AHRQ Patient Safety Network

The Collection > Communication Improvement

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Safety Target

•Device-related Complications (16)

•Diagnostic Errors (39)

•Identification Errors (35)

•Discontinuities, Gaps, and Hand-Off Problems (440)

•Fatigue and Sleep Deprivation (13)

•Medication Safety (295)

•Medical Complications (63)

•Nonsurgical Procedural Complications (9)

•Surgical Complications (82)

•Transfusion Complications (4)

•Psychological and Social Complications (53)

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•Asia (5)

•Australia and New Zealand (32)

Resource Types

•Journal Article (670)

•Legislation/Regulation (15)

•Meeting/Conference (3)

•Newspaper/Magazine Article (145)

•Special or Theme Issue (16)

•Tools/Toolkit (23)

•Web Resource (15)

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Error Types

•Epidemiology of Errors and Adverse Events (149)

•Active Errors (145)

•Latent Errors (83)

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Approach to Improving Safety
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Communication Improvement

•Communication between Providers (637)

•Provider-Patient Communication (235)

Clinical Areas

•Allied Health Services (5)

•Medicine (687)

•Nursing (150)

•Pharmacy (130)

Target Audience

•Health Care Providers (734)

•Health Care Executives and Administrators (719)

•Non-Health Care Professionals (297)

•Patients (96)

Setting of Care

•Hospitals (735)

•Psychiatric Facilities (3)

•Residential Facilities (20)

•Ambulatory Care (139)

•Outpatient Surgery (9)

•Patient Transport (8)

1 - 20 of 969

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COMMENTARY

Blending evidence and innovation: improving intershift handoffs in a multihospital setting.

Thomas L, Donohue-Porter P. J Nurs Care Qual. 2012;27:116-124.

REVIEW

Research on nursing handoffs for medical and surgical settings: an integrative review.

Staggers N, Blaz JW. J Adv Nurs. 2013;69:247-262.

STUDY

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.

COMMENTARY

Using simulation to teach nursing students and licensed clinicians obstetric emergencies.

Alderman JT. MCN Am J Matern Child Nurs. 2012;37:394-400.

COMMENTARY

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.

STUDY

The Daily Plan: including patients for safety's sake.

King BJ, Mills PD, Fore A, Mitchell C. Nurs Manage. 2012;43:15-18.

COMMENTARY

2009 National Patient Safety Goals.

Saufl NM. J Perianesth Nurs. 2009;24:114-118.

COMMENTARY

Implementing AORN recommended practices for transfer of patient care information.

Seifert PC. AORN J. 2012;96:475-493.

REVIEW

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.

STUDY

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.

COMMENTARY

Implementing handoff communication.

Ardoin KB, Broussard L. J Nurses Staff Dev. 2011;27:128-135.

NEWSPAPER/MAGAZINE ARTICLE

Patients taking their own medications while in the hospital.

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

STUDY

A relational leadership perspective on unit-level safety climate.

Thompson DN, Hoffman LA, Sereika SM, et al. J Nurs Adm. 2011;41:479-487.

STUDY

Barriers and facilitators to nursing handoffs: recommendations for redesign.

Welsh CA, Flanagan ME, Ebright P. Nurs Outlook. 2010;58:148-154.

ORGANIZATIONAL POLICY/GUIDELINES

Health care worker fatigue and patient safety.

Sentinel Event Alert. December 14, 2011;(48):1-4.

STUDY

"Did I do as best as the system would let me?" Healthcare professional views on hospital to home care transitions.

Davis MM, Devoe M, Kansagara D, Nicolaidis C, Englander H. J Gen Intern Med. 2012;27:1649-1656.

STUDY

Making the transition to nursing bedside shift reports.

Wakefield DS, Ragan R, Brandt J, Tregnago M. Jt Comm J Qual Patient Saf. 2012;38:243-253.

REVIEW

Nursing handoffs: a systematic review of the literature.

Riesenberg LA, Leisch J, Cunningham JM. Am J Nurs. 2010;110:24-34.

COMMENTARY

Nurses' role in communication and patient safety.

Nadzam DM. J Nurs Care Qual. 2009;24:184-188.

STUDY

Older adults' perceptions of feeling safe in urban and rural acute care.

Lasiter S, Duffy J. J Nurs Adm. 2013;43:30-66.

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