AHRQ Patient Safety Network

The Collection > Provider-Patient Communication

PATIENT SAFETY PRIMERS
The Role of the Patient in Safety

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Safety Target

•Device-related Complications (8)

•Diagnostic Errors (35)

•Identification Errors (25)

•Discontinuities, Gaps, and Hand-Off Problems (96)

•Fatigue and Sleep Deprivation (4)

•Medication Safety (146)

•Medical Complications (42)

•Nonsurgical Procedural Complications (6)

•Surgical Complications (40)

•Transfusion Complications (1)

•Psychological and Social Complications (54)

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•Asia (4)

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Resource Types

•Journal Article (325)

•Legislation/Regulation (7)

•Meeting/Conference (3)

•Newspaper/Magazine Article (103)

•Press Release/Announcement (1)

•Special or Theme Issue (7)

•Tools/Toolkit (19)

•Web Resource (13)

Error Types

•Epidemiology of Errors and Adverse Events (58)

•Active Errors (98)

•Latent Errors (35)

•Near Miss (10)

Approach to Improving Safety
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Provider-Patient Communication

•Informed Consent (26)

•Health Literacy Improvement (90)

Clinical Areas

•Allied Health Services (2)

•Medicine (316)

•Nursing (25)

•Pharmacy (60)

Target Audience

•Health Care Providers (419)

•Health Care Executives and Administrators (325)

•Non-Health Care Professionals (149)

•Patients (150)

Setting of Care

•Hospitals (252)

•Psychiatric Facilities (1)

•Residential Facilities (6)

•Ambulatory Care (110)

•Outpatient Surgery (7)

1 - 20 of 548

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COMMENTARY

Improving heparin safety: a multidisciplinary invited conference.

Peterson C, Ham CW, Vanderveen T. Hosp Pharm. 2008;43:491-497.

STUDY

The care transitions intervention: translating from efficacy to effectiveness.

Voss R, Gardner R, Baier R, Butterfield K, Lehrman S, Gravenstein S. Arch Intern Med. 2011;171:1232-1237.

BOOK/REPORT

Patient-Centered Care Improvement Guide.

Frampton S, Guastello S, Brady C, et al. Derby, CT: Planetree; Camden, ME: Picker Institute; 2008.

STUDY

A reengineered hospital discharge program to decrease rehospitalization: a randomized trial.

Jack BW, Chetty VK, Anthony D, et al. Ann Intern Med. 2009;150:178-187.

NEWSPAPER/MAGAZINE ARTICLE

Hospitals boost patients' power as advisers.

Landro L. Wall Street Journal. August 8, 2007:D1.

BOOK/REPORT

Achieving an Exceptional Patient and Family Experience of Inpatient Hospital Care.

Balik B, Conway J, Zipperer L, Watson J. Cambridge, MA: Institute for Healthcare Improvement; 2011.

STUDY

Hospital discharge documentation and risk of rehospitalisation.

Hansen LO, Strater A, Smith L, et al. BMJ Qual Saf. 2011;20:773-778.

STUDY

Hospitalized patients' understanding of their plan of care.

O'Leary KJ, Kulkarni N, Landler MP, et al. Mayo Clin Proc. 2010;85:47-52.

COMMENTARY

Reengineering hospital discharge: a protocol to improve patient safety, reduce costs, and boost patient satisfaction.

Clancy CM. Am J Med Qual. 2009;24:344-346.

STUDY

The effects of a 'discharge time-out' on the quality of hospital discharge summaries.

Mohta N, Vaishnava P, Liang C, et al. BMJ Qual Saf. 2012;21:885-890.

AWARD RECIPIENT

2006 Quest for Quality Prize.

Runy LA. Hosp Health Netw. September 2006.

BOOK/REPORT

Advancing Effective Communication, Cultural Competence, and Patient- and Family-Centered Care: A Roadmap for Hospitals.

Oakbrook Terrace, IL: The Joint Commission; 2010.

STUDY

Patient readmissions, emergency visits, and adverse events after software-assisted discharge from hospital: cluster randomized trial.

Graumlich JF, Novotny NL, Nace GS, et al. J Hosp Med. 2009;4:E11-E19.

NEWSPAPER/MAGAZINE ARTICLE

10 things your hospital won't tell you.

Kapadia R. Smart Money. October 2006;15:112-114.

STUDY

Lack of patient knowledge regarding hospital medications.

Cumbler E, Wald H, Kutner J. J Hosp Med. 2010;5-83-86.

COMMENTARY

Complementary telephone strategies to improve postdischarge communication.

Rennke S, Kesh S, Neeman N, Sehgal NL. Am J Med. 2012;125:28-30.

COMMENTARY

Anatomy of an incident disclosure: the importance of dialogue.

Iedema R, Allen S. Jt Comm J Qual Patient Saf. 2012;38:435-442.

STUDY

Last orders: follow-up of tests ordered on the day of hospital discharge.

Ong MS, Magrabi F, Jones G, Coiera E. Arch Intern Med. 2012;172:1347-1349.

BOOK/REPORT

Managing Patients' Medicines after Discharge from Hospital.

London, UK: Care Quality Commission; October 2009. CQC-039-500-ESP-102009. ISBN: 9781845622442.

STUDY

A qualitative exploration of patients' attitudes towards the 'Participate Inform Notice Know' (PINK) patient safety video.

Pinto A, Vincent C, Darzi A, Davis R. Int J Qual Health Care. 2013;25:29-34.

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