AHRQ Patient Safety Network

The Collection > Communication between Providers

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Safety Target

•Device-related Complications (17)

•Diagnostic Errors (50)

•Identification Errors (41)

•Discontinuities, Gaps, and Hand-Off Problems (389)

•Fatigue and Sleep Deprivation (9)

•Medication Safety (268)

•Medical Complications (45)

•Nonsurgical Procedural Complications (10)

•Surgical Complications (134)

•Transfusion Complications (2)

•Psychological and Social Complications (47)

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•Asia (9)

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Resource Types

•Clinical Guideline (1)

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•Meeting/Conference (2)

•Newspaper/Magazine Article (101)

•Special or Theme Issue (10)

•Tools/Toolkit (9)

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Error Types

•Epidemiology of Errors and Adverse Events (188)

•Active Errors (153)

•Latent Errors (68)

•Near Miss (16)

Approach to Improving Safety
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Communication between Providers

•Read Back Protocols (48)

•Structured Hand-offs (139)

•SBAR (23)

•Medication Reconciliation (153)

Clinical Areas

•Allied Health Services (4)

Target Audience

•Health Care Providers (685)

•Health Care Executives and Administrators (623)

•Non-Health Care Professionals (281)

•Patients (44)

Setting of Care

•Hospitals (618)

•Psychiatric Facilities (2)

•Residential Facilities (24)

•Ambulatory Care (90)

•Outpatient Surgery (8)

•Patient Transport (15)

1 - 20 of 857

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STUDY

National study on the frequency, types, causes, and consequences of voluntarily reported emergency department medication errors.

Pham JC, Story JL, Hicks RW, et al. J Emerg Med. 2011;40:485-492.

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.

STUDY

What whiteboards in a trauma center operating suite can teach us about emergency department communication.

Xiao Y, Schenkel S, Faraj S, Mackenzie CF, Moss J. Ann Emerg Med. 2007;50:387-95.

COMMENTARY

Bedside shift report improves patient safety and nurse accountability.

Baker SJ. J Emerg Nurs. 2010;36:355-358.

STUDY

"Did I do as best as the system would let me?" Healthcare professional views on hospital to home care transitions.

Davis MM, Devoe M, Kansagara D, Nicolaidis C, Englander H. J Gen Intern Med. 2012;27:1649-1656.

COMMENTARY

Caution, Interrupted.

Wears RL. AHRQ WebM&M [serial online]. September 2004.

NEWSPAPER/MAGAZINE ARTICLE

Medical simulations identify potential problems before they can pose a real threat.

Kleefeld E. Wisconsin Technology Network. June 15, 2005.

STUDY

Building a simulation-based crisis resource management course for emergency medicine, phase 1: results from an interdisciplinary needs assessment survey.

Hicks CM, Bandiera GW, Denny CJ. Acad Emerg Med. 2008 2008 Nov 1; 15: 1136-1143.

SPECIAL OR THEME ISSUE

Safety in EMS.

Brice JH, Patterson PD, eds. Prehosp Emerg Care. 2012;16:1-108.

NEWSPAPER/MAGAZINE ARTICLE

Inquiry into reporter's death finds multiple failures in care.

Stout D. New York Times. June 17, 2006;National desk:9.

STUDY

ED handoffs: observed practices and communication errors.

Maughan BC, Lei L, Cydulka RK. Am J Emerg Med. 2011;29:502-511.

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

Consequences of inadequate sign-out for patient care.

Horwitz LI, Moin T, Krumholz HM, Wang L, Bradley EH. Arch Intern Med. 2008;168:1755-1760.

COMMENTARY

JCAHO's safety goals—the clock is ticking, will your ED be compliant?

ED Manag. 2005;17:73-75.

COMMENTARY

Triage Time Bomb.

Washington DL. AHRQ WebM&M [serial online]. January 2004.

COMMENTARY

Enhancing patient safety in the pediatric emergency department: teams, communication, and lessons from crew resource management.

Pruitt CM, Liebelt EL. Pediatr Emerg Care. 2010;26:942-948.

STUDY

Emergency department communication links and patterns.

Fairbanks RJ, Bisantz AM, Sunm M. Ann Emerg Med. 2007;50:396-406.

COMMENTARY

Hold the tPA.

Fagan SC. AHRQ WebM&M [serial online]. April 2005.

STUDY

Unplanned transfers to a medical intensive care unit: causes and relationship to preventable errors in care.

Bapoje SR, Gaudiani JL, Narayanan V, Albert RK. J Hosp Med. 2011;6:68-72.

COMMENTARY

For whom the Bell Commission tolls: unintended effects of limiting residents' hours.

Millard WB. Ann Emerg Med. 2009;54:A25-A29.

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