AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (172)

•Diagnostic Errors (125)

•Identification Errors (125)

•Discontinuities, Gaps, and Hand-Off Problems (443)

•Fatigue and Sleep Deprivation (121)

•Medication Safety (971)

•Medical Complications (479)

•Nonsurgical Procedural Complications (82)

•Surgical Complications (724)

•Transfusion Complications (18)

•Psychological and Social Complications (124)

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•Africa (2)

•Asia (60)

•Australia and New Zealand (101)

•Central and South America (9)

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•North America (2918)

Resource Types

•Audiovisual (40)

•Award (18)

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•Special or Theme Issue (27)

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Error Types

•Epidemiology of Errors and Adverse Events (1133)

•Active Errors (546)

•Latent Errors (229)

•Near Miss (63)

Approach to Improving Safety

•Quality Improvement Strategies (844)

•Legal and Policy Approaches (314)

•Error Reporting and Analysis (1060)

•Communication Improvement (824)

•Human Factors Engineering (473)

•Teamwork (315)

•Specialization of Care (290)

•Logistical Approaches (319)

•Culture of Safety (446)

•Technologic Approaches (569)

•Education and Training (693)

Clinical Areas

•Allied Health Services (4)

•Medicine (2756)

•Nursing (375)

•Pharmacy (355)

Target Audience

•Health Care Providers (2370)

•Health Care Executives and Administrators (2801)

•Non-Health Care Professionals (1185)

•Patients (316)

Setting of Care
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Hospitals

•General Hospitals (1325)

•Children’s Hospitals (118)

•Specialty Hospitals (63)

1 - 20 of 3592

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STUDY

Needlestick injuries among surgeons in training.

Makary MA, Al-Attar A, Holzmueller CG, et al. N Engl J Med. 2007;356:2693-2699.

STUDY

Impact of resident participation in surgical operations on postoperative outcomes: National Surgical Quality Improvement Program.

Kiran RP, Ahmed Ali U, Coffey JC, Vogel JD, Pokala N, Fazio VW. Ann Surg. 2012;256:469-475.

STUDY

Relationship between patient complaints and surgical complications.

Murff HJ, France DJ, Blackford J, et al. Qual Saf Health Care. 2006;15:13-16.

STUDY

Surgical specimen identification errors: a new measure of quality in surgical care.

Makary MA, Epstein J, Pronovost PJ, Millman EA, Hartmann EC, Freischlag JA. Surgery. 2007;141:450-455.

STUDY

Retained surgical items: a problem yet to be solved.

Stawicki SP, Moffatt-Bruce SD, Ahmed HM, et al. J Am Coll Surg. 2013;216:15-22.

SPECIAL OR THEME ISSUE

The Patient Safety in Surgery Study.

J Am Coll Surg. 2007;204(6):1087-1300.

COMMENTARY

Preventable errors in organ transplantation: an emerging patient safety issue?

Ison MG, Holl JL, Ladner D. Am J Transplant. 2012;12:2307-2312.

STUDY

The association between frequency of self-reported medical errors and anesthesia trainee supervision: a survey of United States anesthesiology residents-in-training.

De Oliveira GS Jr, Rahmani R, Fitzgerald PC, Chang R, McCarthy RJ. Anesth Analg. 2013;116:892-897.

STUDY

Burnout and medical errors among American surgeons.

Shanafelt TD, Balch CM, Bechamps G, et al. Ann Surg. 2010;251:995-1000.

STUDY

A facilitated survey instrument captures significantly more anesthesia events than does traditional voluntary event reporting.

Oken A, Rasmussen MD, Slagle JM, et al. Anesthesiology. 2007;107:909-922.

STUDY

Classification of adverse events occurring in a surgical intensive care unit.

Frankel H, Sperry J, Kaplan L, Foley A, Rabinovici R. Am J Surg. 2007;194:328-332.

STUDY

Surgeon age and operative mortality in the United States.

Waljee JF, Greenfield LJ, Dimick JB, Birkmeyer JD. Ann Surg. 2006;244:353-362.

STUDY

Thirty-day outcomes support implementation of a surgical safety checklist.

Bliss LA, Ross-Richardson CB, Sanzari LJ, et al. J Am Coll Surg. 2012;215:766-776.

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

Diagnostic errors in orthopedic surgery: evaluation of resident documentation of neurovascular examinations for orthopedic trauma patients.

Tan EW, Ting BL, Jia XF, Skolasky RL, McFarland EG. Am J Med Qual. 2013;28:60-68.

STUDY

Paid malpractice claims for adverse events in inpatient and outpatient settings.

Bishop TF, Ryan AK, Casalino LP. JAMA. 2011;305:2427-2431.

STUDY

Time of day effects on the incidence of anesthetic adverse events.

Wright MC, Phillips-Bute B, Mark JB, et al. Qual Saf Health Care. 2006;15:258-263.

STUDY

Effects of duty hour restrictions on core competencies, education, quality of life, and burnout among general surgery interns.

Antiel RM, Reed DA, Van Arendonk JK, et al. JAMA Surg. 2013 Jan 16; [Epub ahead of print].

STUDY

Cognitive errors detected in anaesthesiology: a literature review and pilot study.

Stiegler MP, Neelankavil JP, Canales C, Dhillon A. Br J Anaesth. 2012;108:229-235.

SPECIAL OR THEME ISSUE

Patient Safety and the Invitational Conference on Contemporary Surgical Quality, Safety and Transparency.

Amer Surg. 2006;72:985-1149

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