AHRQ Patient Safety Network

The Collection > Communication Improvement

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Safety Target

•Device-related Complications (21)

•Diagnostic Errors (58)

•Identification Errors (53)

•Discontinuities, Gaps, and Hand-Off Problems (368)

•Fatigue and Sleep Deprivation (11)

•Medication Safety (355)

•Medical Complications (83)

•Nonsurgical Procedural Complications (18)

•Surgical Complications (134)

•Transfusion Complications (4)

•Psychological and Social Complications (82)

Origin/Sponsor

•Asia (4)

•Australia and New Zealand (35)

Resource Types

•Clinical Guideline (1)

•Journal Article (806)

•Legislation/Regulation (17)

•Meeting/Conference (11)

•Newspaper/Magazine Article (158)

•Press Release/Announcement (3)

•Special or Theme Issue (30)

•Tools/Toolkit (28)

•Web Resource (27)

•Grant (4)

Error Types

•Epidemiology of Errors and Adverse Events (185)

•Active Errors (193)

•Latent Errors (84)

•Near Miss (19)

Approach to Improving Safety
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Communication Improvement

•Communication between Providers (713)

•Provider-Patient Communication (359)

Clinical Areas

•Allied Health Services (7)

•Medicine (822)

•Nursing (81)

•Pharmacy (136)

Target Audience

•Health Care Providers (972)

•Health Care Executives and Administrators (924)

•Non-Health Care Professionals (438)

•Patients (122)

Setting of Care

•Hospitals (723)

•Psychiatric Facilities (4)

•Residential Facilities (28)

•Ambulatory Care (185)

•Outpatient Surgery (14)

•Patient Transport (12)

1 - 20 of 1191

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STUDY

Trends in primary care clinician perceptions of a new electronic health record.

El-Kareh R, Gandhi TK, Poon EG, et al. J Gen Intern Med. 2009;24:464-468.

STUDY

Physician perspectives on quality and error in the outpatient setting.

Manwell LB, Williams ES, Babbott S, Rabatin JS, Linzer M. WMJ. 2009;108:139-144.

STUDY

The management of test results in primary care: does an electronic medical record make a difference?

Elder NC, McEwen TR, Flach J, Gallimore J, Pallerla H. Fam Med. 2010;42:327-333.

STUDY

Patient safety climate in primary care: age matters.

Holden LM, Watts DD, Hinton WP. J Patient Saf. 2009;5:23-28.

STUDY

Using an electronic prescribing system to ensure accurate medication lists in a large multidisciplinary medical group.

Stock R, Scott J, Gurtel S. Jt Comm J Qual Patient Saf. 2009;35:271-279.

STUDY

Improving medication safety in primary care using electronic health records.

Nemeth LS, Wessell AM. J Patient Saf. 2010;6:238-243.

STUDY

Are opioid dependence and methadone maintenance treatment (MMT) documented in the medical record? A patient safety issue.

Walley AY, Farrar D, Cheng DM, Alford DP, Samet JH. J Gen Intern Med. 2009;24:1007-1011.

COMMENTARY

Urine a Tough Position.

Gandhi TK. AHRQ WebM&M [serial online]. October 2003.

STUDY

How improving practice relationships among clinicians and nonclinicians can improve quality in primary care.

Lanham HJ, McDaniel RR, Crabtree BF, et al. Jt Comm J Qual Patient Saf. 2009;35:457-466.

STUDY

Creating a better discharge summary: improvement in quality and timeliness using an electronic discharge summary.

O'Leary KJ, Liebovitz SM, Feinglass J, et al. J Hosp Med. 2009;4:219-225.

ORGANIZATIONAL POLICY/GUIDELINES

Transitions of Care Consensus Policy Statement American College of Physicians-Society of General Internal Medicine-Society of Hospital Medicine-American Geriatrics Society-American College of Emergency Physicians-Society of Academic Emergency Medicine.

Snow V, Beck D, Budnitz T, et al. J Gen Intern Med. 2009;24:971-976.

STUDY

Performance of a fail-safe system to follow up abnormal mammograms in primary care.

Grossman E, Phillips RS, Weingart SN. J Patient Saf. 2010;6:172-179.

TOOLKIT

Seven steps to patient safety in general practice.

National Patient Safety Agency. London, England: NHS; 2009.

STUDY

Implementation of a medication reconciliation process in an ambulatory internal medicine clinic.

Nassaralla CL, Naessens JM, Chaudhry R, Hansen MA, Scheitel SM. Qual Saf Health Care. 2007;16:90-94.

STUDY

Frequency of failure to inform patients of clinically significant outpatient test results.

Casalino LP, Dunham D, Chin MH, et al. Arch Intern Med. 2009;169:1123-1129.

NEWSPAPER/MAGAZINE ARTICLE

Rx for medication errors.

Friedley NJ. Med Econ. October 17, 2008;85:34-38.

BOOK/REPORT

Safer Hospital Care: Strategies for Continuous Innovation.

Raheja D. New York, NY: Productivity Press; 2011. ISBN: 9781439821022.

STUDY

Medication reconciliation in ambulatory care: attempts at improvement.

Nassaralla CL, Naessens JM, Hunt VL, et al. Qual Saf Health Care. 2009;18:402-407.

COMMENTARY

Medication reconciliation campaign in a clinic for homeless patients.

Moczygemba LR, Gatewood SB, Kennedy AK, et al. Am J Health Syst Pharm. 2012;69:558-562.

BOOK/REPORT classic

Safe Patients, Smart Hospitals: How One Doctor's Checklist Can Help Us Change Health Care from the Inside Out.

Pronovost P, Vohr E. New York, NY: Hudson Street Press; 2010. ISBN: 9781594630644.

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