The role of technology in clinician-to-clinician communication.

Lisa M. McElroy; Daniela P. Ladner; Jane L. Holl

Commentary

The role of technology in clinician-to-clinician communication.

August 14, 2013

McElroy LM, Ladner DP, Holl JL. BMJ Qual Saf. 2013;22(12):981-3.

View more articles from the same authors.

This commentary discusses electronic communication in hospitals, including unintended consequences and how variability in information quality and accuracy may affect patient outcomes.

PubMed citation

Available at

Related Resources From the Same Author(s)

The use of technology for urgent clinician to clinician communications: a systematic review of the literature.

January 7, 2015

Failure mode and effects analysis: a comparison of two common risk prioritisation methods.

May 4, 2016

Observation for assessment of clinician performance: a narrative review.

November 11, 2015

Operating room to intensive care unit handoffs and the risks of patient harm.

July 22, 2015

Preventable errors in organ transplantation: an emerging patient safety issue?

July 11, 2012

The importance of leadership in preventing healthcare–associated infection: results of a multisite qualitative study.

September 15, 2010

How active resisters and organizational constipators affect health care–acquired infection prevention efforts.

April 13, 2011

High-alert medications in the pediatric intensive care unit.

January 7, 2009

Residents' duty hours—toward an empirical narrative.

December 5, 2012

Patient safety problems in adolescent medical care.

January 18, 2006

What patients think doctors know: beliefs about provider knowledge as barriers to safe medication use.

August 14, 2013

Risk assessment of the acute stroke diagnostic process using failure modes, effects, and criticality analysis.

March 1, 2023

Admission handoff communications: clinician's shared understanding of patient severity of illness and problems.

November 25, 2009

Adverse events and preventable adverse events in children.

March 6, 2005

Applying fault tree analysis to the prevention of wrong-site surgery.

March 11, 2015

Ambulatory care adverse events and preventable adverse events leading to a hospital admission.

April 18, 2007

Minimizing Opioid Prescribing in Surgery (MOPiS) initiative: an analysis of implementation barriers.

April 17, 2019

Relationship between state malpractice environment and quality of health care in the United States.

April 12, 2017

National survey on the effect of oncology drug shortages on cancer care.

April 10, 2013

Do safety culture scores in nursing homes depend on job role and ownership? Results from a national survey.

October 4, 2017

Errors and the burden of errors: attitudes, perceptions, and the culture of safety in pediatric cardiac surgical teams.

April 30, 2008

The nurse's role in the causation of compensable injury.

October 12, 2011

Association between hospital safety culture and surgical outcomes in a statewide surgical quality improvement collaborative.

May 15, 2019

Evaluation of the association between Nursing Home Survey on Patient Safety culture (NHSOPS) measures and catheter-associated urinary tract infections: results of a national collaborative.

October 18, 2017

Education and reporting of diagnostic errors among physicians in internal medicine training programs.

September 19, 2018

Insulin pump risks and benefits: a clinical appraisal of pump safety standards, adverse event reporting, and research needs: a joint statement of the European Association for the Study of Diabetes and the American Diabetes Association Diabetes Technology Working Group.

May 6, 2015

Anatomy of a patient safety event: a pediatric patient safety taxonomy.

December 21, 2005

What does safety commitment mean to leaders? A multi-method investigation.

April 3, 2019

An electronic health record–based real-time analytics program for patient safety surveillance and improvement.

December 5, 2018

Debriefing to improve interprofessional teamwork in the operating room: a systematic review.

March 6, 2024

Association between surgeon technical skills and patient outcomes.

September 9, 2020

The influence of organizational context on quality improvement and patient safety efforts in infection prevention: a multi-center qualitative study.

November 10, 2010

Error disclosure and family members' reactions: does the type of error really matter?

February 18, 2015

Do written disclosures of serious events increase risk of malpractice claims? One health care system's experience.

May 30, 2018

Sex and gender differences in anesthesia: relevant also for perioperative safety?

April 7, 2021

Improving adverse drug event detection in critically ill patients through screening intensive care unit transfer summaries.

July 31, 2013

Infection prevention in long-term care: re-evaluating the system using a human factors engineering approach.

February 13, 2019

Comparing catheter-associated urinary tract infection prevention programs between Veterans Affairs nursing homes and non–Veterans Affairs nursing homes.

April 5, 2017

Reducing central line–associated bloodstream infections in North Carolina NICUs.

February 26, 2014

Overrides of medication-related clinical decision support alerts in outpatients.

