AHRQ Patient Safety Network

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The Collection

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Safety Target

•Device-related Complications (49)

•Diagnostic Errors (121)

•Identification Errors (42)

•Discontinuities, Gaps, and Hand-Off Problems (165)

•Fatigue and Sleep Deprivation (59)

•Medication Safety (449)

•Medical Complications (149)

•Nonsurgical Procedural Complications (30)

•Surgical Complications (212)

•Transfusion Complications (8)

•Psychological and Social Complications (58)

Origin/Sponsor

•Africa (1)

•Asia (42)

•Australia and New Zealand (48)

•Central and South America (7)

•Europe (268)

•North America (958)

Resource Types
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Study

Error Types

•Epidemiology of Errors and Adverse Events (886)

•Active Errors (269)

•Latent Errors (42)

•Near Miss (36)

Approach to Improving Safety

•Quality Improvement Strategies (228)

•Legal and Policy Approaches (38)

•Error Reporting and Analysis (448)

•Communication Improvement (250)

•Human Factors Engineering (108)

•Teamwork (95)

•Specialization of Care (81)

•Logistical Approaches (126)

•Culture of Safety (101)

•Technologic Approaches (206)

•Education and Training (385)

Clinical Areas

•Allied Health Services (1)

Target Audience

•Health Care Providers (1019)

•Health Care Executives and Administrators (1133)

•Non-Health Care Professionals (548)

•Patients (6)

Setting of Care

•Hospitals (945)

•Psychiatric Facilities (5)

•Residential Facilities (17)

•Ambulatory Care (128)

•Outpatient Surgery (10)

•Patient Transport (13)

1 - 20 of 1331

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STUDY

Do you have to re-examine to reconsider your diagnosis? Checklists and cardiac exam.

Sibbald M, de Bruin AB, Cavalcanti RB, van Merrienboer JJ. BMJ Qual Saf. 2013;22:333-338.

STUDY

The impact of prolonged continuous wakefulness on resident clinical performance in the intensive care unit: a patient simulator study.

Sharpe R, Koval V, Ronco JJ, et al. Crit Care Med. 2010;38:766-770.

STUDY

Effect of availability bias and reflective reasoning on diagnostic accuracy among internal medicine residents.

Mamede S, van Gog T, van den Berge K, et al. JAMA. 2010;304:1198-1203.

STUDY

Misleading one detail: a preventable mode of diagnostic error?

Arzy S, Brezis M, Khoury S, Simon SR, Ben-Hur T. J Eval Clin Pract. 2009;15:804-806.

STUDY

The association between frequency of self-reported medical errors and anesthesia trainee supervision: a survey of United States anesthesiology residents-in-training.

De Oliveira GS Jr, Rahmani R, Fitzgerald PC, Chang R, McCarthy RJ. Anesth Analg. 2013;116:892-897.

STUDY

Cognitive errors detected in anaesthesiology: a literature review and pilot study.

Stiegler MP, Neelankavil JP, Canales C, Dhillon A. Br J Anaesth. 2012;108:229-235.

STUDY

Types and origins of diagnostic errors in primary care settings.

Singh H, Giardina TD, Meyer AND, Forjuoh SN, Reis MD, Thomas EJ. JAMA Intern Med. 2013;173:418-425.

STUDY

Causes of errors in the electrocardiographic diagnosis of atrial fibrillation by physicians.

Davidenko JM, Snyder LS. J Electrocardiol. 2007;40:450-457.

STUDY

Integration of a formalized handoff system into the surgical curriculum: resident perspectives and early results.

Telem DA, Buch KE, Ellis S, Coakley B, Divino CM. Arch Surg. 2011;146:89-93.

STUDY

Checklists improve experts' diagnostic decisions.

Sibbald M, de Bruin ABH, van Merrienboer JJG. Med Educ. 2013;47:301-308.

STUDY

Adherence to simple and effective measures reduces the incidence of ventilator-associated pneumonia: [L'observation de mesures simples et efficaces reduit l'incidence de pneumonie associee a la ventilation mecanique].

Baxter AD, Allan J, Bedard J, et al. Can J Anaesth. 2005;52:535-541.

STUDY

The impact of video games on training surgeons in the 21st century.

Rosser JC Jr, Lynch PJ, Cuddihy L, Gentile DA, Klonsky J, Merrell R. Arch Surg. 2007;142:181-186.

STUDY

A patient safety curriculum for medical residents based on the perspectives of residents and supervisors.

Jansma JD, Wagner C, Bijnen AB. J Patient Saf. 2011;7:99-105.

STUDY

A July spike in fatal medication errors: a possible effect of new medical residents.

Phillips DP, Barker GEC. J Gen Intern Med. 2010;25:774-779.

STUDY

Preventable morbidity at a mature trauma center.

Teixeira PGR, Inaba K, Salim A, et al. Arch Surg. 2009;144:536-541.

STUDY

Accuracies of diagnostic methods for acute appendicitis.

Park JS, Jeong JH, Lee JI, Lee JH, Park JK, Moon HJ. Am Surg. 2013;79:101-106.

STUDY

Assessing residents' communication skills: disclosure of an adverse event to a standardized patient.

Posner G, Nakajima A. J Obstet Gynaecol Can. 2011;33:262-268.

STUDY

The influence of resident involvement on surgical outcomes.

Raval MV, Wang X, Cohen ME, et al. J Am Coll Surg. 2011;212:889-898.

STUDY

Debriefing after critical incidents for anaesthetic trainees.

Tan H. Anaesth Intensive Care. 2005;33:768-772.

STUDY

Challenges of making a diagnosis in the outpatient setting: a multi-site survey of primary care physicians.

Sarkar U, Bonacum D, Strull W, et al. BMJ Qual Saf. 2012;21:641-648.

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