AHRQ Patient Safety Network

The Collection > Communication between Providers

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Safety Target

•Device-related Complications (16)

•Diagnostic Errors (42)

•Identification Errors (21)

•Discontinuities, Gaps, and Hand-Off Problems (330)

•Fatigue and Sleep Deprivation (7)

•Medication Safety (166)

•Medical Complications (41)

•Nonsurgical Procedural Complications (8)

•Surgical Complications (82)

•Transfusion Complications (2)

•Psychological and Social Complications (44)

Origin/Sponsor

•Asia (4)

•Australia and New Zealand (25)

Resource Types

•Journal Article (479)

•Legislation/Regulation (11)

•Meeting/Conference (2)

•Newspaper/Magazine Article (60)

•Special or Theme Issue (11)

•Tools/Toolkit (10)

•Web Resource (9)

•Grant (1)

Error Types

•Epidemiology of Errors and Adverse Events (90)

•Active Errors (142)

•Latent Errors (97)

•Near Miss (10)

Approach to Improving Safety
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Communication between Providers

•Read Back Protocols (16)

•Structured Hand-offs (111)

•SBAR (8)

•Medication Reconciliation (80)

Clinical Areas

•Allied Health Services (4)

•Medicine (462)

•Nursing (84)

•Pharmacy (68)

Target Audience

•Health Care Providers (464)

•Health Care Executives and Administrators (459)

•Non-Health Care Professionals (208)

•Patients (31)

Setting of Care

•Hospitals (498)

•Psychiatric Facilities (2)

•Residential Facilities (15)

•Ambulatory Care (66)

•Outpatient Surgery (6)

•Patient Transport (10)

1 - 20 of 613

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BOOK/REPORT

Breast Cancer Services in Trafford and North Manchester. An Investigation Into The Circumstances Surrounding A Serious Clinical Incident In Symptomatic Breast Services – The Baker Report.

Baker M. Manchester, England: NHS North West; February 2007.

COMMENTARY

Do Not Disturb!

Duffy FD, Cassel CK. AHRQ WebM&M [serial online]. October 2007.

COMMENTARY

Delay in Initiating Antibiotics Leads to Fatal Error.

Bellini LM. AHRQ WebM&M [serial online]. February 2004.

COMMENTARY

The Result Stopped Here.

Astion M. AHRQ WebM&M [serial online]. June 2004.

COMMENTARY

Right? Left? Neither!

Howell EA, Chassin MR. AHRQ WebM&M [serial online]. May 2006.

BOOK/REPORT

External Inquiry into the adverse incident that occurred at Queen's Medical Centre, Nottingham, 4th January 2001.

Toft B. London, England: Department of Health; 2001.

COMMENTARY

Discharge Fumbles.

Forster A. AHRQ WebM&M [serial online]. December 2004.

COMMENTARY

Missed Appendicitis.

Adams JG. AHRQ WebM&M [serial online]. June 2003.

COMMENTARY

Deciphering the Code

Goldstein MK. AHRQ WebM&M [serial online]. Febuary 2006.

COMMENTARY

The Dangerous Detour.

Gibson J, Taylor D. AHRQ WebM&M [serial online]. June 2003.

STUDY

Gaps in pediatric clinician communication and opportunities for improvement.

Woods DM, Holl JL, Angst DB, et al. J Healthc Qual. 2008;30:43-54.

COMMENTARY

Unreported errors in the intensive care unit: a case study of the way we work.

Henneman EA. Crit Care Nurse. 2007;27:27-34.

COMMENTARY

Leading clinical handover improvement: a change strategy to implement best practices in the acute care setting.

Clarke CM, Persaud DD. J Patient Saf. 2011;7:11-18.

COMMENTARY

Staggered Sensitivity Results

Guglielmo BJ. AHRQ WebM&M [serial online]. March 2007.

COMMENTARY

Handovers from the OR to the ICU.

Bonifacio AS, Segall N, Barbeito A, Taekman J, Schroeder R, Mark JB. Int Anesthesiol Clin. 2013;51:43-61.

NEWSPAPER/MAGAZINE ARTICLE

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

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

COMMENTARY

Triage Time Bomb.

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

NEWSPAPER/MAGAZINE ARTICLE

Disuse of system is cited in gaps in soldiers' care.

Urbina I, Nixon R. New York Times. March 30, 2007;National Desk section:1.

COMMENTARY

Another Fall.

Bogardus ST Jr. AHRQ WebM&M [serial online]. April 2003.

COMMENTARY

Achieving the 'perfect handoff' in patient transfers: building teamwork and trust.

Clarke D, Werestiuk K, Schoffner A, et al. J Nurs Manag. 2012;20:592-598.

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