January 8, 2014

Effect of antiseptic handwashing vs alcohol sanitizer on health care-associated infections in neonatal intensive care units.

May 4, 2005

Gaps in pediatric clinician communication and opportunities for improvement.

October 22, 2008

Implementation of Condition Help: family teaching and evaluation of family understanding.

October 26, 2011

'If no-one stops me, I'll make the mistake again': changing prescribing behaviours through feedback; a Perceptual Control Theory perspective.

May 10, 2017

Measuring experiences and outcomes of patient safety in primary care: a systematic review of available instruments.

October 29, 2014

The Triangle Model for evaluating the effect of health information technology on healthcare quality and safety.

March 21, 2012

Tragedy into policy: a quantitative study of nurses' attitudes toward patient advocacy activities.

June 22, 2011

Novel analysis of clinically relevant diagnostic errors in point-of-care devices.

October 19, 2011

Recognition and prevention of nosocomial malnutrition: a review and a call to action!

October 11, 2017

Electronic prescribing improves medication safety in community-based office practices.

March 17, 2010

A paradigm shift to balance safety and quality in pediatric pain management.

March 6, 2013

Reductions in sepsis mortality and costs after design and implementation of a nurse-based early recognition and response program.

November 11, 2015

Partnering to prevent falls: using a multimodal multidisciplinary team.

August 14, 2013

Examining the meaning of the language used to communicate the nursing hand-off.

November 24, 2021

Levels of agreement on the grading, analysis and reporting of significant events by general practitioners: a cross-sectional study.

October 29, 2008

Increase in US medication-error deaths between 1983 and 1993.

March 6, 2005

Impact of health information technology on detection of potential adverse drug events at the ordering stage.

November 17, 2010

What kinds of insights do Safety-I and Safety-II approaches provide? A critical reflection on the use of SHERPA and FRAM in healthcare.

February 21, 2024

Psychological safety and hierarchy in operating room debriefing: reflexive thematic analysis.

January 31, 2024

How should medication errors be defined? Development and test of a definition.

May 30, 2012

Bias in radiology: the how and why of misses and misinterpretations.

December 20, 2017

Use of high-fidelity simulation to enhance interdisciplinary collaboration and reduce patient falls.

May 10, 2017

An IDEA: safety training to improve critical thinking by individuals and teams.

April 10, 2019

Effective interventions and implementation strategies to reduce adverse drug events in the Veterans Affairs (VA) system.

February 20, 2008

Increased catheter-related bloodstream infection rates after the introduction of a new mechanical valve intravenous access port.

January 25, 2006

Quantifying the burden of opioid medication errors in adult oncology and palliative care settings: a systematic review.

June 1, 2016

Critical phase distractions in anaesthesia and the sterile cockpit concept.

March 30, 2011

The contribution of sociotechnical factors to health information technology–related sentinel events.

January 27, 2016

Leveraging the continuum: a novel approach to meeting quality improvement and patient safety competency requirements across a large department of medicine.

November 14, 2018

Disclosing adverse events in clinical practice: the delicate act of being open.

February 2, 2022

Feedback from incident reporting: information and action to improve patient safety.

March 11, 2009

Eliminating adverse drug events at Ascension Health.

September 12, 2007

Strategies to prevent healthcare-associated infections through hand hygiene.

July 30, 2014

Failure to rescue following emergency surgery: a FRAM analysis of the management of the deteriorating patient.

February 2, 2022

Moral distress, compassion fatigue, and perceptions about medication errors in certified critical care nurses.

October 26, 2011

An examination of medical malpractice claims involving physician trainees.

August 19, 2020

The Sepsis Early Recognition and Response Initiative (SERRI).

March 9, 2016

Implementation of a surgical comprehensive unit-based safety program to reduce surgical site infections.

July 11, 2012

Laney's story: the problem of delayed diagnosis of pediatric stroke.

April 24, 2019

Medication errors in HIV-infected hospitalized patients: a pharmacist's impact.

July 10, 2013

Reducing accidental extubation in neonates.

March 5, 2008

The quality and safety track: training future physician leaders.

September 4, 2013

Medication errors with pediatric liquid acetaminophen after standardization of concentration and packaging improvements.

October 17, 2018

Resident perceptions of the impact of work hour limitations.

May 16, 2007

The development and piloting of the Ambulatory Electronic Health Record Evaluation Tool: lessons learned.

March 17, 2021

Ending disruptive behavior: staff nurse recommendations to nurse educators.

September 4, 2013

Development and implementation of a pediatric patient safety program.

June 21, 2006

Development of an instrument to measure the unintended consequences of EHRs.

