U.S. Department of Health & Human Services
Communication between Providers
PATIENT SAFETY PRIMERS
Device-related Complications (15)
Diagnostic Errors (29)
Identification Errors (59)
Discontinuities, Gaps, and Hand-Off Problems (208)
Fatigue and Sleep Deprivation (8)
Medication Safety (149)
Medical Complications (44)
Nonsurgical Procedural Complications (9)
Surgical Complications (202)
Transfusion Complications (2)
Psychological and Social Complications (49)
Australia and New Zealand (12)
North America (587)
Clinical Guideline (1)
Journal Article (531)
Newspaper/Magazine Article (100)
Special or Theme Issue (14)
Web Resource (7)
Epidemiology of Errors and Adverse Events (114)
Active Errors (132)
Latent Errors (75)
Near Miss (13)
Approach to Improving Safety
Communication between Providers
Read Back Protocols (80)
Structured Hand-offs (50)
Medication Reconciliation (51)
Allied Health Services (4)
Health Care Providers (551)
Health Care Executives and Administrators (551)
Non-Health Care Professionals (255)
Setting of Care
Psychiatric Facilities (2)
Residential Facilities (17)
Ambulatory Care (56)
Outpatient Surgery (13)
Patient Transport (7)
1 - 20
Don't Show Excerpt
Sort by relevance
Sort by significance
Sort by title
Sort by date
Sort by author
Universal Protocol for Preventing Wrong Site, Wrong Procedure, Wrong Person Surgery.
The Joint Commission.
Surgical specimen identification errors: a new measure of quality in surgical care.
Makary MA, Epstein J, Pronovost PJ, Millman EA, Hartmann EC, Freischlag JA. Surgery. 2007;141:450-455.
Teamwork in the operating room: frontline perspectives among hospitals and operating room personnel.
Sexton JB, Makary MA, Tersigni AR, et al. Anesthesiology. 2006;105:877-884.
Time out: an analysis.
Dillon KA. AORN J. 2008;88:437-442.
Hospital tells of surgery on wrong side.
Smith S. Boston Globe. July 4, 2008;Metro section:1A.
Surgical site verification: A through Z.
Dunn D. J Perianesth Nurs. 2006;21:317-328.
Video technology to advance safety in the operating room and perioperative environment.
Xiao Y, Schimpff S, Mackenzie C, et al. Surg Innov. 2007;14:52-61.
Surgical team behaviors and patient outcomes.
Mazzocco K, Petitti DB, Fong KT, et al. Am J Surg. 2009;197:678-685.
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.
Case 34-2010: a 65-year-old woman with an incorrect operation on the left hand.
Ring DC, Herndon JH, Meyer GS. N Engl J Med. 2010;363:1950-1957.
Doctor uses 'pre-flight' checklist.
Bernhard B. The Orange County Register. April 19, 2006.
The 5th anniversary of the "Universal Protocol": pitfalls and pearls revisited.
Stahel PF, Mehler PS, Clarke TJ, Varnell J. Patient Saf Surg. 2009;3:14.
Tomorrow's operating room to harness Net, RFID.
Olsen S. CNET News.com; October 19, 2005.
The wrong foot, and other tales of surgical error.
Altman LK. New York Times. December 11, 2001;1:1.
Statement on the prevention of retained foreign bodies after surgery.
Bulletin of the American College of Surgeons; October 2005.
Revisiting duty-hour limits — IOM recommendations for patient safety and resident education.
Iglehart JK. N Engl J Med. 2008;359:2633-2635.
A surgical safety checklist to reduce morbidity and mortality in a global population.
Haynes AB, Weiser TG, Berry WR, et al; for the Safe Surgery Saves Lives Study Group. N Engl J Med. 2009;360:491-499.
Medmarx Data Report: A Chartbook of Medication Error Findings from the Perioperative Settings from 1998-2005.
Rockville, MD: United States Pharmacopeia; 2007.
Developing a medication patient safety program — infrastructure and strategy.
Mark SM, Weber RJ. Hosp Pharm. 2007;42:149-156.
Use of failure mode and effects analysis for proactive identification of communication and handoff failures from organ procurement to transplantation.
Steinberger DM, Douglas SV, Kirschbaum MS. Prog Transplant. 2009;19:208-215.
Terms & Conditions
Produced for the
Agency for Healthcare Research and Quality
team of editors
University of California, San Francisco
with guidance from a prominent
. The AHRQ PSNet site was designed and implemented by Silverchair.