AHRQ Patient Safety Network

The Collection > Physicians

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Safety Target

•Device-related Complications (33)

•Diagnostic Errors (133)

•Identification Errors (23)

•Discontinuities, Gaps, and Hand-Off Problems (127)

•Fatigue and Sleep Deprivation (61)

•Medication Safety (255)

•Medical Complications (36)

•Nonsurgical Procedural Complications (19)

•Surgical Complications (191)

•Transfusion Complications (1)

•Psychological and Social Complications (53)

Origin/Sponsor

•Asia (9)

•Australia and New Zealand (7)

Resource Types

•Clinical Guideline (5)

•Journal Article (799)

•Legislation/Regulation (19)

•Meeting/Conference (3)

•Newsletter/Journal (4)

•Newspaper/Magazine Article (125)

•Press Release/Announcement (2)

•Special or Theme Issue (10)

•Tools/Toolkit (12)

•Web Resource (19)

•Grant (1)

Error Types

•Epidemiology of Errors and Adverse Events (193)

•Active Errors (144)

•Latent Errors (45)

•Near Miss (12)

Approach to Improving Safety

•Quality Improvement Strategies (223)

•Legal and Policy Approaches (90)

•Error Reporting and Analysis (293)

•Communication Improvement (231)

•Human Factors Engineering (74)

•Teamwork (72)

•Specialization of Care (43)

•Logistical Approaches (99)

•Culture of Safety (82)

•Technologic Approaches (170)

•Education and Training (228)

Clinical Areas

•Allied Health Services (1)

Target Audience
< All

Physicians

Setting of Care

•Hospitals (516)

•Psychiatric Facilities (1)

•Residential Facilities (5)

•Ambulatory Care (91)

•Outpatient Surgery (13)

•Patient Transport (2)

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NEWSPAPER/MAGAZINE ARTICLE

Follow-up tips for a safe, efficient practice.

Weiss GG. Med Econ. May 19, 2006; 83:47-49.

COMMENTARY

Beeline to Spine

Smetana GW. AHRQ WebM&M [serial online]. June 2007.

STUDY

Diagnostic errors in medicine: a case of neglect.

Graber M. Jt Comm J Qual Patient Saf. 2005;31:106-113.

STUDY

Identifying diagnostic errors in primary care using an electronic screening algorithm.

Singh H, Thomas EJ, Khan MM, Petersen LA. Arch Intern Med. 2007;167:302-308.

COMMENTARY

Documentation bad habits: shortcuts in electronic records pose risk.

Dimick C. J AHIMA. 2008;79:40-43.

COMMENTARY

Peripheral vision: expertise in real world contexts.

Dreyfus HL, Dreyfus SE. Org Stud. 2005;26:779-792.

COMMENTARY

Critical diagnoses (critical values) in anatomic pathology.

Association of Directors of Anatomic and Surgical Pathology. Hum Pathol. 2006;37:982-984.

REVIEW

Overconfidence as a cause of diagnostic error in medicine.

Berner ES, Graber ML. Am J Med. 2008;121(suppl 1):S2-S23.

COMMENTARY

Bringing diagnosis into the quality and safety equations.

Graber ML, Wachter RM, Cassel CK. JAMA. 2012;308:1211-1212.

COMMENTARY

In Conversation with...Joseph Britto, MD

AHRQ WebM&M [serial online]. February 2007.

STUDY

Risk reduction for adverse drug events through sequential implementation of patient safety initiatives in a children's hospital.

Leonard MS, Cimino M, Shaha S, McDougal S, Pilliod J, Brodsky L. Pediatrics. 2006;118:e1124-e1129.

STUDY

The effect of executive walk rounds on nurse safety climate attitudes: a randomized trial of clinical units.

Thomas EJ, Sexton JB, Neilands TB, Frankel A, Helmreich RL. BMC Health Serv Res. 2005;5:28.

COMMENTARY classic

Epidemiology of medical error.

Weingart SN, Wilson RM, Gibberd RW, Harrison B. BMJ. 2000;320:774-777.

COMMENTARY

Time to sign off on signout.

Stein DM, Stetson PD. Acad Med. 2011;86:804-806.

REVIEW

The neurologist and patient safety.

Glick TH. Neurologist. 2005;11:140-149.

STUDY

SBAR M&M: a feasible, reliable, and valid tool to assess the quality of, surgical morbidity and mortality conference presentations.

Mitchell EL, Lee DY, Arora S, et al. Am J Surg. 2012;203:26-31.

AUDIOVISUAL PRESENTATION

Reducing Diagnostic Errors.

Boston, MA: National Patient Safety Foundation; 2011.

COMMENTARY

Duke Surgery Patient Safety: an open-source application for anonymous reporting of adverse and near-miss surgical events.

Pietrobon R, Lima R, Shah A, et al. Ann Surg Innov Res. 2007;1:5.

STUDY

Failure to notify reportable test results: significance in medical malpractice.

Gale BD, Bissett-Siegel DP, Davidson SJ, Juran DC. J Am Coll Radiol. 2011;8:776-779.

COMMENTARY

Achieving meaningful use of health information technology: a guide for physicians to the EHR Incentive Programs.

Marcotte L, Seidman J, Trudel K, et al. Arch Intern Med. 2012;172:731-736.

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