April 8, 2015

Implementing a surgical checklist: more than checking a box.

November 7, 2012

Advance care planning documentation practices and accessibility in the electronic health record: implications for patient safety.

March 28, 2018

Barriers to and facilitators of bedside nursing handover: a systematic review and meta-synthesis.

July 7, 2021

Missed, rationed or unfinished nursing care: a scoping review of patient outcomes.

April 29, 2020

Characteristics of healthcare organisations struggling to improve quality: results from a systematic review of qualitative studies.

September 5, 2018

Prescription opioid analgesics commonly unused after surgery: a systematic review.

August 9, 2017

Requirements for the design and implementation of checklists for surgical processes.

August 13, 2008

Time trends in pulmonary embolism in the United States: evidence of overdiagnosis.

May 25, 2011

Patient safety event reporting expectation: does it influence residents' attitudes and reporting behaviors?

June 5, 2013

Impact of errors in paper-based and computerized diabetes management with decision support for hospitalized patients with type 2 diabetes. A post-hoc analysis of a before and after study.

June 15, 2016

Quality and safety in hospital pediatrics during COVID-19: a national qualitative study.

January 12, 2022

Medical-surgical nurse leaders' experiences with safety culture: an inductive qualitative descriptive study.

November 9, 2022

Related Resources

Interview

In Conversation with... Kathleen Sanford and Sue Schuelke about Virtual Nursing

August 30, 2023

Perspectives on Safety

Virtual Nursing: Improving Patient Care and Meeting Workforce Challenges

August 30, 2023

Patient Safety Innovations

Remote Response Team and Customized Alert Settings Help Improve Management of Sepsis

May 31, 2023

Annual Perspective

Improving Diagnostic Safety and Quality

April 26, 2023

Interview

In Conversation with... Susan McGrath, PhD and George Blike, MD about Surveillance Monitoring

April 26, 2023

Perspective

Surveillance Monitoring to Improve Patient Safety in Acute Hospital Care Units

April 26, 2023

It's like sending a message in a bottle: a qualitative study of the consequences of one-way communication technologies in hospitals.

October 13, 2021

Considering the safety and quality of artificial intelligence in health care.

September 16, 2020

Attending to the emotional well-being of the health care workforce in a New York City health system during the COVID-19 pandemic.

August 26, 2020

Emerging Concepts in Patient Safety.

September 18, 2019

Commissioning simulations to test new healthcare facilities: a proactive and innovative approach to healthcare system safety.

September 11, 2019

Perceptual and interpretive error in diagnostic radiology—causes and potential solutions.

September 4, 2019

From box ticking to the black box: the evolution of operating room safety.

September 4, 2019

Individual and team-based medical error disclosure: dialectical tensions among health care providers.

August 28, 2019

Strengthening the medical error "meme pool."

August 7, 2019

Cognitive Errors and Diagnostic Mistakes: A Case-Based Guide to Critical Thinking in Medicine.

July 10, 2019

The rise of human factors: optimising performance of individuals and teams to improve patients' outcomes.

July 10, 2019

Interview

In Conversation With… Erik Hollnagel, PhD

June 1, 2019

Beyond burnout: a physician wellness hierarchy designed to prioritize interventions at the systems level.

May 29, 2019

Interview

In Conversation With… Jane Brice, MD, MPH

May 1, 2019

Intensive care medicine in 2050: preventing harm.

May 1, 2019

Consumer-directed technologies to improve medication management and safety.

April 24, 2019

Machine learning in medicine.

April 10, 2019

Deep Medicine: How Artificial Intelligence Can Make Healthcare Human Again.

March 20, 2019

Solving alarm fatigue with smartphone technology.

January 23, 2019

WebM&M Cases

Critical Order Set Change and Critical Limb Ischemia

January 1, 2019

Dissecting communication barriers in healthcare: a path to enhancing communication resiliency, reliability, and patient safety.

November 28, 2018

Two decades since To Err Is Human: an assessment of progress and emerging priorities in patient safety.

November 7, 2018

Health apps and health policy: what is needed?

October 24, 2018

A health system–wide initiative to decrease opioid-related morbidity and mortality.

September 26, 2018

See More About The Topic

Health Care Providers

Information Professionals

Organizational Behaviorists

Communication Improvement

Technologic Approaches

The role of technology in clinician-to-clinician communication.

Remote Response Team and Customized Alert Settings Help Improve Management of Sepsis

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

The role of technology in clinician-to-clinician communication.

Remote Response Team and Customized Alert Settings Help Improve Management of Sepsis

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

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