logan M, Liu X, et al. Long-term sustainability and adaptation of I-PASS handovers. Jt Comm J Qual Patient Saf. 2023;19(12):689-697. doi:10.1016/j.jcjq.2023.07.007. Copy Citation Format: …
  19. psnet.ahrq.gov/issue/patient-whiteboards-communication-tool-hospital-setting-survey-practices-and-recommendations
    February 18, 2011 - Study Patient whiteboards as a communication tool in the hospital setting: A survey of practices and recommendations. Citation Text: Sehgal NL, Green A, Vidyarthi A, et al. Patient whiteboards as a communication tool in the hospital setting: a survey of practices and recommendations. J …
  20. psnet.ahrq.gov/issue/liability-associated-obstetric-anesthesia-closed-claims-analysis
    July 13, 2010 - Study Liability associated with obstetric anesthesia: a closed claims analysis. Citation Text: Davies JM, Posner KL, Lee LA, et al. Liability associated with obstetric anesthesia: a closed claims analysis. Anesthesiology. 2009;110(1):131-139. doi:10.1097/ALN.0b013e318190e16a. Copy Cita…