Improving the quality of discharge communication with an educational intervention.

Mikelle Key-Solle; Elizabeth Paulk; Kathleen Bradford; Asheley Cockrell Skinner; Matthew C Lewis; Kyrie Shomaker

Study

Improving the quality of discharge communication with an educational intervention.

October 13, 2010

Key-Solle M, Paulk E, Bradford K, et al. Pediatrics. 2010;126(4):734-9.

View more articles from the same authors.

After an educational intervention, pediatric residents' discharge summaries were more concise yet contained more information about key care transitions issues, such as tests pending at discharge.

PubMed citation

Available at

Free full text

Related Resources From the Same Author(s)

Fatigue and safety in paramedicine.

December 18, 2019

Self-reported violations during medication administration in two paediatric hospitals.

May 16, 2012

Harmful medication errors involving unfractionated and low-molecular-weight heparin in three patient safety reporting programs.

April 28, 2010

Understanding the medication safety challenges for patients with mental illness in primary care: a scoping review.

June 28, 2023

The high-reliability pediatric intensive care unit.

May 22, 2013

More than a tick box: medical checklist development, design, and use.

August 23, 2017

Communication failures: an insidious contributor to medical mishaps.

April 15, 2005

Rapid response systems as a patient safety strategy: a systematic review.

March 20, 2013

Training health care professionals in root cause analysis: a cross-sectional study of post-training experiences, benefits and attitudes.

April 10, 2013

Sustaining and spreading the reduction of adverse drug events in a multicenter collaborative.

January 30, 2005

Fostering transparency in outcomes, quality, safety, and costs.

October 12, 2016

Beyond the medical record: other modes of error acknowledgment.

June 29, 2005

Effective approaches to control non-actionable alarms and alarm fatigue.

September 12, 2018

Safer prescribing for hospitalized older adults with an electronic health records‐based prescribing context.

October 28, 2020

Rapid response systems: should we still question their implementation?

May 8, 2013

A theory-driven, longitudinal evaluation of the impact of team training on safety culture in 24 hospitals.

April 3, 2013

Exploring error in team-based acute care scenarios: an observational study from the United Kingdom.

June 6, 2012

Understanding the behaviour of newly qualified doctors in acute care contexts.

November 2, 2011

An evaluation of shared mental models and mutual trust on general medical units: implications for collaboration, teamwork, and patient safety.

November 29, 2017

Family-centered multidisciplinary rounds enhance the team approach in pediatrics.

April 15, 2009

Medication dosing safety for pediatric patients: recognizing gaps, safety threats, and best practices in the emergency medical services setting. A position statement and resource document from NAEMSP.

August 26, 2020

Measure Dx: implementing pathways to discover and learn from diagnostic errors.

September 28, 2022

Associations of person-related, environment-related and communication-related factors on medication errors in public and private hospitals: a retrospective clinical audit.

November 17, 2021

Operational measurement of diagnostic safety: state of the science.

October 7, 2020

Errors prevented by and associated with bar-code medication administration systems.

May 2, 2007

Exploring situational awareness in diagnostic errors in primary care.

September 21, 2011

Diagnostic errors in the intensive care unit: a systematic review of autopsy studies.

August 8, 2012

Implementing a national strategy for patient safety: lessons from the National Health Service in England.

April 21, 2005

Safety culture as a patient safety practice for alarm fatigue.

October 13, 2021

Rapid response teams—walk, don't run.

October 11, 2006

Impact of laws aimed at healthcare-associated infection reduction: a qualitative study.

September 30, 2015

Digital health technology-specific risks for medical malpractice liability.

December 7, 2022

Pharmacist-managed inpatient discharge medication reconciliation: a combined onsite and telepharmacy model.

January 7, 2015

Regional variations in diagnostic practices.

May 12, 2010

Implementation of a mandatory checklist of protocols and objectives improves compliance with a wide range of evidence-based intensive care unit practices.

July 29, 2009

mHealth and mobile medical apps: a framework to assess risk and promote safer use.

March 1, 2017

Making healthcare safer by understanding, designing and buying better IT.

July 22, 2015

What went right: lessons for the intensivist from the crew of US Airways Flight 1549.

September 23, 2009

Uncomfortable prescribing decisions in hospitals: the impact of teamwork.

November 25, 2009

Two-state collaborative study of a multifaceted intervention to decrease ventilator-associated events.

