AHRQ Patient Safety Network

The Collection > Health Care Executives and Administrators

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Safety Target

•Device-related Complications (126)

•Diagnostic Errors (119)

•Identification Errors (74)

•Discontinuities, Gaps, and Hand-Off Problems (388)

•Fatigue and Sleep Deprivation (113)

•Medication Safety (835)

•Medical Complications (387)

•Nonsurgical Procedural Complications (62)

•Surgical Complications (268)

•Transfusion Complications (15)

•Psychological and Social Complications (126)

Origin/Sponsor

•Africa (2)

•Asia (37)

•Australia and New Zealand (65)

•Central and South America (1)

•Europe (309)

•North America (2885)

Resource Types

•Clinical Guideline (2)

•Journal Article (2393)

•Legislation/Regulation (43)

•Meeting/Conference (30)

•Newsletter/Journal (7)

•Newspaper/Magazine Article (356)

•Press Release/Announcement (16)

•Special or Theme Issue (59)

•Tools/Toolkit (49)

•Web Resource (84)

•Grant (6)

Error Types

•Epidemiology of Errors and Adverse Events (664)

•Active Errors (336)

•Latent Errors (195)

•Near Miss (47)

Approach to Improving Safety

•Quality Improvement Strategies (1061)

•Legal and Policy Approaches (428)

•Error Reporting and Analysis (1007)

•Communication Improvement (738)

•Human Factors Engineering (345)

•Teamwork (265)

•Specialization of Care (240)

•Logistical Approaches (280)

•Culture of Safety (617)

•Technologic Approaches (569)

•Education and Training (643)

Clinical Areas

•Allied Health Services (7)

•Medicine (2188)

•Nursing (248)

•Pharmacy (313)

Target Audience
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Health Care Executives and Administrators

•Facility and Group Administrators (279)

•Nurse Managers (237)

•Risk Managers (336)

•Quality and Safety Professionals (1100)

Setting of Care

•Hospitals (2373)

•Psychiatric Facilities (11)

•Residential Facilities (42)

•Ambulatory Care (224)

•Outpatient Surgery (28)

•Patient Transport (10)

1 - 20 of 3365

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STUDY

Effects of the 2011 duty hour reforms on interns and their patients: a prospective longitudinal cohort study.

Sen S, Kranzler HR, Didwania AK, et al. JAMA Intern Med. 2013;173:657-662.

STUDY

Hospital responses to the Leapfrog Group in local markets.

Scanlon DP, Christianson JB, Ford EW. Med Care Res Rev. 2008;32:548-556.

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.

NEWSPAPER/MAGAZINE ARTICLE

Hospital safety records, CEO pay increasingly linked.

Wilson B. Am Med News. November 26, 2007:50:16.

NEWSPAPER/MAGAZINE ARTICLE

Fixing relationships, preventing errors.

McGinn P, Chabon R. HHN Magazine Online. November 25, 2008.

STUDY

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

Use of an appreciative inquiry approach to improve resident sign-out in an era of multiple shift changes.

Helms AS, Perez TE, Baltz J, et al. J Gen Intern Med. 2012;27:287-291.

COMMENTARY

As she lay dying: how I fought to stop medical errors from killing my mom.

Welch JR. Health Aff (Millwood). 2012;31:2817-2820.

STUDY

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.

NEWSPAPER/MAGAZINE ARTICLE

Strengthening the core. Middle managers play a vital role in improving safety.

Federico F, Bonacum D. Healthc Exec. January/February 2010;25:68-70.

NEWSPAPER/MAGAZINE ARTICLE

The pursuit of perfection: hospitals take heightened actions to reduce adverse events.

May EL. Healthc Exec. 2012;27:26-28,30-33.

REVIEW

Duty-hour limits and patient care and resident outcomes: can high-quality studies offer insight into complex relationships?

Philibert I, Nasca T, Brigham T, Shapiro J. Annu Rev Med. 2013;64:467-483.

NEWSPAPER/MAGAZINE ARTICLE

Could it happen here? Learning from other organizations' safety errors.

Conway J. Healthc Exec. November/December 2008;23:64-67.

NEWSPAPER/MAGAZINE ARTICLE

Survey shows recession has weakened patient safety net.

ISMP Medication Safety Alert! Acute Care Edition. January 14, 2010;15:1-4.

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.

COMMENTARY

Assessing hospital safety on nights and weekends: the SWAN tool.

Shulkin DJ. J Patient Saf. 2009;5:75-78.

COMMENTARY

Revisiting duty-hour limits — IOM recommendations for patient safety and resident education.

Iglehart JK. N Engl J Med. 2008;359:2633-2635.

BOOK/REPORT

Health Care Leaders Action Guide: Hospital Strategies for Reducing Preventable Mortality.

Chicago, IL: Health Research & Educational Trust; March 2011.

COMMENTARY

A framework for patient safety: a defense nuclear industry-based high-reliability model.

Birnbach DJ, Rosen LF, Williams L, Fitzpatrick M, Lubarsky DA, Menna JD. Jt Comm J Qual Patient Saf. 2013;39:233-240.

AWARD RECIPIENT

Announcing 2009 Leapfrog top hospitals.

Washington, DC: Leapfrog Group; December 4, 2009.

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