AHRQ Patient Safety Network

The Collection > Communication between Providers

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Safety Target

•Device-related Complications (19)

•Diagnostic Errors (34)

•Identification Errors (34)

•Discontinuities, Gaps, and Hand-Off Problems (174)

•Fatigue and Sleep Deprivation (7)

•Medication Safety (164)

•Medical Complications (37)

•Nonsurgical Procedural Complications (9)

•Surgical Complications (97)

•Transfusion Complications (1)

•Psychological and Social Complications (36)

Origin/Sponsor

•Asia (5)

•Australia and New Zealand (21)

Resource Types

•Journal Article (393)

•Legislation/Regulation (12)

•Meeting/Conference (2)

•Newspaper/Magazine Article (73)

•Special or Theme Issue (13)

•Tools/Toolkit (6)

•Web Resource (8)

•Grant (1)

Error Types

•Epidemiology of Errors and Adverse Events (63)

•Active Errors (158)

•Latent Errors (94)

•Near Miss (19)

Approach to Improving Safety
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Communication between Providers

•Read Back Protocols (41)

•Structured Hand-offs (57)

•SBAR (5)

•Medication Reconciliation (50)

Clinical Areas

•Allied Health Services (3)

•Medicine (383)

•Nursing (122)

•Pharmacy (65)

Target Audience

•Health Care Providers (447)

•Health Care Executives and Administrators (444)

•Non-Health Care Professionals (181)

•Patients (27)

Setting of Care

•Hospitals (397)

•Psychiatric Facilities (4)

•Residential Facilities (21)

•Ambulatory Care (48)

•Outpatient Surgery (5)

•Patient Transport (9)

1 - 20 of 540

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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.

COMMENTARY

Double Dosing, by the Rules

Cohen H. AHRQ WebM&M [serial online]. February/March 2009.

STUDY

Care homes' use of medicines study: prevalence, causes and potential harm of medication errors in care homes for older people.

Barber ND, Alldred DP, Raynor DK, et al. Qual Saf Health Care. 2009;18:341-346.

STUDY

Achieving quality improvement in the nursing home: influence of nursing leadership on communication and teamwork.

Vogelsmeier A, Scott-Cawiezell J. J Nurs Care Qual. 2011;26:236-242.

REVIEW

Impact of nursing on hospital patient mortality: a focused review and related policy implications.

Tourangeau AE, Cranley LA, Jeffs L. Qual Saf Health Care. 2006;15:4-8.

COMMENTARY

The Dangerous Detour.

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

COMMENTARY

Another Fall.

Bogardus ST Jr. AHRQ WebM&M [serial online]. April 2003.

COMMENTARY

Improving heparin safety: a multidisciplinary invited conference.

Peterson C, Ham CW, Vanderveen T. Hosp Pharm. 2008;43:491-497.

COMMENTARY

Medication errors: don't let them happen to you.

Anderson P, Townsend T. Amer Nurs Today. March 2010;5:23-27.

BOOK/REPORT classic

Learning from Bristol: The Report of the Public Inquiry into Children's Heart Surgery at the Bristol Royal Infirmary 1984–1995.

London, England: The Stationery Office; July 2001.

COMMENTARY

In Conversation with...Sorrel King

AHRQ WebM&M [serial online]. March 2007.

COMMENTARY

Improving patient safety: patient-focused, high-reliability team training.

McKeon LM, Cunningham PD, Detty Oswaks JS. J Nurs Care Qual. 2009;24:76-82.

STUDY

Nurse–physician communication in the long-term care setting: perceived barriers and impact on patient safety.

Tjia J, Mazor KM, Field T, Meterko V, Spenard A, Gurwitz JH. J Patient Saf. 2009;5:145-152.

STUDY

Failure to rescue as a process measure to evaluate fetal safety during labor.

Beaulieu MJ. MCN Am J Matern Child Nurs. 2009;34:18-23.

NEWSPAPER/MAGAZINE ARTICLE

Don't underestimate the impact of change on risk potential.

ISMP Medication Safety Alert! Acute Care Edition. September 11, 2008;13:1-3.

STUDY

Using a multi-method, user centred, prospective hazard analysis to assess care quality and patient safety in a care pathway.

Dean J, Hutchinson A, Hamilton Escoto K, Lawson R. BMC Health Serv Res. 2007;7:89.

STUDY

The impact of nursing work environments on patient safety outcomes: the mediating role of burnout engagement.

Spence Laschinger HK, Leiter MP. J Nurs Adm. 2006;36:259-267.

NEWSPAPER/MAGAZINE ARTICLE

Epidural-IV route mix-ups: reducing the risk of deadly errors.

ISMP Medication Safety Alert! Acute Care Edition. July 3, 2008;13:1-3.

STUDY

Nurses' and nursing assistants' perceptions of patient safety culture in nursing homes.

Hughes CM, Lapane KL. Int J Qual Health Care. 2006;18:281-286.

STUDY

Addressing delays in medication administration for patients transferred from the hospital to the nursing home: a pilot quality improvement project.

Ward KT, Bates-Jensen B, Eslami MS, et al. Am J Geriatr Pharmacother. 2008;6:205-211.

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