June 7, 2017

Development and applications of the Veterans Health Administration's Stratification Tool for Opioid Risk Mitigation (STORM) to improve opioid safety and prevent overdose and suicide.

April 12, 2017

The impact of post-fall huddles on repeat fall rates and perceptions of safety culture: a quasi-experimental evaluation of a patient safety demonstration project

October 16, 2019

Measuring the impact of medication-related interventions on 30-day readmission rates in a skilled nursing facility.

July 1, 2020

Safety for home care: the use of Internet video calls to double-check interventions.

February 6, 2013

Safe but sound: patient safety meets evidence-based medicine.

April 12, 2006

Inappropriate opioid dosing and prescribing for children: an unintended consequence of the clinical pain score?

December 7, 2016

Frequency of medication administration timing error in hospitals: a systematic review.

March 29, 2023

The meaning of justice in safety incident reporting.

November 7, 2007

Validation of an electronic trigger to measure missed diagnosis of stroke in emergency departments.

August 25, 2021

Tips to reduce dangerous interruptions by healthcare staff.

February 6, 2013

Structured handover in general surgery: an audit of current practice.

July 8, 2015

Does overlapping surgery result in worse surgical outcomes? A systematic review and meta-analysis.

February 20, 2019

Improving diagnostic performance through feedback: the Diagnosis Learning Cycle.

September 1, 2021

Classification of adverse events occurring in a surgical intensive care unit.

September 5, 2007

An educational intervention to enhance nurse leaders' perceptions of patient safety culture.

August 3, 2005

Honesty and transparency, indispensable to the clinical mission--Parts I-III.

December 15, 2021

Clinical review: Checklists—translating evidence into practice.

January 27, 2010

Randomised controlled trial to assess the effect of a Just-in-Time training on procedural performance: a proof-of-concept study to address procedural skill decay.

November 1, 2017

Relationship of adverse events and support to RN burnout.

October 8, 2014

Measurement of quality and assurance of safety in the critically ill.

April 8, 2009

Family alert: implementing direct family activation of a pediatric rapid response team.

October 28, 2009

Incorporating harms into the weighting of the Revised AHRQ Patient Safety for Selected Indicators Composite (PSI 90).

January 26, 2022

Knowledge is power: averting safety-compromising events in the OR.

December 17, 2008

JCAHO's National Patient Safety Goals 2006.

February 15, 2006

Developing a culture of safety in ambulatory care settings.

May 30, 2007

Using evidence, rigorous measurement, and collaboration to eliminate central catheter-associated bloodstream infections.

August 25, 2010

Evaluating horizontal violence and bullying in the nursing workforce of an oncology academic medical center.

September 25, 2019

Patient safety in North America: beyond "operate through your initials" and "sign your site."

June 24, 2009

A novel approach to implementation of quality and safety programmes in anaesthesiology.

December 7, 2011

An unintended consequence of electronic prescriptions: prevalence and impact of internal discrepancies.

July 21, 2010

Emerging trends in perinatal quality and risk with recommendations for patient safety.

February 14, 2018

Perinatal patient safety and quality.

July 6, 2011

Sources and types of discrepancies between electronic medical records and actual outpatient medication use.

September 24, 2008

Measuring perinatal patient safety: review of current methods.

May 31, 2006

Understanding the root cause analysis process to increase safety event reporting.

July 5, 2023

Complications associated with the anesthesia transport of pediatric patients: an analysis of the Wake Up Safe database.

October 14, 2020

Counterheroism, common knowledge, and ergonomics: concepts from aviation that could improve patient safety.

April 6, 2011

Expanded surgical time out: a key to real-time data collection and quality improvement.

April 18, 2007

Diagnostic errors in the pediatric and neonatal ICU: a systematic review.

March 4, 2015

Developing indicators of inpatient adverse drug events through nonlinear analysis using administrative data.

October 24, 2007

Does simulation training for acute care nurses improve patient safety outcomes: a systematic review to inform evidence-based practice.

October 23, 2019

Vaccination errors reported to the Vaccine Adverse Event Reporting System (VAERS), United States, 2000–2013.

July 22, 2015

Preventing home medication administration errors.

March 14, 2022

Increasing physician reporting of diagnostic learning opportunities.

December 23, 2020

Simulation-based assessment of the management of critical events by board-certified anesthesiologists.

September 13, 2017

Measuring the cost of hospital adverse patient safety events.

November 10, 2010

Complying with the 2008 national patient safety goals.

