AHRQ Patient Safety Network

The Collection > Quality and Safety Professionals

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Safety Target

•Device-related Complications (50)

•Diagnostic Errors (82)

•Identification Errors (30)

•Discontinuities, Gaps, and Hand-Off Problems (191)

•Fatigue and Sleep Deprivation (49)

•Medication Safety (319)

•Medical Complications (123)

•Nonsurgical Procedural Complications (33)

•Surgical Complications (157)

•Transfusion Complications (1)

•Psychological and Social Complications (44)

Origin/Sponsor

•Asia (30)

•Australia and New Zealand (65)

•Central and South America (5)

Resource Types

•Journal Article (1056)

•Legislation/Regulation (15)

•Meeting/Conference (5)

•Newsletter/Journal (2)

•Newspaper/Magazine Article (71)

•Press Release/Announcement (5)

•Special or Theme Issue (16)

•Tools/Toolkit (12)

•Web Resource (14)

Error Types

•Epidemiology of Errors and Adverse Events (275)

•Active Errors (218)

•Latent Errors (163)

•Near Miss (22)

Approach to Improving Safety

•Quality Improvement Strategies (277)

•Legal and Policy Approaches (57)

•Error Reporting and Analysis (338)

•Communication Improvement (287)

•Human Factors Engineering (182)

•Teamwork (155)

•Specialization of Care (98)

•Logistical Approaches (127)

•Culture of Safety (323)

•Technologic Approaches (174)

•Education and Training (255)

Clinical Areas

•Allied Health Services (3)

•Complementary and Alternative Medicine (1)

Target Audience
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Quality and Safety Professionals

Setting of Care

•Hospitals (827)

•Psychiatric Facilities (5)

•Residential Facilities (15)

•Ambulatory Care (66)

•Outpatient Surgery (6)

•Patient Transport (21)

1 - 20 of 1232

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STUDY

Design and trial of a new ambulance-to-emergency department handover protocol: 'IMIST-AMBO.'

Iedema R, Ball C, Daly B, et al. BMJ Qual Saf. 2012;21:627-633.

STUDY

Medical error identification, disclosure, and reporting: do emergency medicine provider groups differ?

Hobgood C, Weiner B, Tamayo-Sarver JH. Acad Emerg Med. 2006;13:443-451.

NEWSPAPER/MAGAZINE ARTICLE

How to master the new art of training: teamwork on the fly.

Edmondson AC. Harv Bus Rev. April 2012;90:72-80.

STUDY

A method for measuring system safety and latent errors associated with pediatric procedural sedation.

Blike GT, Christoffersen K, Cravero JP, Andeweg SK, Jensen J. Anesth Analg. 2005;101:48-58.

STUDY

ED handoffs: observed practices and communication errors.

Maughan BC, Lei L, Cydulka RK. Am J Emerg Med. 2011;29:502-511.

COMMENTARY

Profiles in patient safety: misplaced femoral line guidewire and multiple failures to detect the foreign body on chest radiography.

Lum TE, Fairbanks RJ, Pennington EC, Zwemer FL. Acad Emerg Med. 2005;12:658-662.

STUDY

Surgeon commitment to trauma care decreases missed injuries.

Lin YK, Lin CJ, Chan HM, et al. Injury. 2012 Nov 3; [Epub ahead of print].

REVIEW

Pediatric patient safety in the prehospital/emergency department setting.

Barata IA, Benjamin LS, Mace SE, Herman MI, Goldman RD. Pediatr Emerg Care. 2007;23:412-418.

STUDY

Delayed or missed diagnosis of cervical spine injuries.

Platzer P, Hauswirth N, Jaindl M, Chatwani S, Vecsei V, Gaebler C. J Trauma. 2006;61:150-155.

STUDY

Missed and delayed diagnoses in the emergency department: a study of closed malpractice claims from 4 liability insurers.

Kachalia A, Gandhi TK, Puopolo AL, et al. Ann Emerg Med. Ann Emerg Med. 2007;49:196-205.

COMMENTARY

A 60-year-old man with delayed care for a renal mass.

Schiff GD. JAMA. 2011;305:1890-1898.

COMMENTARY

Right? Left? Neither!

Howell EA, Chassin MR. AHRQ WebM&M [serial online]. May 2006.

COMMENTARY

DNR in the OR and Afterwards

Lo B. AHRQ WebM&M [serial online]. September 2006.

COMMENTARY

Assessing diagnostic reasoning: a consensus statement summarizing theory, practice, and future needs.

Ilgen JS, Humbert AJ, Kuhn G, et al. Acad Emerg Med. 2012;19:1454-1461.

COMMENTARY

Bedside shift report improves patient safety and nurse accountability.

Baker SJ. J Emerg Nurs. 2010;36:355-358.

REVIEW

Patient safety and error reduction in surgical pathology.

Nakhleh RE. Arch Pathol Lab Med. 2008;132:181-185.

STUDY

Role of clinical context in residents' physical examination diagnostic accuracy.

Sibbald M, Panisko D, Cavalcanti RB. Med Educ. 2011;45:415-421.

STUDY

Dropping the baton: a qualitative analysis of failures during the transition from emergency department to inpatient care.

Horwitz LI, Meredith T, Schuur JD, et al. Ann Emerg Med. 2009;53:701-710e1.

STUDY

Misleading one detail: a preventable mode of diagnostic error?

Arzy S, Brezis M, Khoury S, Simon SR, Ben-Hur T. J Eval Clin Pract. 2009;15:804-806.

STUDY

Effect of availability bias and reflective reasoning on diagnostic accuracy among internal medicine residents.

Mamede S, van Gog T, van den Berge K, et al. JAMA. 2010;304:1198-1203.

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