AHRQ Patient Safety Network

The Collection > Provider-Patient Communication

PATIENT SAFETY PRIMERS
The Role of the Patient in Safety

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•Device-related Complications (8)

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•Identification Errors (18)

•Discontinuities, Gaps, and Hand-Off Problems (101)

•Fatigue and Sleep Deprivation (3)

•Medication Safety (101)

•Medical Complications (29)

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•Epidemiology of Errors and Adverse Events (55)

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Approach to Improving Safety
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Provider-Patient Communication

•Informed Consent (15)

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Clinical Areas

•Allied Health Services (2)

•Medicine (246)

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Target Audience

•Health Care Providers (292)

•Health Care Executives and Administrators (238)

•Non-Health Care Professionals (86)

•Patients (94)

Setting of Care

•Hospitals (215)

•Psychiatric Facilities (1)

•Residential Facilities (3)

•Ambulatory Care (78)

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1 - 20 of 381

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BOOK/REPORT

Harm to Healing—Partnering with Patients Who Have Been Harmed.

Trew M, Nettleton S, Flemons W. Edmonton, AB, Canada: Canadian Patient Safety Institute; June 2012.

STUDY

Introduction of discharge plan to reduce adverse events within 72 hours of discharge from the ICU.

Williams TA, Leslie GD, Elliott N, Brearley L, Dobb GJ. J Nurs Care Qual. 2010;25:73-79.

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.

MULTI-USE WEBSITE

Project Red (Re-Engineered Discharge).

Boston, MA: Boston University Medical Center.

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.

COMMENTARY

As she lay dying: how I fought to stop medical errors from killing my mom.

Welch JR. Health Aff (Millwood). 2012;31:2817-2820.

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.

STUDY

Language barriers and understanding of hospital discharge instructions.

Karliner LS, Auerbach A, Nápoles A, Schillinger D, Nickleach D, Pérez-Stable EJ. Med Care. 2012;50:283-289.

STUDY

Hospital discharge documentation and risk of rehospitalisation.

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

NEWSPAPER/MAGAZINE ARTICLE

Patients taking their own medications while in the hospital.

PA-PSRS Patient Saf Advis. June 2012;9:50-57.

MULTI-USE WEBSITE

Getting Safer Care.

Agency for Healthcare Research and Quality.

REVIEW

Adverse events in hospitals: the patient's point of view.

Massó Guijarro P, Aranaz Andrés JM, Mira JJ, Perdiguero E, Aibar C. Qual Saf Health Care. 2010;19:144-147.

COMMENTARY

Improving heparin safety: a multidisciplinary invited conference.

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

REVIEW

Promoting effective transitions of care at hospital discharge: a review of key issues for hospitalists.

Kripalani S, Jackson AT, Schnipper JL, Coleman EA. J Hosp Med. 2007;2:314-323.

COMMENTARY

Culture, language, and patient safety: making the link.

Johnstone MJ, Kanitsaki O. Int J Qual Health Care. 2006;18:383-8.

NEWSPAPER/MAGAZINE ARTICLE

Survey results: community liaison programs to decrease hospital readmissions.

ISMP Medication Safey Alert! Acute Care Edition. March 7, 2013;18:1-3.

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.

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

"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.

BOOK/REPORT

Managing Patients' Medicines after Discharge from Hospital.

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

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