AHRQ Patient Safety Network

The Collection > Physicians

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Safety Target

•Device-related Complications (33)

•Diagnostic Errors (97)

•Identification Errors (24)

•Discontinuities, Gaps, and Hand-Off Problems (114)

•Fatigue and Sleep Deprivation (62)

•Medication Safety (258)

•Medical Complications (36)

•Nonsurgical Procedural Complications (19)

•Surgical Complications (152)

•Transfusion Complications (2)

•Psychological and Social Complications (51)

Origin/Sponsor

•Asia (1)

•Australia and New Zealand (2)

Resource Types

•Clinical Guideline (5)

•Journal Article (741)

•Legislation/Regulation (19)

•Meeting/Conference (3)

•Newsletter/Journal (4)

•Newspaper/Magazine Article (127)

•Press Release/Announcement (6)

•Special or Theme Issue (9)

•Tools/Toolkit (13)

•Web Resource (18)

•Grant (1)

Error Types

•Epidemiology of Errors and Adverse Events (179)

•Active Errors (117)

•Latent Errors (40)

•Near Miss (12)

Approach to Improving Safety

•Quality Improvement Strategies (211)

•Legal and Policy Approaches (91)

•Error Reporting and Analysis (279)

•Communication Improvement (227)

•Human Factors Engineering (73)

•Teamwork (67)

•Specialization of Care (46)

•Logistical Approaches (99)

•Culture of Safety (82)

•Technologic Approaches (161)

•Education and Training (217)

Clinical Areas

•Allied Health Services (1)

Target Audience
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Physicians

Setting of Care

•Hospitals (483)

•Residential Facilities (5)

•Ambulatory Care (86)

•Outpatient Surgery (12)

•Patient Transport (2)

1 - 20 of 980

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COMMENTARY

Creating high reliability in health care organizations.

Pronovost PJ, Berenholtz SM, Goeschel CA, et al. Health Serv Res. 2006;41:1599-1617.

STUDY

Preliminary assessment of pediatric health care quality and patient safety in the United States using readily available administrative data.

McDonald KM, Davies SM, Haberland CA, et al. Pediatrics. 2008;122:e416-e425.

STUDY

Follow-up of outpatient test results: a survey of house-staff practices and perceptions.

Lin JJ, Dunn A, Moore C. Am J Med Qual. 2006;21:178-184.

STUDY

A framework for engaging physicians in quality and safety.

Taitz JM, Lee TH, Sequist TD. BMJ Qual Saf. 2012;21:722-728.

NEWSPAPER/MAGAZINE ARTICLE

Practitioners agree on medication reconciliation value, but frustration and difficulties abound.

ISMP Medication Safety Alert! Acute Care Edition. July 13, 2006;11:1-2.

NEWSPAPER/MAGAZINE ARTICLE

Building a case for medication reconciliation.

Nurse Advise-ERR. April 2006;4:1-3.

STUDY

Adoption of patient-centered care practices by physicians: results from a national survey.

Audet AM, Davis K, Schoenbaum SC. Arch Intern Med. 2006;166:754-759.

STUDY

Hospitalization-associated disability: "She was probably able to ambulate, but I'm not sure."

Covinsky KE, Pierluissi E, Johnston CB. JAMA. 2011;306:1782-1793.

COMMENTARY

Improving rapid response systems: progress, issues, and future directions.

Øvretveit J, Suffoletto J. Jt Comm J Qual Patient Saf. 2007;33:512-519.

NEWSPAPER/MAGAZINE ARTICLE

New practices reduce childbirth risks.

Landro L. Wall Street Journal. July 12, 2006:D1. [Reprinted on Post-gazette.com].

STUDY

Antiretroviral medication errors in a national medication error database.

Gray J, Hicks RW, Hutchings C. AIDS Patient Care STDS. 2005;19:803-812.

GRANT ANNOUNCEMENT

Anesthesia Patient Safety Foundation (APSF) Grant Program.

Indianapolis, IN: Anesthesia Patient Safety Foundation.

COMMENTARY

Medication bar coding: to scan or not to scan?

Galvin L, McBeth S, Hasdorff C, Tillson M, Thomas S. Comput Inform Nurs. 2007;25:86-92.

STUDY

Risks of complications by attending physicians after performing nighttime procedures.

Rothschild JM, Keohane CA, Rogers S, et al. JAMA. 2009;302:1565-1572.

STUDY

Chemotherapy dose limits set by users of a computer order entry system.

DuBeshter B, Griggs J, Angel C, Loughner J. Hosp Pharm. 2006;41:136-142.

STUDY

Change in intern calls at night after a work hour restriction process change.

Spellberg B, Sue D, Chang D, Witt M. JAMA Intern Med. 2013;173:707-709.

COMMENTARY

Medication reconciliation physician order form.

Lacy JL, Wilkinson ST. Hosp Pharm. 2006;41:1117-1120.

STUDY

Assessing the anticipated consequences of computer-based provider order entry at three community hospitals using an open-ended, semi-structured survey instrument.

Sittig DF, Ash JS, Guappone KP, Campbell EM, Dykstra RH. Int J Med Inform. 2008;77:440-447.

STUDY

An overview of intravenous-related medication administration errors as reported to MEDMARX^(R), a national medication error-reporting program.

Hicks RW, Becker SC. J Infus Nurs. 2006;29:20-27.

COMMENTARY

When good doctors go bad: a systems problem.

Leape LL. Ann Surg. 2006;244:649-652.

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