U.S. Department of Health & Human Services
PATIENT SAFETY PRIMERS
Improving Communication Between Clinicians
2014 ANNUAL PERSPECTIVES
Device-related Complications (17)
Diagnostic Errors (42)
Identification Errors (34)
Discontinuities, Gaps, and Hand-Off Problems (537)
Fatigue and Sleep Deprivation (13)
Medication Safety (333)
Medical Complications (69)
Nonsurgical Procedural Complications (7)
Surgical Complications (88)
Transfusion Complications (4)
Psychological and Social Complications (75)
Australia and New Zealand (41)
North America (998)
Journal Article (868)
Newspaper/Magazine Article (156)
Press Release/Announcement (2)
Special or Theme Issue (17)
Web Resource (15)
Epidemiology of Errors and Adverse Events (261)
Active Errors (195)
Latent Errors (147)
Near Miss (16)
Approach to Improving Safety
Communication between Providers (784)
Provider-Patient Communication (291)
Allied Health Services (5)
Health Care Providers (880)
Health Care Executives and Administrators (893)
Non-Health Care Professionals (371)
Setting of Care
Psychiatric Facilities (3)
Residential Facilities (22)
Ambulatory Care (161)
Outpatient Surgery (8)
Patient Transport (12)
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Blending evidence and innovation: improving intershift handoffs in a multihospital setting.
Thomas L, Donohue-Porter P. J Nurs Care Qual. 2012;27:116-124.
Hospital discharge and readmission.
Alper E, O'Malley TA, Greenwald J. UpToDate. June 5, 2015.
Research on nursing handoffs for medical and surgical settings: an integrative review.
Staggers N, Blaz JW. J Adv Nurs. 2013;69:247-262.
Developing a medical emergency team running sheet to improve clinical handoff and documentation.
Mardegan K, Heland M, Whitelock T, Millar R, Jones D. Jt Comm J Qual Patient Saf. 2013;39:570-575.
The Daily Plan: including patients for safety's sake.
King BJ, Mills PD, Fore A, Mitchell C. Nurs Manage. 2012;43:15-18.
Ticket to ride: reducing handoff risk during hospital patient transport.
Pesanka DA, Greenhouse PK, Rack LL, et al. J Nurs Care Qual. 2009;24:109-115.
Why patient summaries in electronic health records do not provide the cognitive support necessary for nurses' handoffs on medical and surgical units: insights from interviews and observations.
Staggers N, Clark L, Blaz JW, Kapsandoy S. Health Informatics J. 2011;17:209-223.
Using simulation to teach nursing students and licensed clinicians obstetric emergencies.
Alderman JT. MCN Am J Matern Child Nurs. 2012;37:394-400.
2009 National Patient Safety Goals.
Saufl NM. J Perianesth Nurs. 2009;24:114-118.
Implementing AORN recommended practices for transfer of patient care information.
Seifert PC. AORN J. 2012;96:475-493.
Patients taking their own medications while in the hospital.
PA-PSRS Patient Saf Advis. June 2012;9:50-57.
Using a computerized sign-out system to improve physician–nurse communication.
Sidlow R, Katz-Sidlow RJ. Jt Comm J Qual Patient Saf. 2006;32:32-36.
What is patient safety culture? A review of the literature.
Sammer CE, Lykens K, Singh KP, Mains DA, Lackan NA. J Nurs Scholarsh. 2010;42:156-165.
A systematic review of the literature on the evaluation of handoff tools: implications for research and practice.
Abraham J, Kannampallil T, Patel VL. J Am Med Inform Assoc. 2014;21:154-162.
Implementing handoff communication.
Ardoin KB, Broussard L. J Nurses Staff Dev. 2011;27:128-135.
Rates of medical errors and preventable adverse events among hospitalized children following implementation of a resident handoff bundle.
Starmer AJ, Sectish TC, Simon DW, et al. JAMA. 2013;310:2262-2270.
Evaluation of a problem-specific SBAR tool to improve after-hours nurse-physician phone communication: a randomized trial.
Joffe E, Turley JP, Hwang KO, Johnson TR, Johnson CW, Bernstam EV. Jt Comm J Qual Patient Saf. 2013;39:495-501.
Guide to Patient and Family Engagement in Hospital Quality and Safety.
Rockville, MD: Agency for Healthcare Research and Quality; June 2013.
Nurses' role in communication and patient safety.
Nadzam DM. J Nurs Care Qual. 2009;24:184-188.
Assigning a team-based pager for on-call physicians reduces paging errors in a large academic hospital.
Shieh L, Chi J, Kulik C, et al. Jt Comm J Qual Patient Saf. 2014;40:77-82.
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