AHRQ Patient Safety Network

The Collection > Communication between Providers

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Safety Target

•Device-related Complications (18)

•Diagnostic Errors (43)

•Identification Errors (64)

•Discontinuities, Gaps, and Hand-Off Problems (339)

•Fatigue and Sleep Deprivation (8)

•Medication Safety (282)

•Medical Complications (57)

•Nonsurgical Procedural Complications (16)

•Surgical Complications (206)

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•Psychological and Social Complications (55)

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Resource Types

•Clinical Guideline (2)

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•Special or Theme Issue (15)

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Error Types

•Epidemiology of Errors and Adverse Events (193)

•Active Errors (185)

•Latent Errors (78)

•Near Miss (19)

Approach to Improving Safety
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Communication between Providers

•Read Back Protocols (94)

•Structured Hand-offs (123)

•SBAR (26)

•Medication Reconciliation (154)

Clinical Areas

•Allied Health Services (3)

Target Audience

•Health Care Providers (771)

•Health Care Executives and Administrators (734)

•Non-Health Care Professionals (317)

•Patients (47)

Setting of Care

•Hospitals (692)

•Psychiatric Facilities (4)

•Residential Facilities (22)

•Ambulatory Care (91)

•Outpatient Surgery (13)

•Patient Transport (13)

1 - 20 of 947

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STUDY

Causes of near misses: perceptions of perioperative nurses.

Cohoon B. AORN J. 2011;93:551-565.

STUDY

Discrepant perceptions of communication, teamwork and situation awareness among surgical team members.

Wauben LS, Dekker-van Doorn CM, van Wijngaarden JD, et al. Int J Qual Health Care. 2011;23:159-166.

STUDY

Communication failure in the operating room.

Halverson AL, Casey JT, Andersson J, et al. Surgery. 2011;49:305-310.

STUDY

A policy-based intervention for the reduction of communication breakdowns in inpatient surgical care: results from a Harvard surgical safety collaborative.

Arriaga AF, Elbardissi AW, Regenbogen SE, et al. Ann Surg. 2011;253:849-854.

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

The impact of organisational and individual factors on team communication in surgery: a qualitative study.

Gillespie BM, Chaboyer W, Longbottom P, Wallis M. Int J Nurs Stud. 2010;47:732-741.

REVIEW

Noise in the operating room—what do we know? A review of the literature.

Hasfeldt D, Laerkner E, Birkelund R. J Perianesth Nurs. 2010;25:380-386.

COMMENTARY

Reducing surgical complications.

Griffin FA. Jt Comm J Qual Patient Saf. 2007;33:660-665.

COMMENTARY

Communication in the perioperative setting.

Cvetic E. AORN J. 2011;94:261-270.

STUDY

The introduction of a surgical safety checklist in a tertiary referral obstetric centre.

Kearns RJ, Uppal V, Bonner J, Robertson J, Daniel M, McGrady EM. BMJ Qual Saf. 2011;20:818-822.

COMMENTARY

Increasing patient safety and surgical team communication by using a count/time out board.

Edel EM. AORN J. 2010;92:420-424.

ORGANIZATIONAL POLICY/GUIDELINES

AORN Guidance Statement: Safe Medication Practices in Perioperative Settings Across the Life Span.

AORN J. 2006;84:276-278, 280-283.

STUDY

Incorrect surgical counts: a qualitative analysis.

Rowlands A, Steeves R. AORN J. 2010;92:410-419.

COMMENTARY

"Managing up" can improve teamwork in the OR.

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

REVIEW

Determining the state of knowledge for implementing the Universal Protocol recommendations: an integrative review of the literature.

Conrardy JA, Brenek B, Myers S. AORN J. 2010;92:194-207.

COMMENTARY

Retained surgical items and minimally invasive surgery.

Gibbs VC. World J Surg. 2011;35:1532-1539.

REVIEW

Human factors in surgery: from Three Mile Island to the operating room.

D'Addessi A, Bongiovanni L, Volpe A, Pinto F, Bassi P. Urol Int. 2009;83:249-257.

STUDY

Deconstructing intraoperative communication failures.

Hu YY, Arriaga AF, Peyre SE, Corso KA, Roth EM, Greenberg CC. J Surg Res. 2012;177:37-42.

STUDY

Student-observed surgical safety practices across an urban regional health authority.

Spence J, Goodwin B, Enns C, Dean H. BMJ Qual Saf. 2011;20:580-586.

REVIEW

Surgical fires, a clear and present danger.

Yardley IE, Donaldson LJ. Surgeon. 2010;8:87-92.

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