AHRQ Patient Safety Network

The Collection > Communication between Providers

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•Device-related Complications (19)

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•Identification Errors (48)

•Discontinuities, Gaps, and Hand-Off Problems (267)

•Fatigue and Sleep Deprivation (8)

•Medication Safety (256)

•Medical Complications (47)

•Nonsurgical Procedural Complications (14)

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Error Types

•Epidemiology of Errors and Adverse Events (121)

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Approach to Improving Safety
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Communication between Providers

•Read Back Protocols (53)

•Structured Hand-offs (72)

•SBAR (17)

•Medication Reconciliation (125)

Clinical Areas

•Allied Health Services (4)

Target Audience

•Health Care Providers (621)

•Health Care Executives and Administrators (578)

•Non-Health Care Professionals (254)

•Patients (56)

Setting of Care

•Hospitals (544)

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1 - 20 of 773

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COMMENTARY classic

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

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

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.

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.

COMMENTARY

Pregnant with Danger.

Pearlman MD, Desmond JS. WebM&M [serial online]. May 2005.

COMMENTARY

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

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

NEWSPAPER/MAGAZINE ARTICLE

Accuracy at every step: the challenge of medication reconciliation.

Institute for Healthcare Improvement Web site. March 20, 2006.

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.

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

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.

COMMENTARY

A nurse-led approach to developing and implementing a collaborative count policy.

Norton EK, Micheli AJ, Gedney J, Felkerson TM. AORN J. 2012;95:222-227.

STUDY

Infant deaths associated with cough and cold medications—two states, 2005.

Centers for Disease Control and Prevention. MMWR Morb Mortal Wkly Rep. 2007;56:1-4.

ORGANIZATIONAL POLICY/GUIDELINES

Statement on the prevention of retained foreign bodies after surgery.

Bulletin of the American College of Surgeons; October 2005.

AWARD RECIPIENT

2006 Quest for Quality Prize.

Runy LA. Hosp Health Netw. September 2006.

NEWSPAPER/MAGAZINE ARTICLE

Robots help keep doctors up on skills.

Bohan S. Oakland Tribune. January 27, 2007.

COMMENTARY

Failure to Latch

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

NEWSPAPER/MAGAZINE ARTICLE

Tomorrow's operating room to harness Net, RFID.

Olsen S. CNET News.com; October 19, 2005.

ORGANIZATIONAL POLICY/GUIDELINES classic

Universal Protocol for Preventing Wrong Site, Wrong Procedure, Wrong Person Surgery.

The Joint Commission.

STUDY

Disruptive behavior and clinical outcomes: perceptions of nurses and physicians.

Rosenstein AH, O'Daniel M. Am J Nurs. 2005;105:54-64.

COMMENTARY

Perinatal patient safety from the perspective of nurse executives: a round table discussion.

Thorman KE, Capitulo KL, Dubow J, Hanold K, Noonan M, Wehmeyer J. J Obstet Gynecol Neonatal Nurs. 2006;35:409-416.

ORGANIZATIONAL POLICY/GUIDELINES

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

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

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