AHRQ Patient Safety Network

The Collection > Quality and Safety Professionals

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Safety Target

•Device-related Complications (114)

•Diagnostic Errors (128)

•Identification Errors (88)

•Discontinuities, Gaps, and Hand-Off Problems (304)

•Fatigue and Sleep Deprivation (53)

•Medication Safety (765)

•Medical Complications (302)

•Nonsurgical Procedural Complications (80)

•Surgical Complications (334)

•Transfusion Complications (13)

•Psychological and Social Complications (73)

Origin/Sponsor

•Africa (2)

•Asia (48)

•Australia and New Zealand (94)

•Central and South America (8)

•Europe (418)

•North America (1874)

Resource Types

•Audiovisual (8)

•Award (6)

•Book/Report (77)

•Clinical Guideline (3)

•Journal Article (2090)

•Legislation/Regulation (29)

•Meeting/Conference (13)

•Newsletter/Journal (3)

•Newspaper/Magazine Article (131)

•Press Release/Announcement (14)

•Special or Theme Issue (26)

•Tools/Toolkit (20)

•Web Resource (44)

•Grant (6)

Error Types

•Epidemiology of Errors and Adverse Events (747)

•Active Errors (456)

•Latent Errors (146)

•Near Miss (54)

Approach to Improving Safety

•Quality Improvement Strategies (612)

•Legal and Policy Approaches (119)

•Error Reporting and Analysis (718)

•Communication Improvement (571)

•Human Factors Engineering (392)

•Teamwork (245)

•Specialization of Care (177)

•Logistical Approaches (180)

•Culture of Safety (292)

•Technologic Approaches (477)

•Education and Training (503)

Clinical Areas

•Allied Health Services (6)

Target Audience
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Quality and Safety Professionals

Setting of Care

•Hospitals (1640)

•Psychiatric Facilities (7)

•Residential Facilities (36)

•Ambulatory Care (181)

•Outpatient Surgery (22)

•Patient Transport (20)

1 - 20 of 2470

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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.

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

Fall prevention in acute care hospitals: a randomized trial.

Dykes PC, Carroll DL, Hurley A, et al. JAMA. 2010;304:1912-1918.

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.

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

Improving teamwork: impact of structured interdisciplinary rounds on a medical teaching unit.

O'Leary KJ, Wayne DB, Haviley C, Slade ME, Lee J, Williams MV. J Gen Intern Med. 2010;25:826-832.

STUDY

Patient whiteboards as a communication tool in the hospital setting: A survey of practices and recommendations.

Sehgal NL, Green A, Vidyarthi AR, Blegen MA, Wachter RM. J Hosp Med. 2010;5:234-239.

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

Development of a core drug list towards improving prescribing education and reducing errors in the UK.

Baker E, Roberts AP, Wilde K, et al. Br J Clin Pharmacol. 2011;71:190-198.

COMMENTARY

An anesthesiology department leads culture change at a hospital system level to improve quality and patient safety.

Fleischut PM, Evans AS, Faggiani SL, Lazar EJ, Kerr GE. Anesthesiol Clin. 2011;29:153-167.

STUDY

Results of the Medications At Transitions and Clinical Handoffs (MATCH) study: an analysis of medication reconciliation errors and risk factors at hospital admission.

Gleason KM, McDaniel MR, Feinglass J, et al. J Gen Intern Med. 2010;25:441-447.

STUDY

Physician reporting of clinically significant events through a computerized patient sign-out system.

Nabors C, Peterson SJ, Aronow WS, et al. J Patient Saf. 2011;7:154-160.

STUDY

Measuring handoff quality in labor and delivery: development, validation, and application of the Coordination of Handoff Effectiveness Questionnaire (CHEQ).

Block M, Ehrenworth JF, Cuce VM, et al. Jt Comm J Qual Patient Saf. 2013;39:213-220.

STUDY

Impact of duty-hour restriction on resident inpatient teaching.

Mazotti LA, Vidyarthi AR, Wachter RM, Auerbach AD, Katz PP. J Hosp Med. 2009;4:476-480.

STUDY

Implementing peer evaluation of handoffs: associations with experience and workload.

Arora VM, Greenstein EA, Woodruff JN, Staisiunas PG, Farnan JM. J Hosp Med. 2013;8:132-136.

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.

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.

STUDY

The Veterans Affairs shift change physician-to-physician handoff project.

Anderson J, Shroff D, Curtis A, et al. Jt Comm J Qual Patient Saf. 2010;36:62-71.

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

Medication reconciliation: barriers and facilitators from the perspectives of resident physicians and pharmacists.

Boockvar KS, Santos SL, Kushniruk A, Johnson C, Nebeker JR. J Hosp Med. 2011;6:329-337.

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