AHRQ Patient Safety Network

The Collection > Communication between Providers

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Safety Target

•Device-related Complications (18)

•Diagnostic Errors (41)

•Identification Errors (41)

•Discontinuities, Gaps, and Hand-Off Problems (320)

•Fatigue and Sleep Deprivation (9)

•Medication Safety (266)

•Medical Complications (50)

•Nonsurgical Procedural Complications (14)

•Surgical Complications (138)

•Transfusion Complications (2)

•Psychological and Social Complications (54)

Origin/Sponsor

•Asia (4)

•Australia and New Zealand (23)

Resource Types

•Clinical Guideline (1)

•Journal Article (673)

•Legislation/Regulation (13)

•Meeting/Conference (3)

•Newspaper/Magazine Article (93)

•Press Release/Announcement (1)

•Special or Theme Issue (13)

•Tools/Toolkit (12)

•Web Resource (13)

•Grant (1)

Error Types

•Epidemiology of Errors and Adverse Events (152)

•Active Errors (162)

•Latent Errors (79)

•Near Miss (16)

Approach to Improving Safety
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Communication between Providers

•Read Back Protocols (60)

•Structured Hand-offs (97)

•SBAR (26)

•Medication Reconciliation (145)

Clinical Areas

•Allied Health Services (3)

•Medicine (663)

•Nursing (97)

•Pharmacy (126)

Target Audience

•Health Care Providers (706)

•Health Care Executives and Administrators (659)

•Non-Health Care Professionals (329)

•Patients (35)

Setting of Care

•Hospitals (610)

•Psychiatric Facilities (3)

•Residential Facilities (21)

•Ambulatory Care (103)

•Outpatient Surgery (10)

•Patient Transport (13)

1 - 20 of 858

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STUDY

A multidisciplinary teamwork training program: The Triad for Optimal Patient Safety (TOPS) experience.

Sehgal NL, Fox M, Vidyarthi AR, et al; TOPS Project. J Gen Intern Med. 2008;23:2053-2057.

COMMENTARY

Simple strategies to avoid medication errors.

Jenkins RH, Vaida AJ. Fam Pract Manag. 2007;14:41-47.

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.

BOOK/REPORT

Coordination Between Emergency and Primary Care Physicians.

Carrier E, Yee T, Holtzwart RA. Washington, DC: National Institute for Health Care Reform; 2011.

STUDY

Improving safety culture on adult medical units through multidisciplinary teamwork and communication interventions: the TOPS Project.

Blegen MA, Sehgal NL, Alldredge BK, Gearhart S, Auerbach AD, Wachter RM. Qual Saf Health Care. 2010;19:346-350.

REVIEW

Outcomes of classroom-based team training interventions for multiprofessional hospital staff. A systematic review.

Rabøl LI, Østergaard D, Mogensen T. Qual Saf Health Care. 2010;19:e27.

REVIEW

Meta-analysis: effect of interactive communication between collaborating primary care physicians and specialists.

Foy R, Hempel S, Rubenstein L, et al. Ann Intern Med. 2010;152:247-258.

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.

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.

STUDY

Assessing and improving safety culture throughout an academic medical centre: a prospective cohort study.

Paine LA, Rosenstein BJ, Sexton JB, Kent P, Holzmueller CG, Pronovost PJ. Qual Saf Health Care. 2010;19:547-554.

COMMENTARY

Handoffs and communication: the underappreciated roles of situational awareness and inattentional blindness.

Gosbee J. Clin Obstet Gynecol. 2010;53:545-558.

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.

BOOK/REPORT

Medical Team Training.

Oakbrook, IL: Joint Commission Resources; 2008. ISBN: 9781599400921.

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

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

A novel method for reproducibly measuring the effects of interventions to improve emotional climate, indices of team skills and communication, and threat to patient outcome in a high-volume thoracic surgery center.

Nurok M, Lipsitz S, Satwicz P, Kelly A, Frankel A. Arch Surg. 2010;145:489-495.

SPECIAL OR THEME ISSUE

Teamwork and Communication.

Pa Patient Saf Advis. June 2010;7(suppl 2):1-16.

STUDY

Communication failure in the operating room.

Halverson AL, Casey JT, Andersson J, et al. Surgery. 2011;49:305-310.

STUDY

Medical team training and coaching in the veterans health administration; assessment and impact on the first 32 facilities in the programme.

Neily J, Mills PD, Lee P, et al. Qual Saf Health Care. 2010;19:360-364.

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