AHRQ Patient Safety Network

The Collection > Physicians

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Safety Target

•Device-related Complications (27)

•Diagnostic Errors (140)

•Identification Errors (20)

•Discontinuities, Gaps, and Hand-Off Problems (151)

•Fatigue and Sleep Deprivation (53)

•Medication Safety (142)

•Medical Complications (28)

•Nonsurgical Procedural Complications (16)

•Surgical Complications (108)

•Transfusion Complications (2)

•Psychological and Social Complications (26)

Origin/Sponsor

•Asia (12)

•Australia and New Zealand (21)

Resource Types

•Clinical Guideline (2)

•Journal Article (600)

•Legislation/Regulation (9)

•Meeting/Conference (1)

•Newsletter/Journal (1)

•Newspaper/Magazine Article (45)

•Press Release/Announcement (3)

•Special or Theme Issue (3)

•Tools/Toolkit (6)

•Web Resource (7)

Error Types

•Epidemiology of Errors and Adverse Events (163)

•Active Errors (132)

•Latent Errors (42)

•Near Miss (10)

Approach to Improving Safety

•Quality Improvement Strategies (151)

•Legal and Policy Approaches (48)

•Error Reporting and Analysis (202)

•Communication Improvement (174)

•Human Factors Engineering (71)

•Teamwork (50)

•Specialization of Care (34)

•Logistical Approaches (86)

•Culture of Safety (45)

•Technologic Approaches (100)

•Education and Training (155)

Clinical Areas

•Allied Health Services (2)

•Medicine (541)

•Nursing (19)

•Pharmacy (41)

Target Audience
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Physicians

Setting of Care

•Hospitals (396)

•Psychiatric Facilities (1)

•Residential Facilities (4)

•Ambulatory Care (55)

•Outpatient Surgery (8)

•Patient Transport (2)

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COMMENTARY

Right? Left? Neither!

Howell EA, Chassin MR. AHRQ WebM&M [serial online]. May 2006.

COMMENTARY

Patient safety and diagnostic error: tips for your next shift.

Sinclair D, Croskerry P. Can Fam Physician. 2010;56:28-30.

STUDY

Using a preprinted order sheet to reduce prescription errors in a pediatric emergency department: a randomized, controlled trial.

Kozer E, Scolnik D, MacPherson A, Rauchwerger D, Koren G. Pediatrics. 2005;116:1299-1302.

REVIEW

Missed breast cancers at US-guided core needle biopsy: how to reduce them.

Youk JH, Kim EK, Kim MJ, Lee JY, Oh KK. Radiographics. 2007;27:79-94.

COMMENTARY classic

Graduate medical education and patient safety: a busy--and occasionally hazardous--intersection.

Shojania KG, Fletcher KE, Saint S. Ann Intern Med. 2006;145:592-598.

STUDY

Medical error identification, disclosure, and reporting: do emergency medicine provider groups differ?

Hobgood C, Weiner B, Tamayo-Sarver JH. Acad Emerg Med. 2006;13:443-451.

STUDY

Risk of medication errors at hospital discharge and barriers to problem resolution.

Enguidanos SM, Brumley RD. Home Health Care Serv Q. 2005;24:123-135.

STUDY

Comparison and interpretation of urinalysis performed by a nephrologist versus a hospital-based clinical laboratory.

Tsai JJ, Yeun JY, Kumar VA, Don BR. Am J Kidney Dis. 2005;46:820-829.

COMMENTARY

Physical Diagnosis: A Lost Art?

Thompson GR, Verghese A. AHRQ WebM&M [serial online]. August 2006.

STUDY

ED handoffs: observed practices and communication errors.

Maughan BC, Lei L, Cydulka RK. Am J Emerg Med. 2011;29:502-511.

STUDY

Patterns of communication breakdowns resulting in injury to surgical patients.

Greenberg CC, Regenbogen SE, Studdert DM, et al. J Am Coll Surg. 2007;204:533-540.

COMMENTARY

Radiological error: analysis, standard setting, targeted instruction and teamworking.

FitzGerald R. Eur Radiol. 2005;15:1760-1767.

STUDY

Medical emergency team calls in the radiology department: patient characteristics and outcomes.

Ott LK, Pinsky MR, Hoffman LA, et al. BMJ Qual Saf. 2012 Mar 2; [Epup ahead of print].

STUDY

A randomized, controlled trial evaluating the impact of a computerized rounding and sign-out system on continuity of care and resident work hours.

Van Eaton EG, Horvath KD, Lober WB, Rossini AJ, Pellegrini CA. J Am Coll Surg. 2005;200:538-545.

COMMENTARY

Critical diagnoses (critical values) in anatomic pathology.

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

COMMENTARY

PCA Overdose

Doyle DJ. AHRQ WebM&M [serial online]. July/August 2005.

STUDY

Waiting for urgent procedures on the weekend among emergently hospitalized patients.

Bell CM, Redelmeier DA. Am J Med. 2004;117:175-181.

STUDY

The development and evaluation of an integrated electronic prescribing and drug management system for primary care.

Tamblyn R, Huang A, Kawasumi Y, et al. J Am Med Inform Assoc. 2006;13:148-159.

ORGANIZATIONAL POLICY/GUIDELINES

ACR guidance document on MR safe practices: 2013.

Kanal E, Barkovich AJ, Bell C, et al; Expert Panel on MR Safety. J Magn Reson Imaging. 2013;37:501-530.

STUDY

Design and trial of a new ambulance-to-emergency department handover protocol: 'IMIST-AMBO.'

Iedema R, Ball C, Daly B, et al. BMJ Qual Saf. 2012;21:627-633.

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