PATIENT SAFETY PRIMERS
Handoffs and Signouts
Device-related Complications (3)
Diagnostic Errors (6)
Identification Errors (1)
Discontinuities, Gaps, and Hand-Off Problems (171)
Fatigue and Sleep Deprivation (2)
Medication Safety (18)
Medical Complications (3)
Nonsurgical Procedural Complications (1)
Surgical Complications (19)
Psychological and Social Complications (3)
Australia and New Zealand (10)
North America (128)
Journal Article (146)
Newspaper/Magazine Article (15)
Special or Theme Issue (3)
Web Resource (5)
Epidemiology of Errors and Adverse Events (31)
Active Errors (33)
Latent Errors (24)
Near Miss (1)
Approach to Improving Safety
Health Care Providers (141)
Health Care Executives and Administrators (143)
Non-Health Care Professionals (42)
Setting of Care
Residential Facilities (3)
Ambulatory Care (10)
Outpatient Surgery (1)
Patient Transport (9)
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All in the History
Fee C. AHRQ WebM&M [serial online]. February/March 2009.
Exploring emergency physician–hospitalist handoff interactions: development of the Handoff Communication Assessment.
Apker J, Mallak LA, Applegate EB 3rd, et al. Ann Emerg Med. 2010;55:161-170.
Vidyarthi A. AHRQ WebM&M [serial online]. March 2004.
Quality improvement and patient care checklists in intrahospital transfers involving pediatric surgery patients.
Nakayama DK, Lester SS, Rich DR, Weidner BC, Glenn JB, Shaker IJ. J Pediatr Surg. 2012;47:112-118.
Lost in the Black Hole.
Wachter RM. AHRQ WebM&M [serial online]. October 2003.
Re-Engineered Discharge (RED) Toolkit.
Jack B, Paasche-Orlow M, Mitchell S, Forsythe S, Martin J. Rockville, MD: Agency for Healthcare Research and Quality; March 2013. AHRQ Publication No. 12(13)-0084.
I-PASS, a mnemonic to standardize verbal handoffs.
Starmer AJ, Spector ND, Srivastava R, Allen AD, Landrigan CP, Sectish TC; I-PASS Study Group. Pediatrics. 2012;129:201-204.
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.
The effects of patient handoff characteristics on subsequent care: a systematic review and areas for future research.
Foster S, Manser T. Acad Med. 2012;87:1105-1124.
Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation.
Gleason KM, Brake H, Agramonte V, Perfetti C. Rockville, MD: Agency for Healthcare Research and Quality; Revised August 2012. AHRQ Publication No. 11(12)-0059.
A hospital races to learn lessons of Ferrari pit stop.
Naik G. Wall Street Journal. November 14, 2006:A1. [reprinted on Post-gazette.com].
"It's like two worlds apart": an analysis of vulnerable patient handover practices at discharge from hospital.
Groene RO, Orrego C, Suñol R, Barach P, Groene O. BMJ Qual Saf. 2012;21:i67-i75.
Improving communication in the emergency department.
Redfern E, Brown R, Vincent CA. Emerg Med J. 2009;26:658-661.
Glucose Roller Coaster.
Sharpe BA. AHRQ WebM&M [serial online]. July 2004.
A prospective observational study of physician handoff for intensive-care-unit-to-ward patient transfers.
Li P, Stelfox HT, Ghali WA. Am J Med. 2011;124:860-867.
Save lives now: five ways to improve patient safety in the ED.
Dunn P. Hosp Health Netw. April 2007;81:42-44,46,48,2.
Improving Transitions of Care: Hand-off Communications.
Oakbrook Terrace, IL: Joint Commission Center for Transforming Healthcare; June 2012.
The computerized rounding report: implementation of a model system to support transitions of care.
Wohlauer MV, Rove KO, Pshak TJ, et al. J Surg Res. 2012;172:11-17.
Multi-professional patterns and methods of communication during patient handoffs.
Benham-Hutchins MM, Effken JA. Int J Med Inform. 2010;79:252-267.
Safer Sign Out.
Emergency Medicine Patient Safety Foundation.
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