AHRQ Patient Safety Network

The Collection > Communication between Providers

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•Device-related Complications (18)

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•Identification Errors (28)

•Discontinuities, Gaps, and Hand-Off Problems (354)

•Fatigue and Sleep Deprivation (9)

•Medication Safety (198)

•Medical Complications (41)

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•Epidemiology of Errors and Adverse Events (110)

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Approach to Improving Safety
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Communication between Providers

•Read Back Protocols (28)

•Structured Hand-offs (121)

•SBAR (23)

•Medication Reconciliation (92)

Clinical Areas

•Allied Health Services (4)

•Medicine (530)

•Nursing (121)

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Target Audience

•Health Care Providers (577)

•Health Care Executives and Administrators (540)

•Non-Health Care Professionals (239)

•Patients (37)

Setting of Care

•Hospitals (530)

•Psychiatric Facilities (3)

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•Ambulatory Care (69)

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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.

STUDY

Nurse-physician communication during labor and birth: implications for patient safety.

Simpson KR, James DC, Knox GE. J Obset Gynol Neonatal Nurs. 2006;35:547-556.

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.

COMMENTARY

System errors in intrapartum electronic fetal monitoring: a case review.

Miller LA. J Midwifery Womens Health. 2005;50:507-516.

STUDY

Failure to rescue as a process measure to evaluate fetal safety during labor.

Beaulieu MJ. MCN Am J Matern Child Nurs. 2009;34:18-23.

REVIEW

Can technology improve intershift report? What the research reveals.

Strople B, Ottani P. J Prof Nurs. 2006;22:197-204.

COMMENTARY

Medication errors: don't let them happen to you.

Anderson P, Townsend T. Amer Nurs Today. March 2010;5:23-27.

COMMENTARY classic

A 38-year-old woman with fetal loss and hysterectomy.

Sachs BP. JAMA. 2005;294:833-840.

NEWSPAPER/MAGAZINE ARTICLE

Mother claims hospital error kept her from newborn daughter.

Barbella M. Drug Topics. October 8, 2007;151:18.

ORGANIZATIONAL POLICY/GUIDELINES

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

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

TOOLKIT

Perinatal SBAR Tools.

Institute for Healthcare Improvement.

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.

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.

BOOK/REPORT

Silence Kills: The Seven Crucial Conversations for Healthcare.

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

STUDY

Achieving quality improvement in the nursing home: influence of nursing leadership on communication and teamwork.

Vogelsmeier A, Scott-Cawiezell J. J Nurs Care Qual. 2011;26:236-242.

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.

STUDY

Effective physician–nurse communication: a patient safety essential for labor and delivery.

Lyndon A, Zlatnik MG, Wachter RM. Am J Obstet Gynecol. 2011;205:91-96.

NEWSPAPER/MAGAZINE ARTICLE

New practices reduce childbirth risks.

Landro L. Wall Street Journal. July 12, 2006:D1. [Reprinted on Post-gazette.com].

COMMENTARY

Failure to Latch

Rodriguez M., Mannel R., Frye D. MN AHRQ WebM&M [serial online]. September 2008.

STUDY

Using a computerized sign-out system to improve physician–nurse communication.

Sidlow R, Katz-Sidlow RJ. Jt Comm J Qual Patient Saf. 2006;32:32-36.

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