AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (167)

•Diagnostic Errors (142)

•Identification Errors (110)

•Discontinuities, Gaps, and Hand-Off Problems (577)

•Fatigue and Sleep Deprivation (115)

•Medication Safety (1010)

•Medical Complications (530)

•Nonsurgical Procedural Complications (98)

•Surgical Complications (505)

•Transfusion Complications (23)

•Psychological and Social Complications (136)

Origin/Sponsor

•Africa (4)

•Asia (54)

•Australia and New Zealand (111)

•Central and South America (6)

•Europe (479)

•North America (2996)

Resource Types

•Audiovisual (38)

•Award (22)

•Book/Report (184)

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•Journal Article (2801)

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•Newspaper/Magazine Article (450)

•Press Release/Announcement (12)

•Special or Theme Issue (43)

•Tools/Toolkit (49)

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Error Types

•Epidemiology of Errors and Adverse Events (944)

•Active Errors (583)

•Latent Errors (279)

•Near Miss (65)

Approach to Improving Safety

•Quality Improvement Strategies (916)

•Legal and Policy Approaches (346)

•Error Reporting and Analysis (1011)

•Communication Improvement (989)

•Human Factors Engineering (496)

•Teamwork (363)

•Specialization of Care (338)

•Logistical Approaches (349)

•Culture of Safety (521)

•Technologic Approaches (625)

•Education and Training (791)

Clinical Areas

•Allied Health Services (4)

•Medicine (2884)

•Nursing (369)

•Pharmacy (379)

Target Audience

•Health Care Providers (2524)

•Health Care Executives and Administrators (2976)

•Non-Health Care Professionals (1358)

•Patients (308)

Setting of Care
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Hospitals

•General Hospitals (1269)

•Children’s Hospitals (123)

•Specialty Hospitals (71)

1 - 20 of 3727

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STUDY

Perspective: a business school view of medical interprofessional rounds: transforming rounding groups into rounding teams.

Bharwani AM, Harris GC, Southwick FS. Acad Med. 2012;87:1768-1771.

STUDY

The computerized rounding report: implementation of a model system to support transitions of care.

Wohlauer MV, Rove KO, Pshak TJ, et al. J Surg Res. 2012;172:11-17.

COMMENTARY

Revisiting duty-hour limits — IOM recommendations for patient safety and resident education.

Iglehart JK. N Engl J Med. 2008;359:2633-2635.

STUDY

A July spike in fatal medication errors: a possible effect of new medical residents.

Phillips DP, Barker GEC. J Gen Intern Med. 2010;25:774-779.

STUDY

Potential unintended consequences due to Medicare's "No Pay for Errors Rule"? A randomized controlled trial of an educational intervention with internal medicine residents.

Mookherjee S, Vidyarthi AR, Ranji SR, Maselli J, Wachter RM, Baron RB. J Gen Intern Med. 2010;25:1097-1101.

STUDY

Medication safety initiative in reducing medication errors.

Nguyen EE, Connolly PM, Wong V. J Nurs Care Qual. 2010;25:224-230.

STUDY

Impact of resident workload and handoff training on patient outcomes.

Mueller SK, Call SA, McDonald FS, Halvorsen AJ, Schnipper JL, Hicks LS. Am J Med. 2012;125:104-110.

STUDY

The effects of a 'discharge time-out' on the quality of hospital discharge summaries.

Mohta N, Vaishnava P, Liang C, et al. BMJ Qual Saf. 2012;21:885-890.

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.

REVIEW

Systematic review: association of shift length, protected sleep time, and night float with patient care, residents' health, and education.

Reed DA, Fletcher KE, Arora VM. Ann Intern Med. 2010;153:829-842.

STUDY

"Learning by Doing"—resident perspectives on developing competency in high-quality discharge care.

Greysen SR, Schiliro D, Curry L, Bradley EH, Horwitz LI. J Gen Intern Med. 2012;27:1188-1194.

REVIEW

Hospital do-not-resuscitate orders: why they have failed and how to fix them.

Yuen JK, Reid MC, Fetters MD. J Gen Intern Med. 2011;26:791-797.

STUDY

Cost implications of ACGME's 2011 changes to resident duty hours and the training environment.

Nuckols TK, Escarce JJ. J Gen Intern Med. 2012;27:241-249.

STUDY

Rethinking resident supervision to improve safety: from hierarchical to interprofessional models.

Tamuz M, Giardina TD, Thomas EJ, Menon S, Singh H. J Hosp Med. 2011;6:448-456.

REVIEW

A systematic review of failures in handoff communication during intrahospital transfers.

Ong MS, Coiera E. Jt Comm J Qual Patient Saf. 2011;37:274-284.

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

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.

COMMENTARY

Ten years after the IOM report: engaging residents in quality and patient safety by creating a house staff quality council.

Fleischut PM, Evans AS, Nugent WC, et al. Am J Med Qual. 2011;26:89-94.

STUDY

Evaluation of a physician informatics tool to improve patient handoffs.

Flanagan ME, Patterson ES, Frankel RM, Doebbeling BN. J Am Med Inform Assoc. 2009;16:509-515.

REVIEW

Hospitalist handoffs: a systematic review and task force recommendations.

Arora VM, Manjarrez E, Dressler DD, Basaviah P, Halasyamani L, Kripalani S. J Hosp Med. 2009;4:433-440.

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