AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (76)

•Diagnostic Errors (155)

•Identification Errors (90)

•Discontinuities, Gaps, and Hand-Off Problems (259)

•Fatigue and Sleep Deprivation (159)

•Medication Safety (547)

•Medical Complications (138)

•Nonsurgical Procedural Complications (46)

•Surgical Complications (538)

•Transfusion Complications (9)

•Psychological and Social Complications (229)

Origin/Sponsor

•Asia (17)

•Australia and New Zealand (29)

•Central and South America (1)

•Europe (127)

•North America (2096)

Resource Types

•Audiovisual (24)

•Award (4)

•Book/Report (70)

•Clinical Guideline (7)

•Journal Article (1788)

•Legislation/Regulation (29)

•Meeting/Conference (6)

•Newsletter/Journal (8)

•Newspaper/Magazine Article (276)

•Press Release/Announcement (9)

•Special or Theme Issue (19)

•Tools/Toolkit (29)

•Web Resource (42)

•Grant (2)

Error Types

•Epidemiology of Errors and Adverse Events (501)

•Active Errors (343)

•Latent Errors (120)

•Near Miss (41)

Approach to Improving Safety

•Quality Improvement Strategies (477)

•Legal and Policy Approaches (230)

•Error Reporting and Analysis (704)

•Communication Improvement (557)

•Human Factors Engineering (258)

•Teamwork (193)

•Specialization of Care (95)

•Logistical Approaches (283)

•Culture of Safety (236)

•Technologic Approaches (347)

•Education and Training (481)

Clinical Areas

•Allied Health Services (6)

Target Audience

•Health Care Providers (1793)

•Health Care Executives and Administrators (1731)

•Non-Health Care Professionals (744)

•Patients (177)

Setting of Care

•Hospitals (1370)

•Psychiatric Facilities (5)

•Residential Facilities (31)

•Ambulatory Care (188)

•Outpatient Surgery (38)

•Patient Transport (17)

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STUDY

Resident work hour limits and patient safety.

Poulose BK, Ray WA, Arbogast PG, et al. Ann Surg. 2005;241:847-860.

STUDY

Residency work-hours reform: a cost analysis including preventable adverse events.

Nuckols TK, Escarce JJ. J Gen Intern Med. 2005;20:873-878.

STUDY

The 80-hour work guidelines and resident survey perceptions of quality.

Biller CK, Antonacci AC, Pelletier S, et al. J Surg Res. 2006;135:275-281.

STUDY

The impact of the 80-hour resident workweek on surgical residents and attending surgeons.

Hutter MM, Kellogg KC, Ferguson CM, Abbott WM, Warshaw AL. Ann Surg. 2006;243:864-871; discussion 871-875.

NEWSPAPER/MAGAZINE ARTICLE

A case that shook medicine.

Lerner BH. The Washington Post. November 28, 2006:HE01.

COMMENTARY

Junior doctors' shifts and sleep deprivation.

Murray A, Pounder R. Mather H, Black DC. BMJ. 2005;330:1404.

COMMENTARY

The 80-hour work week: why safer patient care will mean more health care is provided by physician extenders.

McLean TR. J Leg Med. 2005;26:339-384.

MULTI-USE WEBSITE

Accreditation Council for Graduate Medical Education.

MULTI-USE WEBSITE

Surgical Care Improvement Project.

National SCIP Partnership, Oklahoma Foundation for Medical Quality, 14000 Quail Springs Parkway, Suite 400, Oklahoma City, OK, 73134.

STUDY

Perceived impact of duty hours limits on the fragmentation of patient care: results from an academic health center.

Keating RJ, LaRusso NF, Kolars JC. Am J Med. 2005;118:788-793.

NEWSPAPER/MAGAZINE ARTICLE

Safety in ASCs: putting patients first.

Dix K. Today's Surgicenter. December 1, 2006.

STUDY

The effects of work-hour limitations on resident well-being, patient care, and education in an internal medicine residency program.

Goitein L, Shanafelt TD, Wipf JE, Slatore CG, Back AL. Arch Intern Med. 2005;165:2601-2606.

STUDY

Complying with ACGME resident duty hours restrictions: restructuring the 80-hour workweek to enhance education and patient safety at Texas A&M/Scott & White Memorial Hospital.

Ogden PE, Sibbitt S, Howell M, et al. Acad Med. 2006;81:1026-1031.

STUDY

Remaking surgical socialization: work hour restrictions, rites of passage, and occupational identity.

Veazey Brooks J, Bosk CL. Soc Sci Med. 2012;75:1625-1632.

STUDY

The effects of on-duty napping on intern sleep time and fatigue.

Arora V, Dunphy C, Chang VY, Ahmad F, Humphrey HJ, Meltzer D. Ann Intern Med. 2006;144:792-798.

STUDY

Extended work duration and the risk of self-reported percutaneous injuries in interns.

Ayas NT, Barger LK, Cade BE, et al. JAMA. 2006;296:1055-1062.

STUDY

Resident attitudes regarding the impact of the 80–duty-hours work standards.

Zonia SC, LaBaere RJ, Stommel M, Tomaszewski DD. J Am Osteopath Assoc. 2005;105:307-313.

STUDY

Interns' compliance with Accreditation Council for Graduate Medical Education work-hour limits.

Landrigan CP, Barger LK, Cade BE, Ayas NT, Czeisler CA. JAMA. 2006;296:1063-1070.

STUDY

Wrong-side/wrong-site, wrong-procedure, and wrong-patient adverse events: are they preventable?

Seiden SC, Barach P. Arch Surg. 2006;141:931-939.

STUDY

Overnight and postcall errors in medication orders.

Hendey GW, Barth BE, Soliz T. Acad Emerg Med. 2005;12:629-634.

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