AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (91)

•Diagnostic Errors (80)

•Identification Errors (105)

•Discontinuities, Gaps, and Hand-Off Problems (260)

•Fatigue and Sleep Deprivation (179)

•Medication Safety (466)

•Medical Complications (268)

•Nonsurgical Procedural Complications (47)

•Surgical Complications (812)

•Transfusion Complications (11)

•Psychological and Social Complications (123)

Origin/Sponsor

•Africa (2)

•Asia (14)

•Australia and New Zealand (35)

•Central and South America (3)

•Europe (222)

•North America (2509)

Resource Types

•Clinical Guideline (4)

•Journal Article (1968)

•Legislation/Regulation (37)

•Meeting/Conference (20)

•Newsletter/Journal (7)

•Newspaper/Magazine Article (363)

•Press Release/Announcement (10)

•Special or Theme Issue (61)

•Tools/Toolkit (38)

•Web Resource (63)

•Grant (6)

Error Types

•Epidemiology of Errors and Adverse Events (465)

•Active Errors (316)

•Latent Errors (142)

•Near Miss (42)

Approach to Improving Safety

•Quality Improvement Strategies (688)

•Legal and Policy Approaches (340)

•Error Reporting and Analysis (704)

•Communication Improvement (661)

•Human Factors Engineering (351)

•Teamwork (336)

•Specialization of Care (155)

•Logistical Approaches (297)

•Culture of Safety (482)

•Technologic Approaches (359)

•Education and Training (870)

Clinical Areas

•Allied Health Services (7)

Target Audience

•Health Care Providers (1848)

•Health Care Executives and Administrators (2336)

•Non-Health Care Professionals (1338)

•Patients (241)

Setting of Care

•Hospitals (1863)

•Psychiatric Facilities (6)

•Residential Facilities (28)

•Ambulatory Care (127)

•Outpatient Surgery (51)

•Patient Transport (9)

1 - 20 of 2808

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COMMENTARY

Resident duty hours in surgery for ensuring patient safety, providing optimum resident education and training, and promoting resident well-being: a response from the American College of Surgeons to the Report of the Institute of Medicine, "Resident Duty Hours: Enhancing Sleep, Supervision, and Safety."

Britt LD, Sachdeva AK, Healy GB, Whalen TV, Blair PG; Members of the ACS Task Force on Resident Duty Hours. Surgery. 2009;146:398-409.

COMMENTARY

How long does it take to train a surgeon?

Purcell Jackson G, Tarpley JL. BMJ. 2009;339:b4260.

COMMENTARY

Resident duty hour regulation and patient safety: establishing a balance between concerns about resident fatigue and adequate training in neurosurgery.

Grady MS, Batjer HH, Dacey RG. J Neurosurg. 2009;110:828-836.

STUDY

Should all duty hours be the same? Results of a national survey of surgical trainees.

Moalem J, Salzman P, Ruan DT, et al. J Am Coll Surg. 2009;209:47-54.

STUDY

Impact of the Accreditation Council for Graduate Medical Education work-hour regulations on neurosurgical resident education and productivity.

Jagannathan J, Vates GE, Pouratian N, et al. J Neurosurg. 2009;110:820-827.

REVIEW

Error training: missing link in surgical education.

DaRosa DA, Pugh CM. Surgery. 2012;151:139-145.

STUDY

Persistent noncompliance with the work-hour regulation.

Tabrizian P, Rajhbeharrysingh U, Khaitov S, Divino CM. Arch Surg. 2011;146:175-178.

STUDY

Prolonged hospital stay and the resident duty hour rules of 2003.

Silber JH, Rosenbaum PR, Rosen AK, et al. Med Care. 2009;47:1191-1200.

STUDY

Implementation of resident work hour restrictions is associated with a reduction in mortality and provider-related complications on the surgical service: a concurrent analysis of 14,610 patients.

Privette AR, Shackford SR, Osler T, Ratliff J, Sartorelli K, Hebert JC. Ann Surg. 2009;250:316-321.

MULTI-USE WEBSITE

Quality Care and Excellence in Medical Education.

Accreditation Council for Graduate Medical Education.

NEWSPAPER/MAGAZINE ARTICLE

Beth Israel cited for residents' long hours—facing review for accreditation.

Kowalczyk L. Boston Globe. September 7, 2008;Metro section:1A.

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

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

Distractions and surgical proficiency: an educational perspective.

Szafranski C, Kahol K, Ghaemmaghami V, Smith M, Ferrara JJ. Am J Surg. 2009;198:804-810.

COMMENTARY

Attending work hour restrictions: is it time?

Hyman NH. Arch Surg. 2009;144:7-8.

STUDY

The "July phenomenon": is trauma the exception?

Schroeppel TJ, Fischer PE, Magnotti LJ, Croce MA, Fabian TC. J Am Coll Surg. 2009;209:378-384.

STUDY

Risks of complications by attending physicians after performing nighttime procedures.

Rothschild JM, Keohane CA, Rogers S, et al. JAMA. 2009;302:1565-1572.

STUDY

The impact of duty hours on resident self reports of errors.

Vidyarthi AR, Auerbach AD, Wachter RM, Katz PP. J Gen Intern Med. 2007;22:205–209.

STUDY

The impact of the 80-hour work week on appropriate resident case coverage.

Shin S, Britt R, Doviak M, Britt LD. J Surg Res. 2010;162:33-36.

STUDY

Simulation-based training improves physicians' performance in patient care in high-stakes clinical setting of cardiac surgery.

Bruppacher HR, Alam SK, LeBlanc VR, et al. Anesthesiology. 2010;112:985-992.

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