AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (108)

•Diagnostic Errors (109)

•Identification Errors (74)

•Discontinuities, Gaps, and Hand-Off Problems (367)

•Fatigue and Sleep Deprivation (109)

•Medication Safety (756)

•Medical Complications (364)

•Nonsurgical Procedural Complications (53)

•Surgical Complications (283)

•Transfusion Complications (10)

•Psychological and Social Complications (132)

Origin/Sponsor

•Australia and New Zealand (62)

•Central and South America (1)

•Europe (300)

•North America (2710)

Resource Types

•Audiovisual (25)

•Bibliography (2)

•Book/Report (221)

•Clinical Guideline (2)

•Journal Article (2272)

•Legislation/Regulation (37)

•Meeting/Conference (20)

•Newsletter/Journal (7)

•Newspaper/Magazine Article (330)

•Press Release/Announcement (13)

•Special or Theme Issue (60)

•Tools/Toolkit (44)

•Web Resource (62)

Error Types

•Epidemiology of Errors and Adverse Events (625)

•Active Errors (313)

•Latent Errors (157)

•Near Miss (44)

Approach to Improving Safety

•Quality Improvement Strategies (831)

•Legal and Policy Approaches (379)

•Error Reporting and Analysis (869)

•Communication Improvement (763)

•Human Factors Engineering (310)

•Teamwork (417)

•Specialization of Care (234)

•Logistical Approaches (318)

•Culture of Safety (590)

•Technologic Approaches (532)

•Education and Training (724)

Clinical Areas

•Allied Health Services (8)

•Dentistry (1)

•Medicine (2158)

•Nursing (242)

•Pharmacy (277)

Target Audience
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Health Care Executives and Administrators

•Facility and Group Administrators (222)

•Nurse Managers (219)

•Risk Managers (286)

•Quality and Safety Professionals (1051)

Setting of Care

•Hospitals (2114)

•Psychiatric Facilities (10)

•Residential Facilities (40)

•Ambulatory Care (201)

•Outpatient Surgery (22)

•Patient Transport (11)

1 - 20 of 3135

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STUDY

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Association of workload of on-call medical interns with on-call sleep duration, shift duration, and participation in educational activities.

Arora VM, Georgitis E, Siddique J, et al. JAMA. 2008;300:1146-1153.

STUDY

The effect of workload reduction on the quality of residents' discharge summaries.

Coit MH, Katz JT, McMahon GT. J Gen Intern Med. 2011;26:28-32.

STUDY

classic

Consequences of inadequate sign-out for patient care.

Horwitz LI, Moin T, Krumholz HM, Wang L, Bradley EH. Arch Intern Med. 2008;168:1755-1760.

STUDY

Safety of using a computerized rounding and sign-out system to reduce resident duty hours.

Van Eaton EG, McDonough K, Lober WB, Johnson EA, Pellegrini CA, Horvath KD. Acad Med. 2010;85:1189-1195.

STUDY

Improving teamwork: impact of structured interdisciplinary rounds on a medical teaching unit.

O'Leary KJ, Wayne DB, Haviley C, Slade ME, Lee J, Williams MV. J Gen Intern Med. 2010;25:826-832.

STUDY

Impact of duty-hour restriction on resident inpatient teaching.

Mazotti LA, Vidyarthi AR, Wachter RM, Auerbach AD, Katz PP. J Hosp Med. 2009;4:476-480.

STUDY

Teamwork on inpatient medical units: assessing attitudes and barriers.

O'Leary KJ, Ritter CD, Wheeler H, Szekendi MK, Brinton TS, Williams MV. Qual Saf Health Care. 2010;19:117-121.

STUDY

Patient whiteboards as a communication tool in the hospital setting: A survey of practices and recommendations.

Sehgal NL, Green A, Vidyarthi AR, Blegen MA, Wachter RM. J Hosp Med. 2010;5:234-239.

STUDY

Prolonged hospital stay and the resident duty hour rules of 2003.

Silber JH, Rosenbaum PR, Rosen AK, et al. Med Care. 2009;47:1191-1200.

COMMENTARY

Perspective: beyond counting hours: the importance of supervision, professionalism, transitions of care, and workload in residency training.

Schumacher DJ, Slovin SR, Riebschleger MP, Englander R, Hicks PJ, Carraccio C. Acad Med. 2012;87:883-888.

STUDY

The impact of duty hours on resident self reports of errors.

Vidyarthi AR, Auerbach AD, Wachter RM, Katz PP. J Gen Intern Med. 2007;22:205–209.

STUDY

classic

Effects of the Accreditation Council for Graduate Medical Education duty hour limits on sleep, work hours, and safety.

Landrigan CP, Fahrenkopf AM, Lewin D, et al. Pediatrics. 2008;122:250-258.

STUDY

Active learning: when is more better? The case of resident physicians' medical errors.

Katz-Navon T, Naveh E, Stern Z. J Appl Psychol. 2009;94:1200-1209.

STUDY

Physicians-in-training attitudes on patient safety: 2003 to 2008.

Sorokin R, Riggio JM, Moleski S, Sullivan J. J Patient Saf. 2011;7:132-137.

COMMENTARY

A new frontier in patient safety.

McCannon J, Berwick DM. JAMA. 2011;305:2221-2222.

REVIEW

Interdisciplinary teamwork in hospitals: a review and practical recommendations for improvement.

O'Leary KJ, Sehgal NL, Terrell G, Williams MV; High Performance Teams and the Hospital of the Future Project Team. J Hosp Med. 2011 Oct 31; [Epub ahead of print].

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.

REVIEW

classic

"July Effect": impact of the academic year-end changeover on patient outcomes. A systematic review.

Young JQ, Ranji SR, Wachter RM, Lee CM, Niehaus B, Auerbach AD. Ann Intern Med. 2011;155:309-315.

STUDY

Decreased bile duct injury rate during laparoscopic cholecystectomy in the era of the 80-hour resident workweek.

Yaghoubian A, Saltmarsh G, Rosing DK, et al. Arch Surg. 2008;143:847-851.

BOOK/REPORT classic

classic

Resident Duty Hours: Enhancing Sleep, Supervision, and Safety.

Ulmer C, Wolman DM, Johns MME, eds. Committee on Optimizing Graduate Medical Trainee (Resident) Hours and Work Schedule to Improve Patient Safety, Institute of Medicine. Washington, DC: The National Academies Press; 2008. ISBN: 9780309127721.

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