AHRQ Patient Safety Network

The Collection > Communication between Providers

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Safety Target

•Device-related Complications (16)

•Diagnostic Errors (41)

•Identification Errors (69)

•Discontinuities, Gaps, and Hand-Off Problems (308)

•Fatigue and Sleep Deprivation (8)

•Medication Safety (254)

•Medical Complications (49)

•Nonsurgical Procedural Complications (13)

•Surgical Complications (207)

•Transfusion Complications (2)

•Psychological and Social Complications (45)

Origin/Sponsor

•Asia (9)

•Australia and New Zealand (25)

Resource Types

•Clinical Guideline (2)

•Journal Article (691)

•Legislation/Regulation (15)

•Meeting/Conference (3)

•Newspaper/Magazine Article (97)

•Press Release/Announcement (1)

•Special or Theme Issue (10)

•Tools/Toolkit (11)

•Web Resource (9)

•Grant (1)

Error Types

•Epidemiology of Errors and Adverse Events (190)

•Active Errors (165)

•Latent Errors (69)

•Near Miss (15)

Approach to Improving Safety
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Communication between Providers

•Read Back Protocols (99)

•Structured Hand-offs (104)

•SBAR (19)

•Medication Reconciliation (138)

Clinical Areas

•Allied Health Services (2)

Target Audience

•Health Care Providers (698)

•Health Care Executives and Administrators (669)

•Non-Health Care Professionals (283)

•Patients (47)

Setting of Care

•Hospitals (643)

•Psychiatric Facilities (3)

•Residential Facilities (17)

•Ambulatory Care (84)

•Outpatient Surgery (12)

•Patient Transport (13)

1 - 20 of 875

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STUDY

Bridging the communication gap in the operating room with medical team training.

Awad SS, Fagan SP, Bellows C, et al. Am J Surg. 2005;190:770-774.

STUDY

Medical errors arising from outsourcing laboratory and radiology services.

Chasin BS, Elliott SP, Klotz SA. Am J Med. 2007;120:819.e9-11.

STUDY

Surgical confusions in ophthalmology.

Simon JW, Ngo Y, Khan S, Strogatz D. Arch Ophthalmol. 2007;125:1515-1522.

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.

BOOK/REPORT

Medmarx Data Report: A Chartbook of Medication Error Findings from the Perioperative Settings from 1998-2005.

Rockville, MD: United States Pharmacopeia; 2007.

ORGANIZATIONAL POLICY/GUIDELINES

Statement on the prevention of retained foreign bodies after surgery.

Bulletin of the American College of Surgeons; October 2005.

REVIEW

Communication devices in the operating room.

Ruskin KJ. Curr Opin Anaesthesiol. 2006;19:655-659.

STUDY

Patterns of communication breakdowns resulting in injury to surgical patients.

Greenberg CC, Regenbogen SE, Studdert DM, et al. J Am Coll Surg. 2007;204:533-540.

STUDY

A multidisciplinary team approach to retained foreign objects.

Cima RR, Kollengode A, Storsveen AS, et al. Jt Comm J Qual Patient Saf. 2009;35:123-132.

STUDY

Operating room briefings and wrong-site surgery.

Makary MA, Mukherjee A, Sexton BJ, et al. J Am Coll Surg. 2007;204:236-243.

STUDY

Communication practices on 4 Harvard surgical services: a surgical safety collaborative.

ElBardissi AW, Regenbogen SE, Greenberg CC, et al. Ann Surg. 2009;250:861-865.

STUDY

Perioperative patient safety: correct patient, correct surgery, correct side--a multifaceted, cross-organizational, interventional study.

Zohar E, Noga Y, Davidson E, Kantor M, Fredman B. Anesth Analg. 2007;105:443-447.

REVIEW

Improving safety in the operating room: a systematic literature review of retained surgical sponges.

Wan W, Le T, Riskin L, Macario A. Curr Opin Anaesthesiol. 2009;22:207-214.

STUDY

Interruptions and miscommunications in surgery: an observational study.

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

STUDY

Communication failure in the operating room.

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

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

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.

COMMENTARY

A theory-based instrument to evaluate team communication in the operating room: balancing measurement authenticity and reliability.

Lingard L, Regehr G, Espin S, Whyte S. Qual Saf Health Care. 2006;15:422-426.

REVIEW

The safety implications of missed test results for hospitalised patients: a systematic review.

Callen J, Georgiou A, Li J, Westbrook JI. BMJ Qual Saf 2011;20:194-199.

STUDY

Communication in critical care environments: mobile telephones improve patient care.

Soto RG, Chu LF, Goldman JM, Rampil IJ, Ruskin KJ. Anesth Analg. 2006;102:535-541.

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