AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (10)

•Diagnostic Errors (102)

•Identification Errors (9)

•Discontinuities, Gaps, and Hand-Off Problems (61)

•Fatigue and Sleep Deprivation (44)

•Medication Safety (135)

•Medical Complications (35)

•Nonsurgical Procedural Complications (11)

•Surgical Complications (72)

•Transfusion Complications (1)

•Psychological and Social Complications (28)

Origin/Sponsor

•Asia (16)

•Australia and New Zealand (20)

•Europe (199)

•North America (368)

Resource Types
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Study

Error Types

•Epidemiology of Errors and Adverse Events (171)

•Active Errors (103)

•Latent Errors (22)

•Near Miss (6)

Approach to Improving Safety

•Quality Improvement Strategies (106)

•Legal and Policy Approaches (35)

•Error Reporting and Analysis (157)

•Communication Improvement (102)

•Human Factors Engineering (35)

•Teamwork (67)

•Specialization of Care (22)

•Logistical Approaches (66)

•Culture of Safety (51)

•Technologic Approaches (114)

•Education and Training (258)

Clinical Areas

•Allied Health Services (1)

•Medicine (481)

•Nursing (28)

•Pharmacy (42)

Target Audience

•Health Care Providers (474)

•Health Care Executives and Administrators (479)

•Non-Health Care Professionals (349)

•Patients (7)

Setting of Care

•Hospitals (359)

•Psychiatric Facilities (1)

•Residential Facilities (6)

•Ambulatory Care (48)

•Outpatient Surgery (3)

•Patient Transport (3)

1 - 20 of 605

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STUDY

The relationship between response time and diagnostic accuracy.

Sherbino J, Dore KL, Wood TJ, et al. Acad Med. 2012;87:785-791.

STUDY

Factors influencing doctors' ability to calculate drug doses correctly.

Wheeler DW, Wheeler SJ, Ringrose TR. Int J Clin Pract. 2007;61:189-194.

STUDY

Training health care professionals in root cause analysis: a cross-sectional study of post-training experiences, benefits and attitudes.

Bowie P, Skinner J, de Wet C. BMC Health Serv Res. 2013;13:50.

STUDY

Information distortion in physicians' diagnostic judgments.

Kostopoulou O, Russo JE, Keenan G, Delaney BC, Douiri A. Med Decis Making. 2012;32:831-839.

STUDY

Simulation-based training improves physicians' performance in patient care in high-stakes clinical setting of cardiac surgery.

Bruppacher HR, Alam SK, LeBlanc VR, et al. Anesthesiology. 2010;112:985-992.

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

A human factors analysis of technical and team skills among surgical trainees during procedural simulations in a simulated operating theatre.

Moorthy K, Munz Y, Adams S, Pandey V, Darzi A. Ann Surg. 2005;242:631-639.

STUDY

A multicentre observational study to evaluate a new tool to assess emergency physicians' non-technical skills.

Flowerdew L, Gaunt A, Spedding J, et al. Emerg Med J. 2012 Jun 15; [Epub ahead of print].

STUDY

On higher ground: ethical reasoning and its relationship with error disclosure.

Cole AP, Block L, Wu AW. BMJ Qual Saf. 2013 Mar 1; [Epub ahead of print].

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

Analysis of errors enacted by surgical trainees during skills training courses.

Tang B, Hanna GB, Cuschieri A. Surgery. 2005;138:14-20.

STUDY

Surgical crisis management skills training and assessment: a stimulation-based approach to enhancing operating room performance.

Moorthy K, Munz Y, Forrest D, et al. Ann Surg. 2006;244:139-147.

STUDY

Measuring faculty reflection on adverse patient events: development and initial validation of a case-based learning system.

Wittich CM, Lopez-Jimenez F, Decker LK, et al. J Gen Intern Med. 2011;26:293-298.

STUDY

The human face of simulation: patient-focused simulation training.

Kneebone R, Nestel D, Wetzel C, et al. Acad Med. 2006;81:919-924.

STUDY

Cognitive versus technical debriefing after simulation training.

Bond WF, Deitrick LM, Eberhardt M, et al. Acad Emer Med. 2006;13:276-283.

STUDY

Validation of a diagnostic reminder system in emergency medicine: a multi-centre study.

Ramnarayan P, Cronje N, Brown R, et al. Emerg Med J. 2007;24:619-624.

STUDY

Reliability of a revised NOTECHS scale for use in surgical teams.

Sevdalis N, Davis R, Koutantji M, et al. Am J Surg. 2008;196:184-190.

STUDY

How residents think and make medical decisions: implications for education and patient safety.

Young JS, Smith RL, Guerlain S, Nolley B. Am Surg. 2007;73:548-553; discussion 553-554.

STUDY

Improving medication management for patients: the effect of a pharmacist on post-admission ward rounds.

Fertleman M, Barnett N, Patel T. Qual Saf Health Care. 2005;14:207-211.

STUDY

Blurring the boundaries: scenario-based simulation in a clinical setting.

Kneebone RL, Kidd J, Nestel D, et al. Med Educ. 2005;39:580-587.

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