AHRQ Patient Safety Network

The Collection > Communication between Providers

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Safety Target

•Device-related Complications (16)

•Diagnostic Errors (46)

•Identification Errors (42)

•Discontinuities, Gaps, and Hand-Off Problems (312)

•Fatigue and Sleep Deprivation (7)

•Medication Safety (253)

•Medical Complications (54)

•Nonsurgical Procedural Complications (16)

•Surgical Complications (159)

•Transfusion Complications (2)

•Psychological and Social Complications (57)

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•Asia (4)

•Australia and New Zealand (30)

Resource Types

•Clinical Guideline (1)

•Journal Article (691)

•Legislation/Regulation (12)

•Meeting/Conference (4)

•Newspaper/Magazine Article (88)

•Press Release/Announcement (1)

•Special or Theme Issue (14)

•Tools/Toolkit (10)

•Web Resource (12)

•Grant (1)

Error Types

•Epidemiology of Errors and Adverse Events (148)

•Active Errors (170)

•Latent Errors (79)

•Near Miss (17)

Approach to Improving Safety
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Communication between Providers

•Read Back Protocols (66)

•Structured Hand-offs (108)

•SBAR (20)

•Medication Reconciliation (127)

Clinical Areas

•Allied Health Services (3)

•Medicine (660)

•Nursing (100)

•Pharmacy (109)

Target Audience

•Health Care Providers (711)

•Health Care Executives and Administrators (682)

•Non-Health Care Professionals (317)

•Patients (37)

Setting of Care

•Hospitals (625)

•Psychiatric Facilities (3)

•Residential Facilities (20)

•Ambulatory Care (88)

•Outpatient Surgery (9)

•Patient Transport (15)

1 - 20 of 863

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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.

STUDY

National study on the frequency, types, causes, and consequences of voluntarily reported emergency department medication errors.

Pham JC, Story JL, Hicks RW, et al. J Emerg Med. 2011;40:485-492.

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

Development and usability of a behavioural marking system for performance assessment of obstetrical teams.

Tregunno D, Pittini R, Haley M, Morgan PJ. Qual Saf Health Care. 2009;18:393-396.

STUDY

Teamwork behaviours and errors during neonatal resuscitation.

Williams AL, Lasky RE, Dannemiller JL, Andrei AM, Thomas EJ. Qual Saf Health Care. 2010;19:60-64.

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

Improving teamwork on general medical units: when teams do not work face-to-face.

McComb SA, Henneman EA, Hinchey KT, et al. Jt Comm J Qual Patient Saf. 2012;38:471-478.

STUDY

What whiteboards in a trauma center operating suite can teach us about emergency department communication.

Xiao Y, Schenkel S, Faraj S, Mackenzie CF, Moss J. Ann Emerg Med. 2007;50:387-95.

STUDY

Clinical triggers: an alternative to a rapid response team.

Moldenhauer K, Sabel A, Chu ES, Mehler PS. Jt Comm J Qual Patient Saf. 2009;35:164-174.

NEWSPAPER/MAGAZINE ARTICLE

A hospital races to learn lessons of Ferrari pit stop.

Naik G. Wall Street Journal. November 14, 2006:A1. [reprinted on Post-gazette.com].

STUDY

Operating room teamwork among physicians and nurses: teamwork in the eye of the beholder.

Makary MA, Sexton JB, Freischlag JA, et al. J Am Coll Surg. 2006;202:746-752.

STUDY

Interprofessional conflict and medical errors: results of a national multi-specialty survey of hospital residents in the US.

Baldwin DC Jr, Daugherty SR. J Interprof Care. 2008;22:573-586.

COMMENTARY

The quality and economic impact of disruptive behaviors on clinical outcomes of patient care.

Rosenstein AH. Am J Med Qual. 2011;26:372-379.

STUDY

Nurses' perceptions of simulation-based interprofessional training program for rapid response and code blue events.

Wehbe-Janek H, Lenzmeier CR, Ogden PE, et al. J Nurs Care Qual. 2012;27:43-50.

COMMENTARY

Bedside shift report improves patient safety and nurse accountability.

Baker SJ. J Emerg Nurs. 2010;36:355-358.

STUDY

Patient whiteboards as a communication tool in the hospital setting: A survey of practices and recommendations.

Sehgal NL, Green A, Vidyarthi AR, Blegen MA, Wachter RM. J Hosp Med. 2010;5:234-239.

STUDY

Information loss in emergency medical services handover of trauma patients.

Carter AJE, Davis KA, Evans LV, Cone DC. Prehosp Emerg Care. 2009;13:280-285.

REVIEW

Intimidation: a concept analysis.

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

COMMENTARY

Caution, Interrupted.

Wears RL. AHRQ WebM&M [serial online]. September 2004.

STUDY

Unplanned transfers to a medical intensive care unit: causes and relationship to preventable errors in care.

Bapoje SR, Gaudiani JL, Narayanan V, Albert RK. J Hosp Med. 2011;6:68-72.

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