AHRQ Patient Safety Network

The Collection > Communication between Providers

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Safety Target

•Device-related Complications (15)

•Diagnostic Errors (29)

•Identification Errors (32)

•Discontinuities, Gaps, and Hand-Off Problems (219)

•Fatigue and Sleep Deprivation (7)

•Medication Safety (165)

•Medical Complications (41)

•Nonsurgical Procedural Complications (12)

•Surgical Complications (117)

•Transfusion Complications (2)

•Psychological and Social Complications (54)

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•Asia (4)

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Resource Types

•Clinical Guideline (1)

•Journal Article (505)

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•Newspaper/Magazine Article (68)

•Press Release/Announcement (1)

•Special or Theme Issue (8)

•Tools/Toolkit (7)

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Error Types

•Epidemiology of Errors and Adverse Events (107)

•Active Errors (106)

•Latent Errors (50)

•Near Miss (11)

Approach to Improving Safety
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Communication between Providers

•Read Back Protocols (34)

•Structured Hand-offs (61)

•SBAR (13)

•Medication Reconciliation (67)

Clinical Areas

•Allied Health Services (2)

•Medicine (474)

•Nursing (86)

•Pharmacy (68)

Target Audience

•Health Care Providers (501)

•Health Care Executives and Administrators (536)

•Non-Health Care Professionals (240)

•Patients (25)

Setting of Care

•Hospitals (450)

•Psychiatric Facilities (2)

•Residential Facilities (16)

•Ambulatory Care (61)

•Outpatient Surgery (5)

•Patient Transport (8)

1 - 20 of 632

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STUDY

"It's not our ass": medical resident sense-making regarding lawsuits.

Noland C, Carl WJ. Health Commun. 2006;20:81-89.

COMMENTARY

Pursuing professional accountability: an evidence-based approach to addressing residents with behavioral problems.

Sanfey H, DaRosa DA, Hickson GB, et al. Arch Surg. 2012;147:642-647.

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.

COMMENTARY

A multifaceted approach to improve patient safety, prevent medical errors and resolve the professional liability crisis.

Weinstein L. Am J Obstet Gynecol. 2006;194:1160-1165; discussion 1165-1167.

STUDY

Managing disruptive behaviors in the health care setting: focus on obstetrics services.

Rosenstein AH. Am J Obstet Gynecol. 2011;204:187-192.

COMMENTARY

The quality and economic impact of disruptive behaviors on clinical outcomes of patient care.

Rosenstein AH. Am J Med Qual. 2011;26:372-379.

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.

REVIEW

Interruptions and distractions in healthcare: review and reappraisal.

Rivera-Rodriguez AJ, Karsh BT. Qual Saf Health Care. 2010;19:304-312.

COMMENTARY classic

Fixing healthcare from the inside, today.

Spear SJ. Harv Bus Rev. September 2005;83:78-91.

STUDY

Healthcare provider complaints to the emergency department: a preliminary report on a new quality improvement instrument.

Griffey RT, Bohan JS. Qual Saf Health Care. 2006;15:344-346.

STUDY

Improving the patient, family, and clinician experience after harmful events: the "When Things Go Wrong" curriculum.

Bell SK, Moorman DW, Delbanco T. Acad Med. 2010;85:1010-1017.

STUDY

Physicians' needs in coping with emotional stressors: the case for peer support.

Hu YY, Fix ML, Hevelone ND, et al. Arch Surg. 2012;147:212-217.

STUDY

A survey of the impact of disruptive behaviors and communication defects on patient safety.

Rosenstein AH, O'Daniel M. Jt Comm J Qual Patient Saf. 2008;34:464-471.

STUDY

Poor resident–attending intraoperative communication may compromise patient safety.

Belyansky I, Martin TR, Prabhu AS, et al. J Surg Res. 2011;171:386-394.

STUDY

The multitasking clinician: decision-making and cognitive demand during and after team handoffs in emergency care.

Laxmisan A, Hakimzada F, Sayan OR, et al. Int J Med Inform. 2007;76:801-811.

STUDY

Incidence and impact of physician and nurse disruptive behaviors in the emergency department.

Rosenstein AH, Naylor B. J Emerg Med. 2012;43:139-148.

REVIEW

Coordinating care across diseases, settings, and clinicians: a key role for the generalist in practice.

Stille CJ, Jerant A, Bell D, Meltzer D, Elmore JG. Ann Intern Med. 2005;142:700-708.

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.

STUDY

The relationship of the emotional climate of work and threat to patient outcome in a high-volume thoracic surgery operating room team.

Nurok M, Evans LA, Lipsitz S, Satwicz P, Kelly A, Frankel A. BMJ Qual Saf. 2011;20:237-242.

STUDY

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.

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