AHRQ Patient Safety Network

The Collection > Physicians

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Safety Target

•Device-related Complications (36)

•Diagnostic Errors (102)

•Identification Errors (27)

•Discontinuities, Gaps, and Hand-Off Problems (120)

•Fatigue and Sleep Deprivation (61)

•Medication Safety (266)

•Medical Complications (39)

•Nonsurgical Procedural Complications (20)

•Surgical Complications (171)

•Transfusion Complications (2)

•Psychological and Social Complications (51)

Origin/Sponsor

•Asia (5)

•Australia and New Zealand (11)

Resource Types

•Clinical Guideline (5)

•Journal Article (787)

•Legislation/Regulation (18)

•Meeting/Conference (3)

•Newsletter/Journal (4)

•Newspaper/Magazine Article (127)

•Press Release/Announcement (5)

•Special or Theme Issue (10)

•Tools/Toolkit (14)

•Web Resource (19)

Error Types

•Epidemiology of Errors and Adverse Events (189)

•Active Errors (130)

•Latent Errors (45)

•Near Miss (12)

Approach to Improving Safety

•Quality Improvement Strategies (226)

•Legal and Policy Approaches (95)

•Error Reporting and Analysis (285)

•Communication Improvement (241)

•Human Factors Engineering (86)

•Teamwork (73)

•Specialization of Care (48)

•Logistical Approaches (100)

•Culture of Safety (83)

•Technologic Approaches (166)

•Education and Training (245)

Clinical Areas

•Allied Health Services (1)

Target Audience
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Physicians

Setting of Care

•Hospitals (505)

•Residential Facilities (5)

•Ambulatory Care (89)

•Outpatient Surgery (13)

•Patient Transport (2)

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NEWSPAPER/MAGAZINE ARTICLE

Challenges ahead in technology training: a report on the training initiative of the Committee on Technology.

Olympio MA, Reinke B, Abramovich A. APSF Newsletter. Fall 2006;21:43-48.

STUDY

Discovering healthcare cognition: the use of cognitive artifacts to reveal cognitive work.

Nemeth C, O’Connor M, Klock PA, Cook R. Org Stud. 2006;27:1011-1035.

STUDY

Reliability of a revised NOTECHS scale for use in surgical teams.

Sevdalis N, Davis R, Koutantji M, et al. Am J Surg. 2008;196:184-190.

COMMENTARY

Preventing vincristine administration errors: does evidence support minibag infusions?

Schulmeister L. Clin J Oncol Nurs. 2006;10:271-273.

NEWSPAPER/MAGAZINE ARTICLE

One group of doctors changes its ways.

Hallinan JT. Post-Gazette.com. June 21, 2005.

COMMENTARY

Aging gracefully? Patient safety advocates call for ongoing skills assessments for older physicians.

McKenna M. Ann Emerg Med. 2011;58:A15-A17.

REVIEW

Adverse events associated with sedatives, analgesics, and other drugs that provide patient comfort in the intensive care unit.

Riker RR, Fraser GL. Pharmacotherapy. 2005;25:8S-18S.

COMMENTARY

Excusable neglect in malpractice suits against radiologists: a proposed jury instruction to recognize the human condition.

Caldwell C, Seamone ER. Ann Health Law. Winter 2007;16:43-77.

COMMENTARY

The impact of professionalism on safe surgical care.

Whittemore AD. J Vasc Surg. 2007;45:415-419.

REVIEW

The disclosure of unanticipated outcomes of care and medical errors: what does this mean for anesthesiologists?

Souter KJ, Gallagher TH. Anesth Analg. 2012;114:615-621.

STUDY

On higher ground: ethical reasoning and its relationship with error disclosure.

Cole AP, Block L, Wu AW. BMJ Qual Saf. 2013 Mar 1; [Epub ahead of print].

COMMENTARY

The iatrogenic-harm cost equation and new technology.

Webster CS. Anaesthesia. 2005;60:843-846.

STUDY

Error, stress, and teamwork in medicine and aviation: cross sectional surveys.

Sexton JB, Thomas EJ, Helmreich RL. BMJ. 2000;320:745-749.

NEWSPAPER/MAGAZINE ARTICLE

IV potassium given epidurally: getting to the "route" of the problem.

ISMP Medication Safety Alert! Acute Care Edition. April 6, 2006;11:1-2.

NEWSPAPER/MAGAZINE ARTICLE

Hospital safety records, CEO pay increasingly linked.

Wilson B. Am Med News. November 26, 2007:50:16.

ORGANIZATIONAL POLICY/GUIDELINES

Tubing misconnections—a persistent and potentially deadly occurrence.

Sentinel Event Alert. April 3, 2006;(36):1-3.

REVIEW

Life after death: the aftermath of perioperative catastrophes.

Gazoni FM, Durieux ME, Wells L. Anesth Analg. 2008;107:591-600.

NEWSPAPER/MAGAZINE ARTICLE

Fixing relationships, preventing errors.

McGinn P, Chabon R. HHN Magazine Online. November 25, 2008.

STUDY

Knowledge-based errors in anesthesia: a paired, controlled trial of learning and retention.

Goldhaber-Fiebert SN, Goldhaber-Fiebert JD, Rosow CE. Can J Anaesth. 2009;56:35-45.

COMMENTARY

Morphine overdose from error propagation on an acute pain service: [Une surdose de morphine resultant de multiples erreurs dans un service de douleur aigue].

Syed S, Paul JE, Hueftlein M, Kampf M, McLean RF. Can J Anaesth. 2006;53:586-590.

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