AHRQ Patient Safety Network

The Collection > Communication between Providers

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Safety Target

•Device-related Complications (12)

•Diagnostic Errors (20)

•Identification Errors (44)

•Discontinuities, Gaps, and Hand-Off Problems (132)

•Fatigue and Sleep Deprivation (6)

•Medication Safety (75)

•Medical Complications (33)

•Nonsurgical Procedural Complications (11)

•Surgical Complications (180)

•Psychological and Social Complications (36)

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•Asia (9)

•Australia and New Zealand (21)

Resource Types

•Clinical Guideline (1)

•Journal Article (408)

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•Meeting/Conference (1)

•Newspaper/Magazine Article (43)

•Special or Theme Issue (10)

•Tools/Toolkit (5)

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Error Types

•Epidemiology of Errors and Adverse Events (68)

•Active Errors (98)

•Latent Errors (39)

•Near Miss (14)

Approach to Improving Safety
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Communication between Providers

•Read Back Protocols (68)

•Structured Hand-offs (57)

•SBAR (10)

•Medication Reconciliation (13)

Clinical Areas

•Allied Health Services (1)

Target Audience

•Health Care Providers (409)

•Health Care Executives and Administrators (402)

•Non-Health Care Professionals (201)

•Patients (25)

Setting of Care

•Hospitals (391)

•Psychiatric Facilities (1)

•Residential Facilities (7)

•Ambulatory Care (15)

•Outpatient Surgery (8)

•Patient Transport (7)

1 - 20 of 509

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COMMENTARY

"Managing up" can improve teamwork in the OR.

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

COMMENTARY

A common body of care: the ethics and politics of teamwork in the operating theater are inseparable.

Bleakley A. J Med Philos. 2006;31:305-322.

STUDY

Causes of near misses: perceptions of perioperative nurses.

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

COMMENTARY

Defining the technical skills of teamwork in surgery.

Healey AN, Undre S, Vincent CA. Qual Saf Health Care. 2006;15:231-234.

STUDY

Interruptions and miscommunications in surgery: an observational study.

Gillespie BM, Chaboyer W, Fairweather N. AORN J. 2012;95:576-590.

STUDY

Incorrect surgical counts: a qualitative analysis.

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

COMMENTARY

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

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

STUDY

Observational assessment of surgical teamwork: a feasibility study.

Undre S, Healey AN, Darzi A, Vincent CA. World J Surg. 2006;30:1774-1783.

ORGANIZATIONAL POLICY/GUIDELINES

AORN guidance statement: creating a patient safety culture.

AORN J. 2006;83:936-942.

STUDY

Governing the surgical count through communication interactions: implications for patient safety.

Riley R, Manias E, Polglase A. Qual Saf Health Care. 2006;15:369-374.

COMMENTARY

Communication in the perioperative setting.

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

STUDY

Teamwork in the operating theatre: cohesion or confusion?

Undre S, Sevdalis N, Healey AN, Darzi A, Vincent CA. J Eval Clin Pract. 2006;12:182-189.

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

Time out: an analysis.

Dillon KA. AORN J. 2008;88:437-442.

MULTI-USE WEBSITE

Patient Safety Toolkits & E-learning Packages.

National Patient Safety Agency.

ORGANIZATIONAL POLICY/GUIDELINES

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

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

COMMENTARY

Improving patient safety and communication through care rounds in a pediatric oncology outpatient clinic.

Blough CA, Walrath JM. J Nurs Care Qual. 2007;22:159-163.

NEWSPAPER/MAGAZINE ARTICLE

Costly issues of an uncommunicative OR.

Neil R. Mat Manage Health Care. March 2006;15:30-33.

STUDY

The culture of a trauma team in relation to human factors.

Cole E, Crichton N. J Clin Nurs. 2006;15:1257-1266.

STUDY

Why nurses make medication errors: a simulation study.

Kazaoka T, Ohtsuka K, Ueno K, Mori M. Nurse Educ Today. 2007;27:312-17.

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