AHRQ Patient Safety Network

The Collection > Communication Improvement

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Safety Target

•Device-related Complications (24)

•Diagnostic Errors (57)

•Identification Errors (62)

•Discontinuities, Gaps, and Hand-Off Problems (382)

•Fatigue and Sleep Deprivation (16)

•Medication Safety (358)

•Medical Complications (87)

•Nonsurgical Procedural Complications (17)

•Surgical Complications (186)

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•Psychological and Social Complications (96)

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•Award (6)

•Book/Report (84)

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Error Types

•Epidemiology of Errors and Adverse Events (180)

•Active Errors (202)

•Latent Errors (93)

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Approach to Improving Safety
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Communication Improvement

•Communication between Providers (821)

•Provider-Patient Communication (369)

Clinical Areas

•Allied Health Services (2)

Target Audience

•Health Care Providers (1021)

•Health Care Executives and Administrators (1015)

•Non-Health Care Professionals (440)

•Patients (142)

Setting of Care

•Hospitals (850)

•Psychiatric Facilities (6)

•Residential Facilities (22)

•Ambulatory Care (138)

•Outpatient Surgery (17)

•Patient Transport (12)

1 - 20 of 1312

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TOOLKIT

Patient Safety Rounding Toolkit.

Dana-Farber Cancer Institute.

STUDY

Risk of medication errors at hospital discharge and barriers to problem resolution.

Enguidanos SM, Brumley RD. Home Health Care Serv Q. 2005;24:123-135.

SPECIAL OR THEME ISSUE

Patient Safety in Pediatric Emergency Medicine.

Frush KS, Hohenhaus SM, eds. Clin Ped Emerg Med. 2006;7:213-277.

COMMENTARY

Right? Left? Neither!

Howell EA, Chassin MR. AHRQ WebM&M [serial online]. May 2006.

COMMENTARY

Making it easier to do the right thing: a modern communication QI agenda.

Wynia MK. Patient Educ Couns. 2012;88:364-366.

STUDY

Creating safety culture on nursing units: human performance and organizational system factors that make a difference.

Moody RF, Pesut DJ, Harrington CF. J Patient Saf. 2006;2:198-206.

AUDIOVISUAL

Empowering Better Nursing Care.

Robert Wood Johnson Foundation.

COMMENTARY

System errors in intrapartum electronic fetal monitoring: a case review.

Miller LA. J Midwifery Womens Health. 2005;50:507-516.

COMMENTARY

A multifaceted approach to improve patient safety, prevent medical errors and resolve the professional liability crisis.

Weinstein L. Am J Obstet Gynecol. 2006;194:1160-1165; discussion 1165-1167.

STUDY

Patient-reported service quality on a medicine unit.

Weingart SN, Pagovich O, Sands DZ, et al. Int J Qual Health Care. 2005;18:95-101.

NEWSPAPER/MAGAZINE ARTICLE

Safety in ASCs: putting patients first.

Dix K. Today's Surgicenter. December 1, 2006.

STUDY

Operating room briefings and wrong-site surgery.

Makary MA, Mukherjee A, Sexton BJ, et al. J Am Coll Surg. 2007;204:236-243.

NEWSPAPER/MAGAZINE ARTICLE

Do no harm: promoting patient safety.

Ellis K. Surgicenteronline.com [serial online]. May 1, 2006.

STUDY

Physicians' needs in coping with emotional stressors: the case for peer support.

Hu YY, Fix ML, Hevelone ND, et al. Arch Surg. 2012;147:212-217.

STUDY

Communicating pathology and laboratory errors: anatomic pathologists' and laboratory medical directors' attitudes and experiences.

Dintzis SM, Stetsenko GY, Sitlani CM, Gronowski AM, Astion ML, Gallagher TH. Am J Clin Pathol. 2011;135:760-765.

REVIEW

Coordinating care across diseases, settings, and clinicians: a key role for the generalist in practice.

Stille CJ, Jerant A, Bell D, Meltzer D, Elmore JG. Ann Intern Med. 2005;142:700-708.

STUDY

Unit-based care teams and the frequency and quality of physician–nurse communications.

Gordon MB, Melvin P, Graham D, et al. Arch Pediatr Adolesc Med. 2011;165:424-428.

NEWSPAPER/MAGAZINE ARTICLE

Our long journey towards a safety-minded just culture. Part I: Where we've been.

ISMP Medication Safety Alert! Acute Care Edition. September 7, 2006;11:1-3.

STUDY

The culture of a trauma team in relation to human factors.

Cole E, Crichton N. J Clin Nurs. 2006;15:1257-1266.

BOOK/REPORT

Committed to Safety: Ten Case Studies on Reducing Harm to Patients.

McCarthy D, Blumenthal D. New York, NY: The Commonwealth Fund; April 2006.

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