AHRQ Patient Safety Network

The Collection > Communication between Providers

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Safety Target

•Device-related Complications (16)

•Diagnostic Errors (33)

•Identification Errors (38)

•Discontinuities, Gaps, and Hand-Off Problems (235)

•Fatigue and Sleep Deprivation (7)

•Medication Safety (184)

•Medical Complications (50)

•Nonsurgical Procedural Complications (15)

•Surgical Complications (145)

•Transfusion Complications (2)

•Psychological and Social Complications (54)

Origin/Sponsor

•Asia (5)

•Australia and New Zealand (19)

Resource Types

•Clinical Guideline (2)

•Journal Article (552)

•Legislation/Regulation (12)

•Meeting/Conference (4)

•Newspaper/Magazine Article (79)

•Press Release/Announcement (1)

•Special or Theme Issue (12)

•Tools/Toolkit (7)

•Web Resource (5)

•Grant (1)

Error Types

•Epidemiology of Errors and Adverse Events (108)

•Active Errors (124)

•Latent Errors (53)

•Near Miss (15)

Approach to Improving Safety
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Communication between Providers

•Read Back Protocols (50)

•Structured Hand-offs (73)

•SBAR (15)

•Medication Reconciliation (72)

Clinical Areas

•Allied Health Services (3)

Target Audience

•Health Care Providers (547)

•Health Care Executives and Administrators (569)

•Non-Health Care Professionals (275)

•Patients (30)

Setting of Care

•Hospitals (502)

•Psychiatric Facilities (2)

•Residential Facilities (18)

•Ambulatory Care (58)

•Outpatient Surgery (7)

•Patient Transport (10)

1 - 20 of 705

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STUDY

Managing disruptive behaviors in the health care setting: focus on obstetrics services.

Rosenstein AH. Am J Obstet Gynecol. 2011;204:187-192.

BOOK/REPORT

Defusing Disruptive Behavior. A Workbook for Health Care Leaders.

Oakbrook, IL: Joint Commission Resources; 2007. ISBN: 9781599400846.

COMMENTARY

"Managing up" can improve teamwork in the OR.

Smith SL. AORN J. 2010;91:576-582.

REVIEW

Communication and teamwork in patient care: how much can we learn from aviation?

Lyndon A. J Obset Gynol Neonatal Nurs. 2006;35:538-546.

STUDY

Incidence and impact of physician and nurse disruptive behaviors in the emergency department.

Rosenstein AH, Naylor B. J Emerg Med. 2012;43:139-148.

COMMENTARY

How to Identify and Manage Problem Behaviors.

Rosenstein AH, O'Daniel M. AHRQ WebM&M [serial online]. December 2009.

STUDY

Predictors of likelihood of speaking up about safety concerns in labour and delivery.

Lyndon A, Sexton JB, Simpson KR, Rosenstein A, Lee KA, Wachter RM. BMJ Qual Saf. 2012;21;791-799.

TOOLKIT

Professional Conduct Toolkit.

Washington, DC: US Department of Defense, Patient Safety Program.

NEWSPAPER/MAGAZINE ARTICLE

Ensuring safety with a culturally diverse workforce.

Spath PL. Hosp Health Networks. July 18, 2006.

STUDY

Structured interdisciplinary rounds in a medical teaching unit: improving patient safety.

O’Leary KJ, Buck R, Fligiel HM, et al. Arch Intern Med. 2011;171:678-684.

STUDY

Action research, simulation, team communication, and bringing the tacit into voice. Society for Simulation in Healthcare.

Forsythe L. Simul Healthc. 2009;4:143-148.

REVIEW

Intimidation: a concept analysis.

Lamontagne C. Nurs Forum. 2010;45:54-65.

NEWSPAPER/MAGAZINE ARTICLE

The antidote to medical errors.

Price M. Monitor. January 2010;41:50.

STUDY

The Schwartz Center Rounds: evaluation of an interdisciplinary approach to enhancing patient-centered communication, teamwork, and provider support.

Lown BA, Manning CF. Acad Med. 2010;85:1073-1081.

STUDY

Patient safety attitudes of paediatric trainee physicians.

Parry G, Horowitz L, Goldmann D. Qual Saf Health Care. 2009;18:462-466.

STUDY

Antecedents of severe and nonsevere medication errors.

Chang YK, Mark BA. J Nurs Scholarsh. 2009;41:70-78.

MULTI-USE WEBSITE

Patient Safety Toolkits & E-learning Packages.

National Patient Safety Agency.

ORGANIZATIONAL POLICY/GUIDELINES

Safely implementing health information and converging technologies.

Sentinel Event Alert. December 11, 2008;(42):1-4.

STUDY

Professionalism: a necessary ingredient in a culture of safety.

DuPree E, Anderson R, McEvoy MD, Brodman M. Jt Comm J Qual Patient Saf. 2011;37:447-455.

STUDY

The relationship of the emotional climate of work and threat to patient outcome in a high-volume thoracic surgery operating room team.

Nurok M, Evans LA, Lipsitz S, Satwicz P, Kelly A, Frankel A. BMJ Qual Saf. 2011;20:237-242.

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