AHRQ Patient Safety Network

The Collection > Physicians

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Safety Target

•Device-related Complications (38)

•Diagnostic Errors (124)

•Identification Errors (31)

•Discontinuities, Gaps, and Hand-Off Problems (133)

•Fatigue and Sleep Deprivation (70)

•Medication Safety (312)

•Medical Complications (40)

•Nonsurgical Procedural Complications (22)

•Surgical Complications (217)

•Transfusion Complications (2)

•Psychological and Social Complications (60)

Origin/Sponsor

•Asia (15)

•Australia and New Zealand (23)

•Central and South America (1)

Resource Types

•Clinical Guideline (5)

•Journal Article (927)

•Legislation/Regulation (18)

•Meeting/Conference (3)

•Newsletter/Journal (4)

•Newspaper/Magazine Article (126)

•Press Release/Announcement (2)

•Special or Theme Issue (10)

•Tools/Toolkit (14)

•Web Resource (20)

•Grant (1)

Error Types

•Epidemiology of Errors and Adverse Events (269)

•Active Errors (155)

•Latent Errors (57)

•Near Miss (16)

Approach to Improving Safety

•Quality Improvement Strategies (259)

•Legal and Policy Approaches (101)

•Error Reporting and Analysis (342)

•Communication Improvement (279)

•Human Factors Engineering (95)

•Teamwork (85)

•Specialization of Care (48)

•Logistical Approaches (104)

•Culture of Safety (92)

•Technologic Approaches (182)

•Education and Training (252)

Clinical Areas

•Allied Health Services (2)

Target Audience
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Physicians

Setting of Care

•Hospitals (595)

•Psychiatric Facilities (1)

•Residential Facilities (6)

•Ambulatory Care (104)

•Outpatient Surgery (14)

•Patient Transport (2)

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COMMENTARY

System errors in intrapartum electronic fetal monitoring: a case review.

Miller LA. J Midwifery Womens Health. 2005;50:507-516.

STUDY

Customer focused incident monitoring in anaesthesia.

Khan FA, Khimani S. Anaesthesia. 2007;62:586-590.

STUDY

Practice-based learning and improvement: a two-year experience with the reporting of morbidity and mortality cases by general surgery residents.

Falcone JL, Lee KKW, Billiar TR, Hamad GG. J Surg Educ. 2012;69:385-392.

STUDY

Time of day effects on the incidence of anesthetic adverse events.

Wright MC, Phillips-Bute B, Mark JB, et al. Qual Saf Health Care. 2006;15:258-263.

STUDY

Speaking up and sharing information improves trainee neonatal resuscitations.

Katakam LI, Trickey AW, Thomas EJ. J Patient Saf. 2012;8:202-209.

REVIEW

Fatal errors in nitrous oxide delivery.

Herff H, Paal P, von Goedecke A, Lindner KH, Keller C, Wenzel V. Anaesthesia. 2007;62:1202-1206.

STUDY

Nurse-physician communication during labor and birth: implications for patient safety.

Simpson KR, James DC, Knox GE. J Obset Gynol Neonatal Nurs. 2006;35:547-556.

NEWSPAPER/MAGAZINE ARTICLE

Lights. Camera. Robot Action!

Shute N. U.S. News & World Report. January 23, 2006;140:62-63.

STUDY

Intralipid medication errors in the neonatal intensive care unit.

Chuo J, Lambert G, Hicks RW. Jt Comm J Qual Patient Saf. 2007;33:104-111.

STUDY

Surgeon age and operative mortality in the United States.

Waljee JF, Greenfield LJ, Dimick JB, Birkmeyer JD. Ann Surg. 2006;244:353-362.

NEWSPAPER/MAGAZINE ARTICLE

National safety effort targets perinatal injuries.

O'Reilly KB. American Medical News. June 16, 2008;15:17.

STUDY

Communication in critical care environments: mobile telephones improve patient care.

Soto RG, Chu LF, Goldman JM, Rampil IJ, Ruskin KJ. Anesth Analg. 2006;102:535-541.

STUDY

Duration of anesthesia as an indicator of morbidity and mortality in office-based facial plastic surgery: a review of 1200 consecutive cases.

Gordon NA, Koch ME. Arch Facial Plast Surg. 2006;8:47-53.

COMMENTARY classic

A 38-year-old woman with fetal loss and hysterectomy.

Sachs BP. JAMA. 2005;294:833-840.

NEWSPAPER/MAGAZINE ARTICLE

Safety in ASCs: putting patients first.

Dix K. Today's Surgicenter. December 1, 2006.

STUDY

A facilitated survey instrument captures significantly more anesthesia events than does traditional voluntary event reporting.

Oken A, Rasmussen MD, Slagle JM, et al. Anesthesiology. 2007;107:909-922.

STUDY

Injury and liability associated with monitored anesthesia care: a closed claims analysis.

Bhananker SM, Posner KL, Cheney FW, Caplan RA, Lee LA, Domino KB. Anesthesiology. 2006;104:228-234.

STUDY

Impact of resident participation in surgical operations on postoperative outcomes: National Surgical Quality Improvement Program.

Kiran RP, Ahmed Ali U, Coffey JC, Vogel JD, Pokala N, Fazio VW. Ann Surg. 2012;256:469-475.

STUDY

The 80-hour work guidelines and resident survey perceptions of quality.

Biller CK, Antonacci AC, Pelletier S, et al. J Surg Res. 2006;135:275-281.

TOOLKIT

Perinatal SBAR Tools.

Institute for Healthcare Improvement.

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