AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (150)

•Diagnostic Errors (208)

•Identification Errors (119)

•Discontinuities, Gaps, and Hand-Off Problems (413)

•Fatigue and Sleep Deprivation (148)

•Medication Safety (1080)

•Medical Complications (397)

•Nonsurgical Procedural Complications (100)

•Surgical Complications (649)

•Transfusion Complications (15)

•Psychological and Social Complications (131)

Origin/Sponsor

•Africa (5)

•Asia (47)

•Australia and New Zealand (93)

•Central and South America (10)

•Europe (430)

•North America (3089)

Resource Types

•Clinical Guideline (10)

•Journal Article (2793)

•Legislation/Regulation (60)

•Meeting/Conference (29)

•Newsletter/Journal (13)

•Newspaper/Magazine Article (293)

•Press Release/Announcement (26)

•Special or Theme Issue (63)

•Tools/Toolkit (53)

•Web Resource (110)

•Grant (8)

Error Types

•Epidemiology of Errors and Adverse Events (1060)

•Active Errors (609)

•Latent Errors (213)

•Near Miss (68)

Approach to Improving Safety

•Quality Improvement Strategies (845)

•Legal and Policy Approaches (295)

•Error Reporting and Analysis (946)

•Communication Improvement (951)

•Human Factors Engineering (497)

•Teamwork (335)

•Specialization of Care (239)

•Logistical Approaches (317)

•Culture of Safety (417)

•Technologic Approaches (578)

•Education and Training (818)

Clinical Areas

•Allied Health Services (9)

•Complementary and Alternative Medicine (1)

Target Audience
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Health Care Providers

•Allied Health Professionals (3)

•Clinical Technologists (34)

Setting of Care

•Psychiatric Facilities (13)

•Residential Facilities (66)

•Ambulatory Care (350)

•Outpatient Surgery (48)

•Patient Transport (29)

1 - 20 of 3711

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STUDY

Communication failure in the operating room.

Halverson AL, Casey JT, Andersson J, et al. Surgery. 2011;49:305-310.

STUDY

A policy-based intervention for the reduction of communication breakdowns in inpatient surgical care: results from a Harvard surgical safety collaborative.

Arriaga AF, Elbardissi AW, Regenbogen SE, et al. Ann Surg. 2011;253:849-854.

STUDY

Persistent noncompliance with the work-hour regulation.

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

STUDY

The 80-hour work guidelines and resident survey perceptions of quality.

Biller CK, Antonacci AC, Pelletier S, et al. J Surg Res. 2006;135:275-281.

REVIEW

Enhancing communication in surgery through team training interventions: a systematic literature review.

Gillespie BM, Chaboyer W, Murray P. AORN J. 2010;92:642-657.

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.

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

Internal medicine trainees' views of training adequacy and duty hours restrictions in 2009.

Shea JA, Weissman A, McKinney S, Silber JH, Volpp KG. Acad Med. 2012;87:889-894.

STUDY

Using simulation training to improve perioperative patient safety.

Mullen L, Byrd D. AORN J. 2013;97:419-427.

STUDY

Interruptions and miscommunications in surgery: an observational study.

Gillespie BM, Chaboyer W, Fairweather N. AORN J. 2012;95:576-590.

COMMENTARY

Learning from adverse events and near misses.

Greenberg CC. J Gastrointest Surg. 2008;13:3-5.

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

Effect of a 19-item surgical safety checklist during urgent operations in a global patient population.

Weiser TG, Haynes AB, Dziekan G, et al; Safe Surgery Saves Lives Investigators and Study Group. Ann Surg. 2010;251:976-980.

COMMENTARY

The top 10 list for a safe and effective sign-out.

Kemp CD, Bath JM, Berger J, et al. Arch Surg. 2008;143:1008-1010.

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.

COMMENTARY

Surgical team training: promoting high reliability with nontechnical skills.

Paige JT. Surg Clin North Am. 2010;90:569-581.

COMMENTARY

How long does it take to train a surgeon?

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

STUDY

Surgical case listing accuracy: failure analysis at a high-volume academic medical center.

Cima RR, Hale C, Kollengode A, Rogers JC, Cassivi SD, Deschamps C. Arch Surg. 2010;145:641-646.

STUDY

Resident participation does not affect surgical outcomes, despite introduction of new techniques.

Patel SP, Gauger PG, Brown DL, Englesbe MJ, Cederna PS. J Am Coll Surg. 2010;211:540-545.

COMMENTARY

Sleep deprivation, elective surgical procedures, and informed consent.

Nurok M, Czeisler CA, Lehmann LS. N Engl J Med. 2010;363:2577-2579.

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