Module 2: Communicating Change in a Resident's Condition

Improving Patient Safety in Long-Term Care Facilities

Student Workbook

This student workbook was prepared for the Agency for Healthcare Research and Quality by RAND Corporation under contract 290-06-00017-7. It is one component of a four-part set of training modules intended for use in long-term care facilities to improve patient safety.

Prepared by:

RAND Health
Santa Monica, CA
Stephanie L. Taylor, PhD, MPH
Debra Saliba, MD, MPH

This student workbook is from the first module of a three-module set of training materials. Module 1 focuses on communicating changes in a resident's condition, and Module 3 covers falls prevention and management. Select for information on other materials in this set.


Learning and Performance Objectives
   Knowledge Objectives
   Performance Objectives
Session 1
   Working Toward a Safe Environment
   Communicating About Unwanted Events
   Communication: A Skill You Can Learn
Session 2
   Communication Tools
   What Should Be Communicated
   Communication Action Steps for Nursing Assistants
   Communication Action Steps for Licensed Nurses
   Four Points to Remember
   Pearls and Pitfalls
Additional Tools and Resources
Appendix. Example of the SBAR and CUS Tools

These training materials were developed for the Agency for Healthcare Research and Quality under contract 290-06-00017-7, by RAND Health, Santa Monica, CA. Project Leaders Stephanie L. Taylor, PhD, MPH, and Debra Saliba, MD, MPH; Project Director Victoria Shier, MPA, all of RAND Health; Subcontractor staff from Northwestern University: Linda Emanuel, MD, PhD; Celia Berdes, MSPH, PhD; Karen Glasser Scandrett, MD, MPH; Amy Lobner, MPH; and Derek Jarvis.

Note: At the time these training materials were developed, Stephanie L. Taylor, PhD, MPH, was affiliated with RAND Health. Her current affiliation is Associate Director, Center of Excellence for the Study of Healthcare Provider Behavior, U.S. Department of Veterans Affairs, Los Angeles, CA.

This document is in the public domain and may be used and reprinted without permission.

The opinions presented in this guide are those of the authors, who are responsible for its content, and do not necessarily reflect the position of the U.S. Department of Health and Human Services or the Agency for Healthcare Research and Quality.


The RAND Corporation and Northwestern University Feinberg School of Medicine thank The Moorings of Arlington Heights (one of the Presbyterian Homes) for providing valuable feedback on the development and refinement of the materials by participating in focus groups and trainings.

Page last reviewed March 2019
Page originally created June 2012
Internet Citation: Module 2: Communicating Change in a Resident's Condition. Content last reviewed March 2019. Agency for Healthcare Research and Quality, Rockville, MD.
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