AHRQ Patient Safety Network

The Collection > Physicians

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Safety Target

•Device-related Complications (20)

•Diagnostic Errors (95)

•Identification Errors (18)

•Discontinuities, Gaps, and Hand-Off Problems (87)

•Fatigue and Sleep Deprivation (52)

•Medication Safety (167)

•Medical Complications (23)

•Nonsurgical Procedural Complications (14)

•Surgical Complications (133)

•Transfusion Complications (1)

•Psychological and Social Complications (36)

Origin/Sponsor

•Asia (10)

•Australia and New Zealand (23)

Resource Types

•Clinical Guideline (2)

•Journal Article (587)

•Legislation/Regulation (8)

•Meeting/Conference (1)

•Newsletter/Journal (1)

•Newspaper/Magazine Article (57)

•Press Release/Announcement (3)

•Special or Theme Issue (6)

•Tools/Toolkit (3)

•Web Resource (9)

Error Types

•Epidemiology of Errors and Adverse Events (158)

•Active Errors (150)

•Latent Errors (64)

•Near Miss (15)

Approach to Improving Safety

•Quality Improvement Strategies (148)

•Legal and Policy Approaches (61)

•Error Reporting and Analysis (241)

•Communication Improvement (153)

•Human Factors Engineering (73)

•Teamwork (61)

•Specialization of Care (26)

•Logistical Approaches (63)

•Culture of Safety (93)

•Technologic Approaches (107)

•Education and Training (140)

Clinical Areas

•Allied Health Services (2)

•Medicine (537)

•Nursing (20)

•Pharmacy (54)

Target Audience
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Physicians

Setting of Care

•Hospitals (374)

•Psychiatric Facilities (1)

•Residential Facilities (4)

•Ambulatory Care (48)

•Outpatient Surgery (9)

•Patient Transport (2)

1 - 20 of 703

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COMMENTARY classic

Human error: models and management.

Reason J. BMJ. 2000;320:768-770.

STUDY

Can an electronic prescribing system detect doctors who are more likely to make a serious prescribing error?

Coleman JJ, Hemming K, Nightingale PG, et al. J R Soc Med. 2011;104:208-218.

BOOK/REPORT

Report 6: Managing Risk and Minimising Mistakes in Services to Children and Families.

Bostock L, Bairstow S, Fish S, Macleod F. London, England: Social Care Institute for Excellence; 2005. ISBN: 1904812279.

COMMENTARY

Profiles in patient safety: misplaced femoral line guidewire and multiple failures to detect the foreign body on chest radiography.

Lum TE, Fairbanks RJ, Pennington EC, Zwemer FL. Acad Emerg Med. 2005;12:658-662.

REVIEW

Overriding of drug safety alerts in computerized physician order entry.

van der Sijs H, Aarts J, Vulto A, Berg M. J Am Med Inform Assoc. 2006;13:138-147.

STUDY

'Skating on thin ice?' Consultant surgeon's contemporary experience of adverse surgical events.

Skevington SM, Langdon JE, Giddins G. Psychol Health Med. 2012;17:1-16.

STUDY

Using a multi-method, user centred, prospective hazard analysis to assess care quality and patient safety in a care pathway.

Dean J, Hutchinson A, Hamilton Escoto K, Lawson R. BMC Health Serv Res. 2007;7:89.

COMMENTARY

Passing the "Yo' Mama" test.

Blair R. Health Manage Tech. June 2006;27:16.

COMMENTARY

Wrong site surgery.

Fraser SG, Adams W. Br J Ophthalmol. 2006;90:814-816.

COMMENTARY

'Balancing risk, that is my life': The politics of risk in a hospital operating theatre department.

McDonald R, Waring J, Harrison S. Health Risk Soc. 2005;7:397-411.

AUDIOVISUAL

Chasing Zero: Winning the War on Healthcare Harm.

Austin, TX: Texas Medical Institute for Technology and the Quaid Foundation; 2010.

BOOK/REPORT

Annual Benchmarking Report: Malpractice Risks in Surgery.

Cambridge, MA: CRICO/RMF Strategies; 2010.

STUDY

Observational assessment of surgical teamwork: a feasibility study.

Undre S, Healey AN, Darzi A, Vincent CA. World J Surg. 2006;30:1774-1783.

COMMENTARY

Lost in Transition

Beach C. AHRQ WebM&M [serial online]. Febuary 2006.

STUDY

Who makes prescribing decisions in hospital inpatients? An observational study.

Ross S, Hamilton L, Ryan C, Bond C. Postgrad Med J. 2012;8:507-510.

NEWSPAPER/MAGAZINE ARTICLE

Learning safe prescribing during post-take ward rounds.

Conroy-Smith E, Herring R, Caldwell G. Clin Teach. 2011;8:75-78.

COMMENTARY

Junior doctors' shifts and sleep deprivation.

Murray A, Pounder R. Mather H, Black DC. BMJ. 2005;330:1404.

COMMENTARY

Implementing a systematic response to medication errors.

Larsen D, Cole R, Higton P. Nurs Stand. 2007;21:35-40.

STUDY

Exploring error in team-based acute care scenarios: an observational study from the United Kingdom.

Tallentire VR, Smith SE, Skinner J, Cameron HS. Acad Med. 2012;87:792-798.

STUDY

Perceived causes of prescribing errors by junior doctors in hospital inpatients: a study from the PROTECT programme.

Ross S, Ryan C, Duncan EM, et al. BMJ Qual Saf. 2013;22:97-102.

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