AHRQ Patient Safety Network

The Collection > Communication between Providers

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Safety Target

•Device-related Complications (21)

•Diagnostic Errors (47)

•Identification Errors (45)

•Discontinuities, Gaps, and Hand-Off Problems (390)

•Fatigue and Sleep Deprivation (8)

•Medication Safety (267)

•Medical Complications (51)

•Nonsurgical Procedural Complications (15)

•Surgical Complications (153)

•Transfusion Complications (2)

•Psychological and Social Complications (41)

Origin/Sponsor

•Asia (7)

•Australia and New Zealand (43)

Resource Types

•Clinical Guideline (2)

•Journal Article (690)

•Legislation/Regulation (13)

•Meeting/Conference (4)

•Newspaper/Magazine Article (73)

•Press Release/Announcement (1)

•Special or Theme Issue (9)

•Tools/Toolkit (11)

•Web Resource (12)

•Grant (1)

Error Types

•Epidemiology of Errors and Adverse Events (185)

•Active Errors (189)

•Latent Errors (88)

•Near Miss (20)

Approach to Improving Safety
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Communication between Providers

•Read Back Protocols (66)

•Structured Hand-offs (147)

•SBAR (18)

•Medication Reconciliation (145)

Clinical Areas

•Allied Health Services (4)

Target Audience

•Health Care Providers (714)

•Health Care Executives and Administrators (690)

•Non-Health Care Professionals (285)

•Patients (27)

Setting of Care

•Hospitals (627)

•Psychiatric Facilities (3)

•Residential Facilities (23)

•Ambulatory Care (90)

•Outpatient Surgery (11)

•Patient Transport (17)

1 - 20 of 851

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STUDY

Determinants of patient-reported medication errors: a comparison among seven countries.

Lu CY, Roughead E. Int J Clin Pract. 2011;65:733-740.

COMMENTARY

The Dangerous Detour.

Gibson J, Taylor D. AHRQ WebM&M [serial online]. June 2003.

COMMENTARY

The Dropped Lung.

Heffner JE. AHRQ WebM&M [serial online]. May 2003.

STUDY

Deconstructing intraoperative communication failures.

Hu YY, Arriaga AF, Peyre SE, Corso KA, Roth EM, Greenberg CC. J Surg Res. 2012;177:37-42.

STUDY

High performance teamwork training and systems redesign in outpatient oncology.

Bunnell CA, Gross AH, Weingart SN, et al. BMJ Qual Saf. 2013;22:405-413.

COMMENTARY

Suicidal Man with Gun.

Simon RI. AHRQ WebM&M [serial online]. May 2003.

REVIEW

The role of documents and documentation in communication failure across the perioperative pathway. A literature review.

Braaf S, Manias E, Riley R. Int J Nurs Stud. 2011;48:1024-1038.

STUDY

Improving situation awareness to reduce unrecognized clinical deterioration and serious safety events.

Brady PW, Muething S, Kotagal U, et al. Pediatrics. 2013;131:e298-e308.

STUDY

Observational assessment of surgical teamwork: a feasibility study.

Undre S, Healey AN, Darzi A, Vincent CA. World J Surg. 2006;30:1774-1783.

COMMENTARY

ISMP medication error report analysis.

Smetzer JL, Cohen MR. Hosp Pharm. 2008;43:869-872.

STUDY

Eight CT lessons that we learned the hard way: an analysis of current patterns of radiological error and discrepancy with particular emphasis on CT.

McCreadie G, Oliver TB. Clin Radiol. 2009;64:491-499; discussion 500-501.

AUDIOVISUAL PRESENTATION

Preventing Medical Errors.

Food and Drug Administration (FDA) Patient Safety News. Show #79. September 2008.

STUDY

Analyzing communication errors in an air medical transport service.

Dalto JD, Weir C, Thomas F. Air Med J. 2013;32:129-137.

COMMENTARY

The Wet Read

Arenson RL. AHRQ WebM&M [serial online]. March 2006.

STUDY

Patient record review of the incidence, consequences, and causes of diagnostic adverse events.

Zwaan L, de Bruijne M, Wagner C, et al. Arch Intern Med. 2010;170:1015-1021.

COMMENTARY

Crossed Coverage

Kayser SR. AHRQ WebM&M [serial online]. February 2007.

STUDY

Customer focused incident monitoring in anaesthesia.

Khan FA, Khimani S. Anaesthesia. 2007;62:586-590.

BOOK/REPORT

External Inquiry into the adverse incident that occurred at Queen's Medical Centre, Nottingham, 4th January 2001.

Toft B. London, England: Department of Health; 2001.

STUDY

An evaluation of information transfer through the continuum of surgical care: a feasibility study.

Nagpal K, Vats A, Ahmed K, Vincent C, Moorthy K. Ann Surg. 2010;252:402-407.

MEETING/CONFERENCE PROCEEDINGS

Safety in the NICU: preventing medical errors.

Stokowski LA. Highlights of the National Association of Neonatal Nurses 22nd Annual Conference [Medscape.com]. March 8, 2007.

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