AHRQ Patient Safety Network

The Collection > Health Care Executives and Administrators

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Safety Target

•Device-related Complications (87)

•Diagnostic Errors (111)

•Identification Errors (54)

•Discontinuities, Gaps, and Hand-Off Problems (284)

•Fatigue and Sleep Deprivation (146)

•Medication Safety (634)

•Medical Complications (259)

•Nonsurgical Procedural Complications (48)

•Surgical Complications (253)

•Transfusion Complications (10)

•Psychological and Social Complications (107)

Origin/Sponsor

•Asia (19)

•Australia and New Zealand (34)

•Central and South America (1)

•Europe (147)

•North America (2453)

Resource Types

•Clinical Guideline (1)

•Journal Article (1946)

•Legislation/Regulation (34)

•Meeting/Conference (19)

•Newsletter/Journal (8)

•Newspaper/Magazine Article (300)

•Press Release/Announcement (12)

•Special or Theme Issue (45)

•Tools/Toolkit (31)

•Web Resource (48)

•Grant (6)

Error Types

•Epidemiology of Errors and Adverse Events (558)

•Active Errors (250)

•Latent Errors (139)

•Near Miss (43)

Approach to Improving Safety

•Quality Improvement Strategies (688)

•Legal and Policy Approaches (338)

•Error Reporting and Analysis (926)

•Communication Improvement (582)

•Human Factors Engineering (241)

•Teamwork (246)

•Specialization of Care (187)

•Logistical Approaches (267)

•Culture of Safety (463)

•Technologic Approaches (422)

•Education and Training (648)

Clinical Areas

•Allied Health Services (9)

Target Audience
< All

Health Care Executives and Administrators

•Facility and Group Administrators (192)

•Nurse Managers (155)

•Risk Managers (294)

•Quality and Safety Professionals (762)

Setting of Care

•Hospitals (1655)

•Psychiatric Facilities (7)

•Residential Facilities (37)

•Ambulatory Care (156)

•Outpatient Surgery (18)

•Patient Transport (12)

1 - 20 of 2680

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STUDY

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

A comparative resident site visit project: a novel approach for implementing programmatic change in the duty hours era.

Crowley MJ, Barkauskas CE, Srygley FD, et al. Acad Med. 2010;85:1140-1146.

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.

COMMENTARY classic

The new recommendations on duty hours from the ACGME Task Force.

Nasca TJ, Day SH, Amis ES Jr; for ACGME Duty Hours Task Force. N Engl J Med. 2010;363:e3.

STUDY

Did duty hour reform lead to better outcomes among the highest risk patients?

Volpp KG, Rosen AK, Rosenbaum PR, et al. J Gen Intern Med. 2009;10:1149-1155.

MULTI-USE WEBSITE

Optimizing Graduate Medical Trainee (Resident) Hours and Work Schedules to Improve Patient Safety.

Institute of Medicine.

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

Evaluation of a redesign initiative in an internal-medicine residency.

McMahon GT, Katz JT, Thorndike ME, Levy BD, Loscalzo J. N Engl J Med. 2010;362:1304-1311.

COMMENTARY

Implementing the 2009 Institute of Medicine recommendations on resident physician work hours, supervision, and safety.

Blum AB, Shea S, Czeisler CA, Landrigan CP, Leape L. Nat Sci Sleep. 2011;3:47-85.

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.

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

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

ACGME duty-hour recommendations—a national survey of residency program directors.

Antiel RM, Thompson SM, Reed DA, et al. N Engl J Med. 2010;363:e12.

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.

COMMENTARY

Resident duty hour regulation and patient safety: establishing a balance between concerns about resident fatigue and adequate training in neurosurgery.

Grady MS, Batjer HH, Dacey RG. J Neurosurg. 2009;110:828-836.

COMMENTARY

Resident duty hours in surgery for ensuring patient safety, providing optimum resident education and training, and promoting resident well-being: a response from the American College of Surgeons to the Report of the Institute of Medicine, "Resident Duty Hours: Enhancing Sleep, Supervision, and Safety."

Britt LD, Sachdeva AK, Healy GB, Whalen TV, Blair PG; Members of the ACS Task Force on Resident Duty Hours. Surgery. 2009;146:398-409.

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.

COMMENTARY

Sleep deprivation, physician performance, and patient safety.

Olson EJ, Drage LA, Auger RR. Chest. 2009;136:1389-1396.

COMMENTARY

The Accreditation Council for Graduate Medical Education resident duty hour new standards: history, changes, and impact on staffing of intensive care units.

Pastores SM, O’Connor MF, Kleinpell RM, et al. Crit Care Med. 2011;39:2540-2549.

MULTI-USE WEBSITE

Quality Care and Excellence in Medical Education.

Accreditation Council for Graduate Medical Education.

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