AHRQ Patient Safety Network

The Collection > Communication between Providers

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Safety Target

•Device-related Complications (15)

•Diagnostic Errors (28)

•Identification Errors (19)

•Discontinuities, Gaps, and Hand-Off Problems (187)

•Fatigue and Sleep Deprivation (4)

•Medication Safety (128)

•Medical Complications (38)

•Nonsurgical Procedural Complications (8)

•Surgical Complications (116)

•Psychological and Social Complications (39)

Origin/Sponsor

•Asia (6)

•Australia and New Zealand (24)

Resource Types

•Journal Article (455)

•Legislation/Regulation (11)

•Meeting/Conference (3)

•Newspaper/Magazine Article (42)

•Special or Theme Issue (9)

•Tools/Toolkit (6)

•Web Resource (5)

Error Types

•Epidemiology of Errors and Adverse Events (77)

•Active Errors (96)

•Latent Errors (52)

•Near Miss (11)

Approach to Improving Safety
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Communication between Providers

•Read Back Protocols (32)

•Structured Hand-offs (74)

•SBAR (10)

•Medication Reconciliation (37)

Clinical Areas

•Allied Health Services (1)

•Medicine (410)

•Nursing (112)

•Pharmacy (42)

Target Audience

•Health Care Providers (464)

•Health Care Executives and Administrators (472)

•Non-Health Care Professionals (208)

•Patients (14)

Setting of Care

•Hospitals (396)

•Psychiatric Facilities (1)

•Residential Facilities (10)

•Ambulatory Care (29)

•Outpatient Surgery (3)

•Patient Transport (8)

1 - 20 of 549

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STUDY

Worries and concerns experienced by nurse specialists during inter-hospital transports of critically ill patients: a critical incident study.

Gustafsson M, Wennerholm S, Fridlund B. Intensive Crit Care Nurs. 2010;26:138-145.

MEETING/CONFERENCE PROCEEDINGS

Safety in the NICU: preventing medical errors.

Stokowski LA. Highlights of the National Association of Neonatal Nurses 22nd Annual Conference [Medscape.com]. March 8, 2007.

COMMENTARY

Unreported errors in the intensive care unit: a case study of the way we work.

Henneman EA. Crit Care Nurse. 2007;27:27-34.

COMMENTARY

PCA Overdose

Doyle DJ. AHRQ WebM&M [serial online]. July/August 2005.

STUDY

The nurses' experience of barriers to safe practice in the neonatal intensive care unit in Thailand.

Jirapaet V, Jirapaet K, Sopajaree C. J Obstet Gynecol Neonatal Nurs. 2006;35:746-754.

IMAGE/POSTER

Distributing Cognition: ICU Handoffs Conform to Grice's Maxims.

Brandwijk M, Nemeth C, O'Conner M, Kahana M, Cook RI. Departments of Pediatrics and Anesthesia and Critical Care: Chicago, IL: University of Chicago.

STUDY

A model of recovering medical errors in the coronary care unit.

Hurley AC, Rothschild JM, Moore ML, Snydeman C, Dykes PC, Fotakis S. Heart Lung. 2008;37:219-226.

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.

STUDY

Discharge rounds in the 80-hour workweek: importance of the trauma nurse practitioner.

Haan JM, Dutton RP, Willis M, Leone S, Kramer ME, Scalea TM. J Trauma. 2007;63:339-343.

STUDY

Healthy work environments, nurse-physician communication, and patients' outcomes.

Manojlovich M, DeCicco B. Am J Crit Care. 2007;16:536-543.

BOOK/REPORT

Silence Kills: The Seven Crucial Conversations for Healthcare.

Maxfield D, Grenny J, McMillan R, Patterson K, Switzler A. VitalSmarts; 2005.E45

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.

COMMENTARY

Patient safety and collaboration of the intensive care unit team.

Despins LA. Crit Care Nurse. April 2009;29:85-91.

STUDY

Rethinking resident supervision to improve safety: from hierarchical to interprofessional models.

Tamuz M, Giardina TD, Thomas EJ, Menon S, Singh H. J Hosp Med. 2011;6:448-456.

STUDY

Risky procedures by nurses in hospitals: problems and (contemplated) refusals of orders by physicians, and views of physicians and nurses: a questionnaire survey.

de Bie J, Cuperus-Bosma JM, van der Jagt MAB, Gevers JKM, van der Wal G. Int J Nurs Stud. 2005;42:637-648.

REVIEW

Keeping patients safe in healthcare organizations: a structuration theory of safety culture.

Groves PS, Meisenbach RJ, Scott-Cawiezell J. J Adv Nurs. 2011;67:1846-1855.

STUDY

A relational leadership perspective on unit-level safety climate.

Thompson DN, Hoffman LA, Sereika SM, et al. J Nurs Adm. 2011;41:479-487.

REVIEW

Nurses' role in detecting deterioration in ward patients: systematic literature review.

Odell M, Victor C, Oliver D. J Adv Nurs. 2009;65:1992-2006.

STUDY

Satisfaction of intensive care unit nurses with nurse-physician communication.

Manojlovich M, Antonakos C. J Nurs Adm. 2008;38:237-243.

STUDY

In search of common ground in handoff documentation in an intensive care unit.

Collins SA, Mamykina L, Jordan D, et al. J Biomed Inform. 2012;45:307-315.

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