AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (128)

•Diagnostic Errors (83)

•Identification Errors (62)

•Discontinuities, Gaps, and Hand-Off Problems (375)

•Fatigue and Sleep Deprivation (104)

•Medication Safety (808)

•Medical Complications (413)

•Nonsurgical Procedural Complications (62)

•Surgical Complications (242)

•Transfusion Complications (11)

•Psychological and Social Complications (193)

Origin/Sponsor

•Australia and New Zealand (73)

•Central and South America (2)

•Europe (349)

•North America (2864)

Resource Types

•Audiovisual (30)

•Bibliography (2)

•Book/Report (255)

•Clinical Guideline (1)

•Journal Article (2423)

•Legislation/Regulation (43)

•Meeting/Conference (31)

•Newsletter/Journal (6)

•Newspaper/Magazine Article (342)

•Press Release/Announcement (13)

•Special or Theme Issue (69)

•Tools/Toolkit (52)

•Web Resource (78)

Error Types

•Epidemiology of Errors and Adverse Events (635)

•Active Errors (327)

•Latent Errors (211)

•Near Miss (48)

Approach to Improving Safety

•Quality Improvement Strategies (911)

•Legal and Policy Approaches (415)

•Error Reporting and Analysis (977)

•Communication Improvement (766)

•Human Factors Engineering (348)

•Teamwork (336)

•Specialization of Care (239)

•Logistical Approaches (275)

•Culture of Safety (830)

•Technologic Approaches (542)

•Education and Training (778)

Clinical Areas

•Allied Health Services (11)

•Dentistry (2)

•Medicine (2141)

•Nursing (335)

•Pharmacy (288)

Target Audience
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Health Care Executives and Administrators

•Facility and Group Administrators (234)

•Nurse Managers (308)

•Risk Managers (228)

•Quality and Safety Professionals (1084)

Setting of Care

•Hospitals (2390)

•Psychiatric Facilities (12)

•Residential Facilities (55)

•Ambulatory Care (230)

•Outpatient Surgery (23)

•Patient Transport (12)

1 - 20 of 3385

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NEWSPAPER/MAGAZINE ARTICLE

That’s the way we do things around here!

ISMP Medication Safety Alert! Acute Care Edition. February 24, 2011;16:1-2.

STUDY

A novel approach to increase residents' involvement in reporting adverse events.

Scott DR, Weimer M, English C, et al. Acad Med. 2011;86:742-746.

NEWSPAPER/MAGAZINE ARTICLE

Team-based care.

Weinstock M. Hosp Health Netw. March 2010;84:6p following 28,2.

STUDY

Eradicating medical student mistreatment: a longitudinal study of one institution's efforts.

Fried JM, Vermillion M, Parker NH, Uijtdehaage S. Acad Med. 2012;87:1191-1198.

COMMENTARY

Do Not Disturb!

Duffy FD, Cassel CK. AHRQ WebM&M [serial online]. October 2007.

STUDY

classic

Residents' response to duty-hour regulations—a follow-up national survey.

Drolet BC, Christopher DA, Fischer SA. N Engl J Med. 2012;366:e35.

STUDY

Cost implications of ACGME's 2011 changes to resident duty hours and the training environment.

Nuckols TK, Escarce JJ. J Gen Intern Med. 2012;27:241-249.

COMMENTARY

Perspective: a road map for academic departments to promote scholarship in quality improvement and patient safety.

Neeman N, Sehgal NL. Acad Med. 2012;87:168-171.

REVIEW

Patient safety, resident education and resident well-being following implementation of the 2003 ACGME duty hour rules.

Fletcher KE, Reed DA, Arora VM. J Gen Intern Med. 2011;26:907-919.

STUDY

An organizational assessment of disruptive clinician behavior: findings and implications.

Walrath JM, Dang D, Nyberg D. J Nurs Care Qual. 2013;28:110-121.

COMMENTARY

Perspective: a culture of respect—part 1 and part 2.

Leape LL, Shore MF, Dienstag JL, et al. Acad Med. 2012;87:845-858.

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.

COMMENTARY

How to develop a second victim support program: a toolkit for health care organizations.

Pratt S, Kenney L, Scott SD, Wu AW. Jt Comm J Qual Patient Saf. 2012;38:235-240.

REVIEW

Reducing hospital errors: interventions that build safety culture.

Singer SJ, Vogus TJ. Annu Rev Public Health. 2013;34:373-396.

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.

STUDY

Improving safety culture on adult medical units through multidisciplinary teamwork and communication interventions: the TOPS Project.

Blegen MA, Sehgal NL, Alldredge BK, Gearhart S, Auerbach AD, Wachter RM. Qual Saf Health Care. 2010;19:346-350.

COMMENTARY

A strategic approach for managing conflict in hospitals: responding to The Joint Commission leadership standard—part 1 and part 2.

Scott C, Gerardi D. Jt Comm J Qual Patient Saf. 2011;37:59-69, 70-80.

STUDY

Health care workers as second victims of medical errors.

Edrees HH, Paine LA, Feroli ER, Wu AW. Pol Arch Med Wewn. 2011;121:101-108.

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.

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