AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (28)

•Diagnostic Errors (40)

•Identification Errors (17)

•Discontinuities, Gaps, and Hand-Off Problems (282)

•Fatigue and Sleep Deprivation (70)

•Medication Safety (312)

•Medical Complications (147)

•Nonsurgical Procedural Complications (20)

•Surgical Complications (104)

•Transfusion Complications (4)

•Psychological and Social Complications (50)

Origin/Sponsor

•Africa (1)

•Asia (24)

•Australia and New Zealand (54)

•Central and South America (1)

•Europe (258)

•North America (896)

Resource Types
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Study

Error Types

•Epidemiology of Errors and Adverse Events (465)

•Active Errors (158)

•Latent Errors (57)

•Near Miss (21)

Approach to Improving Safety

•Quality Improvement Strategies (226)

•Legal and Policy Approaches (49)

•Error Reporting and Analysis (353)

•Communication Improvement (325)

•Human Factors Engineering (84)

•Teamwork (105)

•Specialization of Care (81)

•Logistical Approaches (147)

•Culture of Safety (164)

•Technologic Approaches (202)

•Education and Training (362)

Clinical Areas

•Allied Health Services (2)

•Medicine (1066)

•Nursing (88)

•Pharmacy (110)

Target Audience

•Health Care Providers (765)

•Health Care Executives and Administrators (1084)

•Non-Health Care Professionals (590)

•Patients (6)

Setting of Care

•Hospitals (1035)

•Psychiatric Facilities (3)

•Residential Facilities (12)

•Ambulatory Care (90)

•Outpatient Surgery (1)

•Patient Transport (6)

1 - 20 of 1232

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STUDY

Impact of duty-hour restriction on resident inpatient teaching.

Mazotti LA, Vidyarthi AR, Wachter RM, Auerbach AD, Katz PP. J Hosp Med. 2009;4:476-480.

STUDY

Association of workload of on-call medical interns with on-call sleep duration, shift duration, and participation in educational activities.

Arora VM, Georgitis E, Siddique J, et al. JAMA. 2008;300:1146-1153.

STUDY

Safety of using a computerized rounding and sign-out system to reduce resident duty hours.

Van Eaton EG, McDonough K, Lober WB, Johnson EA, Pellegrini CA, Horvath KD. Acad Med. 2010;85:1189-1195.

STUDY

Shifting indirect patient care duties to after hours in the era of work hours restrictions.

Mourad M, Vidyarthi AR, Hollander H, Ranji SR. Acad Med. 2011;86:586-590.

STUDY

Medication reconciliation: barriers and facilitators from the perspectives of resident physicians and pharmacists.

Boockvar KS, Santos SL, Kushniruk A, Johnson C, Nebeker JR. J Hosp Med. 2011;6:329-337.

STUDY

The computerized rounding report: implementation of a model system to support transitions of care.

Wohlauer MV, Rove KO, Pshak TJ, et al. J Surg Res. 2012;172:11-17.

STUDY

The Veterans Affairs shift change physician-to-physician handoff project.

Anderson J, Shroff D, Curtis A, et al. Jt Comm J Qual Patient Saf. 2010;36:62-71.

STUDY

Hospital safety climate and safety outcomes: is there a relationship in the VA?

Rosen AK, Singer S, Zhao S, Shokeen P, Meterko M, Gaba D. Med Care Res Rev. 2010;67:590-608.

STUDY

Validating the Patient Safety Indicators in the Veterans Health Administration: do they accurately identify true safety events?

Rosen AK, Itani KM, Cevasco M, et al. Med Care. 2012;50:74-85.

STUDY

Physicians-in-training attitudes on patient safety: 2003 to 2008.

Sorokin R, Riggio JM, Moleski S, Sullivan J. J Patient Saf. 2011;7:132-137.

STUDY

What are covering doctors told about their patients? Analysis of sign-out among internal medicine house staff.

Horwitz LI, Moin T, Krumholz HM, Wang L, Bradley EH. Qual Saf Health Care. 2009;18:248-255.

STUDY

Impact of resident workload and handoff training on patient outcomes.

Mueller SK, Call SA, McDonald FS, Halvorsen AJ, Schnipper JL, Hicks LS. Am J Med. 2012;125:104-110.

STUDY

Improving teamwork: impact of structured interdisciplinary rounds on a medical teaching unit.

O'Leary KJ, Wayne DB, Haviley C, Slade ME, Lee J, Williams MV. J Gen Intern Med. 2010;25:826-832.

STUDY

Development of a core drug list towards improving prescribing education and reducing errors in the UK.

Baker E, Roberts AP, Wilde K, et al. Br J Clin Pharmacol. 2011;71:190-198.

STUDY

"Learning by Doing"—resident perspectives on developing competency in high-quality discharge care.

Greysen SR, Schiliro D, Curry L, Bradley EH, Horwitz LI. J Gen Intern Med. 2012;27:1188-1194.

STUDY

Cost implications of ACGME's 2011 changes to resident duty hours and the training environment.

Nuckols TK, Escarce JJ. J Gen Intern Med. 2012;27:241-249.

STUDY

Rethinking resident supervision to improve safety: from hierarchical to interprofessional models.

Tamuz M, Giardina TD, Thomas EJ, Menon S, Singh H. J Hosp Med. 2011;6:448-456.

STUDY

Results of the Medications At Transitions and Clinical Handoffs (MATCH) study: an analysis of medication reconciliation errors and risk factors at hospital admission.

Gleason KM, McDaniel MR, Feinglass J, et al. J Gen Intern Med. 2010;25:441-447.

STUDY

Testing the association between Patient Safety Indicators and hospital structural characteristics in VA and nonfederal hospitals.

Rivard PE, Elixhauser A, Christiansen CL, Zhao S, Rosen AK. Med Care Res Rev. 2010;67:321-341.

STUDY

Effectiveness of a course designed to teach handoffs to medical students.

Chu ES, Reid M, Burden M, et al. J Hosp Med. 2010;5:344-348.

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