AHRQ Patient Safety Network

The Collection > Quality and Safety Professionals

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Safety Target

•Device-related Complications (110)

•Diagnostic Errors (121)

•Identification Errors (86)

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

•Fatigue and Sleep Deprivation (52)

•Medication Safety (718)

•Medical Complications (296)

•Nonsurgical Procedural Complications (78)

•Surgical Complications (326)

•Transfusion Complications (13)

•Psychological and Social Complications (73)

Origin/Sponsor

•Africa (2)

•Asia (43)

•Australia and New Zealand (91)

•Central and South America (5)

•Europe (365)

•North America (1852)

Resource Types

•Audiovisual (8)

•Award (6)

•Book/Report (72)

•Clinical Guideline (3)

•Journal Article (2009)

•Legislation/Regulation (29)

•Meeting/Conference (13)

•Newsletter/Journal (3)

•Newspaper/Magazine Article (135)

•Press Release/Announcement (15)

•Special or Theme Issue (23)

•Tools/Toolkit (22)

•Web Resource (42)

•Grant (6)

Error Types

•Epidemiology of Errors and Adverse Events (668)

•Active Errors (438)

•Latent Errors (142)

•Near Miss (49)

Approach to Improving Safety

•Quality Improvement Strategies (593)

•Legal and Policy Approaches (115)

•Error Reporting and Analysis (681)

•Communication Improvement (584)

•Human Factors Engineering (379)

•Teamwork (249)

•Specialization of Care (176)

•Logistical Approaches (180)

•Culture of Safety (285)

•Technologic Approaches (425)

•Education and Training (501)

Clinical Areas

•Allied Health Services (7)

Target Audience
< All

Quality and Safety Professionals

Setting of Care

•Hospitals (1620)

•Psychiatric Facilities (5)

•Residential Facilities (36)

•Ambulatory Care (175)

•Outpatient Surgery (21)

•Patient Transport (19)

1 - 20 of 2386

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STUDY

The computerized rounding report: implementation of a model system to support transitions of care.

Wohlauer MV, Rove KO, Pshak TJ, et al. J Surg Res. 2012;172:11-17.

STUDY

A July spike in fatal medication errors: a possible effect of new medical residents.

Phillips DP, Barker GEC. J Gen Intern Med. 2010;25:774-779.

STUDY

Potential unintended consequences due to Medicare's "No Pay for Errors Rule"? A randomized controlled trial of an educational intervention with internal medicine residents.

Mookherjee S, Vidyarthi AR, Ranji SR, Maselli J, Wachter RM, Baron RB. J Gen Intern Med. 2010;25:1097-1101.

STUDY

Medication safety initiative in reducing medication errors.

Nguyen EE, Connolly PM, Wong V. J Nurs Care Qual. 2010;25:224-230.

STUDY

Impact of resident workload and handoff training on patient outcomes.

Mueller SK, Call SA, McDonald FS, Halvorsen AJ, Schnipper JL, Hicks LS. Am J Med. 2012;125:104-110.

STUDY

The effects of a 'discharge time-out' on the quality of hospital discharge summaries.

Mohta N, Vaishnava P, Liang C, et al. BMJ Qual Saf. 2012;21:885-890.

STUDY

Safety of using a computerized rounding and sign-out system to reduce resident duty hours.

Van Eaton EG, McDonough K, Lober WB, Johnson EA, Pellegrini CA, Horvath KD. Acad Med. 2010;85:1189-1195.

REVIEW

Systematic review: association of shift length, protected sleep time, and night float with patient care, residents' health, and education.

Reed DA, Fletcher KE, Arora VM. Ann Intern Med. 2010;153:829-842.

STUDY

"Learning by Doing"—resident perspectives on developing competency in high-quality discharge care.

Greysen SR, Schiliro D, Curry L, Bradley EH, Horwitz LI. J Gen Intern Med. 2012;27:1188-1194.

REVIEW

Hospital do-not-resuscitate orders: why they have failed and how to fix them.

Yuen JK, Reid MC, Fetters MD. J Gen Intern Med. 2011;26:791-797.

STUDY

Rethinking resident supervision to improve safety: from hierarchical to interprofessional models.

Tamuz M, Giardina TD, Thomas EJ, Menon S, Singh H. J Hosp Med. 2011;6:448-456.

REVIEW

A systematic review of failures in handoff communication during intrahospital transfers.

Ong MS, Coiera E. Jt Comm J Qual Patient Saf. 2011;37:274-284.

STUDY

Improving teamwork on general medical units: when teams do not work face-to-face.

McComb SA, Henneman EA, Hinchey KT, et al. Jt Comm J Qual Patient Saf. 2012;38:471-478.

COMMENTARY

Ten years after the IOM report: engaging residents in quality and patient safety by creating a house staff quality council.

Fleischut PM, Evans AS, Nugent WC, et al. Am J Med Qual. 2011;26:89-94.

STUDY

Evaluation of a physician informatics tool to improve patient handoffs.

Flanagan ME, Patterson ES, Frankel RM, Doebbeling BN. J Am Med Inform Assoc. 2009;16:509-515.

REVIEW

Hospitalist handoffs: a systematic review and task force recommendations.

Arora VM, Manjarrez E, Dressler DD, Basaviah P, Halasyamani L, Kripalani S. J Hosp Med. 2009;4:433-440.

STUDY

Possible solutions for barriers in incident reporting by residents.

Martowirono K, Jansma JD, Van Luijk SJ, Wagner C, Bijnen AB. J Eval Clin Pract. 2012;18:76-81.

COMMENTARY

Utilizing information technology to mitigate the handoff risks caused by resident work hour restrictions.

Bernstein J, MacCourt DC, Jacob DM, Mehta S. Clin Orthop Relat Res. 2010;468:2627-2732.

REVIEW

Educational interventions to improve handover in health care: a systematic review.

Gordon M, Findley R. Med Educ. 2011;45:1081-1089.

STUDY

What are covering doctors told about their patients? Analysis of sign-out among internal medicine house staff.

Horwitz LI, Moin T, Krumholz HM, Wang L, Bradley EH. Qual Saf Health Care. 2009;18:248-255.

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