AHRQ Patient Safety Network

The Collection > Health Care Executives and Administrators

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Safety Target

•Device-related Complications (118)

•Diagnostic Errors (97)

•Identification Errors (83)

•Discontinuities, Gaps, and Hand-Off Problems (302)

•Fatigue and Sleep Deprivation (77)

•Medication Safety (713)

•Medical Complications (352)

•Nonsurgical Procedural Complications (64)

•Surgical Complications (315)

•Transfusion Complications (13)

•Psychological and Social Complications (110)

Origin/Sponsor

•Africa (4)

•Asia (17)

•Australia and New Zealand (59)

•Central and South America (3)

•Europe (202)

•North America (2639)

Resource Types

•Clinical Guideline (3)

•Journal Article (2021)

•Legislation/Regulation (45)

•Meeting/Conference (43)

•Newsletter/Journal (12)

•Newspaper/Magazine Article (315)

•Press Release/Announcement (23)

•Special or Theme Issue (60)

•Tools/Toolkit (43)

•Web Resource (102)

•Grant (10)

Error Types

•Epidemiology of Errors and Adverse Events (551)

•Active Errors (353)

•Latent Errors (159)

•Near Miss (47)

Approach to Improving Safety

•Quality Improvement Strategies (834)

•Legal and Policy Approaches (388)

•Error Reporting and Analysis (824)

•Communication Improvement (726)

•Human Factors Engineering (335)

•Teamwork (295)

•Specialization of Care (216)

•Logistical Approaches (204)

•Culture of Safety (562)

•Technologic Approaches (494)

•Education and Training (693)

Clinical Areas

•Allied Health Services (14)

Target Audience
< All

Health Care Executives and Administrators

•Facility and Group Administrators (128)

•Nurse Managers (75)

•Risk Managers (198)

•Quality and Safety Professionals (828)

Setting of Care

•Hospitals (1757)

•Psychiatric Facilities (14)

•Residential Facilities (57)

•Ambulatory Care (231)

•Outpatient Surgery (30)

•Patient Transport (21)

1 - 20 of 2969

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REVIEW

There's a science for that: team development interventions in organizations.

Shuffler ML, DiazGranados D, Salas E. Curr Dir Psychol Sci. 2011;20:365-372.

STUDY

Association of resident fatigue and distress with perceived medical errors.

West CP, Tan AD, Habermann TM, Sloan JA, Shanafelt TD. JAMA. 2009;302:1294-1300.

STUDY

Residents' perspectives on ACGME regulation of supervision and duty hours—a national survey.

Drolet BC, Spalluto LB, Fischer SA. N Engl J Med. 2010;363:e34.

SPECIAL OR THEME ISSUE

Quality and Safety in Medicine.

Nash DB, Goldfarb NI, Patow C, eds. Acad Med. 2009;84:1641-1846.

STUDY

Resident fatigue: is there a patient safety issue?

Mitchell CD, Mooty CR, Dunn EL, Ramberger KC, Mangram AJ. Am J Surg. 2009;198:811-816.

TEXAS MEETING/CONFERENCE

TeamStepps National Conference.

Agency for Healthcare Research and Quality. June 12–13, 2013; The Fairmont Dallas, Dallas, TX.

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.

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.

REVIEW

Teamwork in obstetric critical care.

Guise JM, Segel S. Best Pract Res Clin Obstet Gynaecol. 2008;22:937-951.

STUDY

A descriptive study of morbidity and mortality conferences and their conformity to medical incident analysis models: results of the morbidity and mortality conference improvement study, phase 1.

Aboumatar HJ, Blackledge CG Jr, Dickson C, Heitmiller E, Freischlag J, Pronovost PJ. Am J Med Qual. 2007;22:232-238.

STUDY

Health literacy and communication quality in health care organizations.

Wynia MK, Osborn CY. J Health Commun. 2010;15(suppl 2):102-115.

WASHINGTON MEETING/CONFERENCE

2013 Northwest Patient Safety Conference.

Washington Patient Safety Coalition. May 21, 2013; Lynnwood Convention Center, Lynnwood, WA.

COMMENTARY

The incorporation of patient safety into board certification examinations.

Kachalia A, Johnson JK, Miller S, Brennan T. Acad Med. 2006;81:317-325.

NEWSPAPER/MAGAZINE ARTICLE

Medical simulation gets real.

Voelker R. JAMA. 2009;302:2190-2192.

COMMENTARY

HRET Patient Safety Leadership Fellowship: The role of "community" in patient safety.

Leonhardt KK. Am J Med Qual. 2010;25:192-196.

COMMENTARY

Frontline hospital workers and the worker safety/patient safety nexus.

Sokas R, Braun B, Chenven L, et al. Jt Comm J Qual Patient Saf. 2013;39:185-192.

NEWSPAPER/MAGAZINE ARTICLE

Standardizing safety.

Meyers S. Trustee. July/August 2006;59:12, 14, 21.

STUDY

Effect of work-hours regulations on intensive care unit mortality in United States teaching hospitals.

Prasad M, Iwashyna TJ, Christie JD, et al. Crit Care Med. 2009;37:2564-2569.

MARYLAND MEETING/CONFERENCE

Hospital Medicine 2013.

Society of Hospital Medicine. May 16–19, 2013; Gaylord National Resort & Convention Center, National Harbor, MD.

STUDY

Impact of the Accreditation Council for Graduate Medical Education work-hour regulations on neurosurgical resident education and productivity.

Jagannathan J, Vates GE, Pouratian N, et al. J Neurosurg. 2009;110:820-827.

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