AHRQ Patient Safety Network

The Collection > Communication between Providers

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Safety Target

•Device-related Complications (13)

•Diagnostic Errors (46)

•Identification Errors (25)

•Discontinuities, Gaps, and Hand-Off Problems (380)

•Fatigue and Sleep Deprivation (7)

•Medication Safety (259)

•Medical Complications (45)

•Nonsurgical Procedural Complications (12)

•Surgical Complications (94)

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•Journal Article (587)

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•Newspaper/Magazine Article (66)

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•Special or Theme Issue (11)

•Tools/Toolkit (12)

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Error Types

•Epidemiology of Errors and Adverse Events (145)

•Active Errors (153)

•Latent Errors (80)

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Approach to Improving Safety
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Communication between Providers

•Read Back Protocols (27)

•Structured Hand-offs (122)

•SBAR (15)

•Medication Reconciliation (160)

Clinical Areas

•Allied Health Services (4)

•Medicine (584)

•Nursing (71)

•Pharmacy (100)

Target Audience

•Health Care Providers (616)

•Health Care Executives and Administrators (573)

•Non-Health Care Professionals (263)

•Patients (29)

Setting of Care

•Hospitals (538)

•Psychiatric Facilities (3)

•Residential Facilities (21)

•Ambulatory Care (100)

•Outpatient Surgery (8)

•Patient Transport (13)

1 - 20 of 748

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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

Association of communication between hospital-based physicians and primary care providers with patient outcomes.

Bell CM, Schnipper JL, Auerbach AD, et al. J Gen Intern Med. 2009;24:381-386.

BOOK/REPORT

Managing Patients' Medicines after Discharge from Hospital.

London, UK: Care Quality Commission; October 2009. CQC-039-500-ESP-102009. ISBN: 9781845622442.

STUDY

New 2011 survey of patients with complex care needs in eleven countries finds that care is often poorly coordinated.

Schoen C, Osborn R, Squires D, Doty M, Pierson R, Applebaum S. Health Aff (Millwood). 2011;30:2437-2448.

STUDY

Implementing medication reconciliation in outpatient pediatrics.

Rappaport DI, Collins B, Koster A, et al. Pediatrics. 2011;128:e1600-e1607.

NEWSPAPER/MAGAZINE ARTICLE

Rx for medication errors.

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

REVIEW

Deficits in communication and information transfer between hospital-based and primary care physicians: implications for patient safety and continuity of care.

Kripalani S, LeFevre F, Phillips CO, Williams MV, Basaviah P, Baker DW. JAMA. 2007;297:831-841.

STUDY

Information exchange among physicians caring for the same patient in the community.

van Walraven C, Taljaard M, Bell CM, et al. CMAJ. 2008;179:1013-1018.

COMMENTARY

Processes for effective communication in primary care.

Weiner SJ, Barnet B, Cheng TL, Daaleman TP. Ann Intern Med. 2005;142:709-714.

STUDY

Improving medication reconciliation in the outpatient setting.

Varkey P, Cunningham J, Bisping S. Jt Comm J Qual Patient Saf. 2007;33:286-292.

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.

COMMENTARY classic

Refocusing the lens: patient safety in ambulatory chronic disease care.

Sarkar U, Wachter RM, Schroeder SA, Schillinger D. Jt Comm J Qual Patient Saf. 2009;35:377-383.

COMMENTARY

Patient safety beyond the hospital.

Gandhi TK, Lee TH. N Engl J Med. 2010;363:1001-1003.

STUDY

The care transitions intervention: translating from efficacy to effectiveness.

Voss R, Gardner R, Baier R, Butterfield K, Lehrman S, Gravenstein S. Arch Intern Med. 2011;171:1232-1237.

STUDY

Post-discharge medication reviews for patients with heart failure: a pilot study.

Ponniah A, Shakib S, Doecke CJ, Boyce M, Angley M. Pharm World Sci. 2008;30:810-815.

GRANT RECIPIENT

AHRQ Risk-informed Intervention Development and Implementation of Safe Practices in Ambulatory Care.

Rockville, MD: Agency for Healthcare Research and Quality; October 2008.

STUDY

Communication and collaboration: it's about the pharmacists, as well as the physicians and nurses.

Holden LM, Watts DD, Walker PH. Qual Saf Health Care. 2010;19:169-172.

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.

COMMENTARY

Suicidal Man with Gun.

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

BOOK/REPORT

Coordination Between Emergency and Primary Care Physicians.

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

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