AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (116)

•Diagnostic Errors (345)

•Identification Errors (82)

•Discontinuities, Gaps, and Hand-Off Problems (321)

•Fatigue and Sleep Deprivation (85)

•Medication Safety (903)

•Medical Complications (255)

•Nonsurgical Procedural Complications (48)

•Surgical Complications (371)

•Transfusion Complications (13)

•Psychological and Social Complications (160)

Origin/Sponsor

•Africa (2)

•Asia (39)

•Australia and New Zealand (43)

•Central and South America (4)

•Europe (182)

•North America (2575)

Resource Types

•Audiovisual (31)

•Award (5)

•Book/Report (105)

•Clinical Guideline (6)

•Journal Article (2287)

•Legislation/Regulation (27)

•Meeting/Conference (13)

•Newsletter/Journal (5)

•Newspaper/Magazine Article (296)

•Press Release/Announcement (7)

•Special or Theme Issue (33)

•Tools/Toolkit (22)

•Web Resource (43)

•Grant (1)

Error Types

•Epidemiology of Errors and Adverse Events (1190)

•Active Errors (532)

•Latent Errors (133)

•Near Miss (58)

Approach to Improving Safety

•Quality Improvement Strategies (744)

•Legal and Policy Approaches (266)

•Error Reporting and Analysis (891)

•Communication Improvement (637)

•Human Factors Engineering (286)

•Teamwork (240)

•Specialization of Care (149)

•Logistical Approaches (225)

•Culture of Safety (357)

•Technologic Approaches (544)

•Education and Training (743)

Clinical Areas

•Allied Health Services (8)

Target Audience

•Health Care Providers (2161)

•Health Care Executives and Administrators (2001)

•Non-Health Care Professionals (1158)

•Patients (186)

Setting of Care

•Hospitals (1667)

•Psychiatric Facilities (8)

•Residential Facilities (51)

•Ambulatory Care (298)

•Outpatient Surgery (32)

•Patient Transport (22)

1 - 20 of 2881

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COMMENTARY

Aging gracefully? Patient safety advocates call for ongoing skills assessments for older physicians.

McKenna M. Ann Emerg Med. 2011;58:A15-A17.

COMMENTARY

Clinician mindfulness and patient safety.

Sibinga EMS, Wu AW. JAMA. 2010;304:2532-2533.

STUDY

Outside case review of surgical pathology for referred patients: the impact on patient care.

Swapp RE, Aubry MC, Salomão DR, Cheville JC. Arch Pathol Lab Med. 2013;137:233-240.

STUDY

Identifying diagnostic errors in primary care using an electronic screening algorithm.

Singh H, Thomas EJ, Khan MM, Petersen LA. Arch Intern Med. 2007;167:302-308.

REVIEW

Cognitive interventions to reduce diagnostic error: a narrative review.

Graber ML, Kissam S, Payne VL, et al. BMJ Qual Saf. 2012 21:535-557.

STUDY

Reducing inappropriate diagnostic practice through education and decision support.

Bairstow PJ, Persaud J, Mendelson R, Nguyen L. Int J Qual Health Care. 2010;22:194-200.

SPECIAL OR THEME ISSUE

Diagnostic Error in Medicine.

Berner ES, Graber ML, eds. Adv Health Sci Educ Theory Pract. 2009;14(suppl 1):1-112.

NEWSPAPER/MAGAZINE ARTICLE

The antidote to medical errors.

Price M. Monitor. January 2010;41:50.

STUDY

Burnout and satisfaction with work-life balance among US physicians relative to the general US population.

Shanafelt TD, Boone S, Tan L, et al. Arch Intern Med. 2012;172:1377-1385.

COMMENTARY

"Just like EKGs!" Should EEGs undergo a confirmatory interpretation by a clinical neurophysiologist?

Benbadis SR. Neurology. 2013;80(suppl 1):S47-S51.

COMMENTARY

Bringing diagnosis into the quality and safety equations.

Graber ML, Wachter RM, Cassel CK. JAMA. 2012;308:1211-1212.

COMMENTARY

In Conversation with...Joseph Britto, MD

AHRQ WebM&M [serial online]. February 2007.

STUDY

Trauma resuscitation errors and computer-assisted decision support.

Fitzgerald M, Cameron P, Mackenzie C, et al. Arch Surg. 2011;146:218-225.

STUDY

Large-scale deployment of the Global Trigger Tool across a large hospital system: refinements for the characterisation of adverse events to support patient safety learning opportunities.

Good VS, Saldaña M, Gilder R, Nicewander D, Kennerly DA. BMJ Qual Saf. 2011;20:25-30.

STUDY

Special report: suicidal ideation among American surgeons.

Shanafelt TD, Balch CM, Dyrbye L, et al. Arch Surg. 2011;146:54-62.

STUDY

Comparison and interpretation of urinalysis performed by a nephrologist versus a hospital-based clinical laboratory.

Tsai JJ, Yeun JY, Kumar VA, Don BR. Am J Kidney Dis. 2005;46:820-829.

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

Surgeon-reported conflict with intensivists about postoperative goals of care.

Paul Olson TJ, Brasel KJ, Redmann AJ, Alexander GC, Schwarze ML. JAMA Surg. 2013;148:29-35.

STUDY

Retrospective evaluation of a computerized physician order entry adaptation to prevent prescribing errors in a pediatric emergency department.

Sard BE, Walsh KE, Doros G, et al. Pediatrics. 2008;122:782-787.

STUDY

Improving patient safety: effects of a safety program on performance and culture in a department of radiology.

Donnelly LF, Dickerson JM, Goodfriend MA, Muething SE. AJR Am J Roentgenol. 2009;193:165-171.

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