March 26, 2008

Charges and lengths of stay attributable to adverse patient-care events using pediatric-specific quality indicators: a multicenter study of freestanding children's hospitals.

June 11, 2008

Improving the discharge process by embedding a discharge facilitator in a resident team.

November 16, 2011

Selected medication safety risks that can easily fall off the radar screen—part 1, part 2, and part 3.

December 19, 2018

'Inattentional blindness': what captures your attention?

November 21, 2012

Physical environments that promote safe medication use.

August 29, 2012

Making it easier to do the right thing: a modern communication QI agenda.

August 8, 2012

That's the way we do things around here! Your actions speak louder than words when it comes to patient safety.

June 18, 2014

Driving out errors.

April 27, 2011

Can your nurses stop a surgeon?

September 26, 2007

Patient falls while under supervision: trends from incident reporting.

July 5, 2023

Consensus bundle on prevention of surgical site infections after major gynecologic surgery.

December 21, 2016

Significant and sustained reduction in chemotherapy errors through improvement science.

April 5, 2017

Parents' perceptions of medical errors.

June 16, 2010

Related Resources

Danger in discharge summaries: abbreviations create confusion for both author and recipient.

May 31, 2023

Annual Perspective

Improving Diagnostic Safety and Quality

April 26, 2023

Using trainee failures to enhance learning: a qualitative study of pediatric hospitalists on allowing failure.

February 8, 2023

Using the Assessment of Reasoning Tool to facilitate feedback about diagnostic reasoning.

January 11, 2023

Resident and nurse perspectives on the use of secure text messaging systems.

October 19, 2022

Implicit bias and caring for diverse populations: pediatric trainee attitudes and gaps in training.

September 22, 2021

TeamSTEPPS for the COVID-19 Crisis.

February 10, 2021

Errors during resuscitation: the impact of perceived authority on delivery of care.

March 25, 2020

Association of pediatric resident physician depression and burnout with harmful medical errors on inpatient services.

August 14, 2019

Interventions to reduce burnout and improve resilience: impact on a health system's outcomes.

June 12, 2019

Pediatric faculty knowledge and comfort discussing diagnostic errors: a pilot survey to understand barriers to an educational program.

June 12, 2019

Patient and physician experience with interhospital transfer: a qualitative study.

May 29, 2019

Failure to debrief after critical events in anesthesia is associated with failures in communication during the event.

March 20, 2019

Data omission by physician trainees on ICU rounds.

February 6, 2019

Case-based simulation empowering pediatric residents to communicate about diagnostic uncertainty.

January 16, 2019

"Closing the loop": a mixed-methods study about resident learning from outcome feedback after patient handoffs.

December 12, 2018

Sustained impact of a pediatric resident-led patient safety council.

August 1, 2018

Pediatric anesthesiology fellows' perception of quality of attending supervision and medical errors.

April 11, 2018

Pediatric adverse event rates associated with inexperience in teaching hospitals: a multilevel analysis.

March 21, 2018

Increasing trainee reporting of adverse events with monthly, trainee-directed review of adverse events.

January 31, 2018

Medical improv: a novel approach to teaching communication and professionalism skills.

August 3, 2016

Physician transition of care: benefits of I-PASS and an electronic handoff system in a community pediatric residency program.

June 22, 2016

WebM&M Cases

July Syndrome

June 1, 2016

Multicenter development, implementation, and patient safety impacts of a simulation-based module to teach handovers to pediatric residents.

April 22, 2015

A step toward high reliability: implementation of a daily safety brief in a children's hospital.

September 24, 2014

Improving team information sharing with a structured call-out in anaesthetic emergencies: a randomized controlled trial.

March 12, 2014

Development and reliability of the explicit professional oral communication observation tool to quantify the use of non-technical skills in healthcare.

July 10, 2013

Perspective: a business school view of medical interprofessional rounds: transforming rounding groups into rounding teams.

November 14, 2012

Faculty member review and feedback using a sign-out checklist: improving intern written sign-out.

September 19, 2012

Impact of resident workload and handoff training on patient outcomes.

April 4, 2012

See More About The Topic

General Hospitals

Health Care Providers

Quality and Safety Professionals

Educators

Pediatrics

Improving the quality of discharge communication with an educational intervention.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Improving the quality of discharge communication with an educational intervention.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

PSNet Log in

Submit Your Innovations

Continue as a Guest

Continue Logged In

Submit Your Innovations

Continue as a Guest

Continue logged in

New Users to the PSNet site