AHRQ Patient Safety Network

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The Collection

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Safety Target

•Device-related Complications (45)

•Diagnostic Errors (71)

•Identification Errors (32)

•Discontinuities, Gaps, and Hand-Off Problems (224)

•Fatigue and Sleep Deprivation (90)

•Medication Safety (458)

•Medical Complications (208)

•Nonsurgical Procedural Complications (28)

•Surgical Complications (180)

•Transfusion Complications (8)

•Psychological and Social Complications (69)

Origin/Sponsor

•Asia (18)

•Australia and New Zealand (31)

•Europe (131)

•North America (1479)

Resource Types
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Study

Error Types

•Epidemiology of Errors and Adverse Events (607)

•Active Errors (216)

•Latent Errors (75)

•Near Miss (38)

Approach to Improving Safety

•Quality Improvement Strategies (288)

•Legal and Policy Approaches (74)

•Error Reporting and Analysis (442)

•Communication Improvement (381)

•Human Factors Engineering (128)

•Teamwork (138)

•Specialization of Care (129)

•Logistical Approaches (199)

•Culture of Safety (177)

•Technologic Approaches (270)

•Education and Training (449)

Clinical Areas

•Allied Health Services (4)

•Medicine (1227)

•Nursing (139)

•Pharmacy (144)

Target Audience

•Health Care Providers (1306)

•Health Care Executives and Administrators (1283)

•Non-Health Care Professionals (685)

•Patients (18)

Setting of Care

•Hospitals (1284)

•Psychiatric Facilities (6)

•Residential Facilities (29)

•Ambulatory Care (158)

•Outpatient Surgery (9)

•Patient Transport (12)

1 - 20 of 1651

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STUDY

Association of resident fatigue and distress with perceived medical errors.

West CP, Tan AD, Habermann TM, Sloan JA, Shanafelt TD. JAMA. 2009;302:1294-1300.

STUDY

Residents' perspectives on ACGME regulation of supervision and duty hours—a national survey.

Drolet BC, Spalluto LB, Fischer SA. N Engl J Med. 2010;363:e34.

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

Patient safety stories: a project utilizing narratives in resident training.

Cox LM, Logio LS. Acad Med. 2011;86:1473-1478.

STUDY

Changes in hospital mortality associated with residency work-hour regulations.

Shetty KD, Bhattacharya J. Ann Intern Med. 2007;147:73-80.

STUDY

Internal medicine trainees' views of training adequacy and duty hours restrictions in 2009.

Shea JA, Weissman A, McKinney S, Silber JH, Volpp KG. Acad Med. 2012;87:889-894.

STUDY

Seen through their eyes: residents' reflections on the cognitive and contextual components of diagnostic errors in medicine.

Ogdie AR, Reilly JB, Pang WG, et al. Acad Med. 2012;87:1361-1367.

STUDY

Changes in outcomes for internal medicine inpatients after work-hour regulations.

Horwitz LI, Kosiborod M, Lin Z, Krumholz HM. Ann Intern Med. 2007;147:97-103.

STUDY

ACGME duty-hour recommendations—a national survey of residency program directors.

Antiel RM, Thompson SM, Reed DA, et al. N Engl J Med. 2010;363:e12.

STUDY

Factors associated with intern fatigue.

Friesen LD, Vidyarthi AR, Baron RB, Katz PP. J Gen Intern Med. 2008;23:1981-1986.

STUDY

Educational quality improvement report: outcomes from a revised morbidity and mortality format that emphasised patient safety.

Bechtold ML, Scott S, Nelson K, Cox KR, Dellsperger KC, Hall LW. Qual Saf Health Care. 2007;16:422-427.

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

Admission handoff communications: clinician's shared understanding of patient severity of illness and problems.

Brannen ML, Cameron KA, Adler M, Goodman D, Holl JL. J Patient Saf. 2009;5:237-242.

STUDY

Potential unintended consequences due to Medicare's "No Pay for Errors Rule"? A randomized controlled trial of an educational intervention with internal medicine residents.

Mookherjee S, Vidyarthi AR, Ranji SR, Maselli J, Wachter RM, Baron RB. J Gen Intern Med. 2010;25:1097-1101.

STUDY

A systems approach to morbidity and mortality conference.

Szostek JH, Wieland ML, Loertscher LL, et al. Am J Med. 2010;123:663-668.

STUDY

Perspective: a business school view of medical interprofessional rounds: transforming rounding groups into rounding teams.

Bharwani AM, Harris GC, Southwick FS. Acad Med. 2012;87:1768-1771.

STUDY

Effects of the Accreditation Council for Graduate Medical Education duty hour limits on sleep, work hours, and safety.

Landrigan CP, Fahrenkopf AM, Lewin D, et al. Pediatrics. 2008;122:250-258.

STUDY

Impact of duty hours restrictions on quality of care and clinical outcomes.

Bhavsar J, Montgomery D, Li J, et al. Am J Med. 2007;120:968-974.

STUDY

Impact of duty hour regulations on medical students' education: views of key clinical faculty.

Reed DA, Levine RB, Miller RG, et al. J Gen Intern Med. 2008;23:1084-1089.

STUDY

Intern to attending: assessing stress among physicians.

Stucky ER, Dresselhaus TR, Dollarhide A, et al. Acad Med. 2009;84:251-257.

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