AHRQ Patient Safety Network

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The Collection

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Safety Target

•Device-related Complications (53)

•Diagnostic Errors (96)

•Identification Errors (36)

•Discontinuities, Gaps, and Hand-Off Problems (366)

•Fatigue and Sleep Deprivation (75)

•Medication Safety (606)

•Medical Complications (222)

•Nonsurgical Procedural Complications (30)

•Surgical Complications (191)

•Transfusion Complications (5)

•Psychological and Social Complications (90)

Origin/Sponsor

•Africa (1)

•Asia (37)

•Australia and New Zealand (64)

•Central and South America (1)

•Europe (272)

•North America (1696)

Resource Types
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Study

Error Types

•Epidemiology of Errors and Adverse Events (718)

•Active Errors (199)

•Latent Errors (83)

•Near Miss (34)

Approach to Improving Safety

•Quality Improvement Strategies (373)

•Legal and Policy Approaches (111)

•Error Reporting and Analysis (609)

•Communication Improvement (542)

•Human Factors Engineering (139)

•Teamwork (205)

•Specialization of Care (152)

•Logistical Approaches (211)

•Culture of Safety (237)

•Technologic Approaches (364)

•Education and Training (357)

Clinical Areas

•Allied Health Services (6)

•Medicine (1586)

•Nursing (188)

•Pharmacy (214)

Target Audience

•Health Care Providers (1435)

•Health Care Executives and Administrators (1602)

•Non-Health Care Professionals (761)

•Patients (23)

Setting of Care

•Hospitals (1579)

•Psychiatric Facilities (3)

•Residential Facilities (29)

•Ambulatory Care (202)

•Outpatient Surgery (9)

•Patient Transport (11)

1 - 20 of 2061

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STUDY

What do patients think about year-end resident continuity clinic handoffs?: a qualitative study.

Pincavage AT, Lee WW, Beiting KJ, Arora VM. J Gen Intern Med. 2013 Apr 18; [Epub ahead of print].

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

Effects of a multicentre teamwork and communication programme on patient outcomes: results from the Triad for Optimal Patient Safety (TOPS) project.

Auerbach AD, Sehgal NL, Blegen MA, et al. BMJ Qual Saf. 2012;22:118-126.

STUDY

Association between hospital-reported Leapfrog Safe Practices scores and inpatient mortality.

Kernisan LP, Lee SJ, Boscardin WJ, Landefeld CS, Dudley RA. JAMA. 2009;301:1341-1348.

STUDY

Effect of a systems intervention on the quality and safety of patient handoffs in an internal medicine residency program.

Graham KL, Marcantonio ER, Huang GC, Yang J, Davis RB, Smith CC. J Gen Intern Med. 2013 Apr 18; [Epub ahead of print].

STUDY

Improving teamwork on general medical units: when teams do not work face-to-face.

McComb SA, Henneman EA, Hinchey KT, et al. Jt Comm J Qual Patient Saf. 2012;38:471-478.

STUDY

Physicians' needs in coping with emotional stressors: the case for peer support.

Hu YY, Fix ML, Hevelone ND, et al. Arch Surg. 2012;147:212-217.

STUDY

Faculty member review and feedback using a sign-out checklist: improving intern written sign-out.

Bump GM, Bost JE, Buranosky R, Elnicki M. Acad Med. 2012;87;1125-1131.

STUDY

Avoiding handover fumbles: a controlled trial of a structured handover tool versus traditional handover methods.

Payne CE, Stein JM, Leong T, Dressler DD. BMJ Qual Saf. 2012;21:925-932.

STUDY

The care transitions intervention: translating from efficacy to effectiveness.

Voss R, Gardner R, Baier R, Butterfield K, Lehrman S, Gravenstein S. Arch Intern Med. 2011;171:1232-1237.

STUDY

Design and implementation of an automated email notification system for results of tests pending at discharge.

Dalal AK, Schnipper JL, Poon EG, et al. J Am Med Inform Assoc. 2012;19:523-538.

STUDY

Use of an appreciative inquiry approach to improve resident sign-out in an era of multiple shift changes.

Helms AS, Perez TE, Baltz J, et al. J Gen Intern Med. 2012;27:287-291.

STUDY

Consequences of inadequate sign-out for patient care.

Horwitz LI, Moin T, Krumholz HM, Wang L, Bradley EH. Arch Intern Med. 2008;168:1755-1760.

STUDY

The effect of workload reduction on the quality of residents' discharge summaries.

Coit MH, Katz JT, McMahon GT. J Gen Intern Med. 2011;26:28-32.

STUDY

A reengineered hospital discharge program to decrease rehospitalization: a randomized trial.

Jack BW, Chetty VK, Anthony D, et al. Ann Intern Med. 2009;150:178-187.

STUDY

Change in intern calls at night after a work hour restriction process change.

Spellberg B, Sue D, Chang D, Witt M. JAMA Intern Med. 2013;173:707-709.

STUDY

A review of verbal order policies in acute care hospitals.

Wakefield DS, Wakefield BJ, Despins L, et al. Jt Comm J Qual Patient Saf. 2012;38:24-33.

STUDY

Peer support: healthcare professionals supporting each other after adverse medical events.

van Pelt F. Qual Saf Health Care. 2008;17:249-252.

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

Health care workers as second victims of medical errors.

Edrees HH, Paine LA, Feroli ER, Wu AW. Pol Arch Med Wewn. 2011;121:101-108.

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