AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (178)

•Diagnostic Errors (271)

•Identification Errors (126)

•Discontinuities, Gaps, and Hand-Off Problems (756)

•Fatigue and Sleep Deprivation (141)

•Medication Safety (1325)

•Medical Complications (493)

•Nonsurgical Procedural Complications (75)

•Surgical Complications (506)

•Transfusion Complications (23)

•Psychological and Social Complications (192)

Origin/Sponsor

•Africa (5)

•Asia (52)

•Australia and New Zealand (109)

•Central and South America (5)

•Europe (473)

•North America (3975)

Resource Types

•Clinical Guideline (6)

•Journal Article (3474)

•Legislation/Regulation (48)

•Meeting/Conference (25)

•Newsletter/Journal (10)

•Newspaper/Magazine Article (542)

•Press Release/Announcement (15)

•Special or Theme Issue (67)

•Tools/Toolkit (60)

•Web Resource (90)

•Grant (9)

Error Types

•Epidemiology of Errors and Adverse Events (1409)

•Active Errors (623)

•Latent Errors (254)

•Near Miss (79)

Approach to Improving Safety

•Quality Improvement Strategies (1187)

•Legal and Policy Approaches (525)

•Error Reporting and Analysis (1375)

•Communication Improvement (1281)

•Human Factors Engineering (467)

•Teamwork (378)

•Specialization of Care (301)

•Logistical Approaches (399)

•Culture of Safety (649)

•Technologic Approaches (813)

•Education and Training (955)

Clinical Areas

•Allied Health Services (14)

Target Audience

•Health Care Providers (3208)

•Health Care Executives and Administrators (3600)

•Non-Health Care Professionals (1729)

•Patients (361)

Setting of Care

•Hospitals (3055)

•Psychiatric Facilities (16)

•Residential Facilities (80)

•Ambulatory Care (451)

•Outpatient Surgery (41)

•Patient Transport (36)

1 - 20 of 4684

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STUDY

Association of workload of on-call medical interns with on-call sleep duration, shift duration, and participation in educational activities.

Arora VM, Georgitis E, Siddique J, et al. JAMA. 2008;300:1146-1153.

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

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

Safety of using a computerized rounding and sign-out system to reduce resident duty hours.

Van Eaton EG, McDonough K, Lober WB, Johnson EA, Pellegrini CA, Horvath KD. Acad Med. 2010;85:1189-1195.

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

Evaluation of a redesign initiative in an internal-medicine residency.

McMahon GT, Katz JT, Thorndike ME, Levy BD, Loscalzo J. N Engl J Med. 2010;362:1304-1311.

STUDY

Deficits in discharge documentation in patients transferred to rehabilitation facilities on anticoagulation: results of a systemwide evaluation.

Gandara E, Moniz TT, Ungar J, et al. Jt Comm J Qual Patient Saf. 2008;34:460-463.

STUDY

Effects of the 2011 duty hour reforms on interns and their patients: a prospective longitudinal cohort study.

Sen S, Kranzler HR, Didwania AK, et al. JAMA Intern Med. 2013;173:657-662.

STUDY

Patient whiteboards as a communication tool in the hospital setting: A survey of practices and recommendations.

Sehgal NL, Green A, Vidyarthi AR, Blegen MA, Wachter RM. J Hosp Med. 2010;5:234-239.

COMMENTARY

Building physician work hour regulations from first principles and best evidence.

Volpp KG, Landrigan CP. JAMA. 2008;300:1197-1199.

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

Patient Safety Dialogue: evaluation of an intervention aimed at achieving an improved patient safety culture.

Öhrn A, Rutberg H, Nilsen P. J Patient Saf. 2011;7:185-192.

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

A multidisciplinary teamwork training program: The Triad for Optimal Patient Safety (TOPS) experience.

Sehgal NL, Fox M, Vidyarthi AR, et al; TOPS Project. J Gen Intern Med. 2008;23:2053-2057.

STUDY

Implementing peer evaluation of handoffs: associations with experience and workload.

Arora VM, Greenstein EA, Woodruff JN, Staisiunas PG, Farnan JM. J Hosp Med. 2013;8:132-136.

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.

REVIEW

Coordinating care across diseases, settings, and clinicians: a key role for the generalist in practice.

Stille CJ, Jerant A, Bell D, Meltzer D, Elmore JG. Ann Intern Med. 2005;142:700-708.

REVIEW

Hospital-initiated transitional care interventions as a patient safety strategy: a systematic review.

Rennke S, Nguyen OK, Shoeb MH, Magan Y, Wachter RM, Ranji SR. Ann Intern Med. 2013;158(5 Pt 2):433-440.

STUDY

Improving teamwork: impact of structured interdisciplinary rounds on a medical teaching unit.

O'Leary KJ, Wayne DB, Haviley C, Slade ME, Lee J, Williams MV. J Gen Intern Med. 2010;25:826-832.

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