AHRQ Patient Safety Network

The Collection > Quality and Safety Professionals

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Safety Target

•Device-related Complications (89)

•Diagnostic Errors (93)

•Identification Errors (74)

•Discontinuities, Gaps, and Hand-Off Problems (232)

•Fatigue and Sleep Deprivation (53)

•Medication Safety (587)

•Medical Complications (247)

•Nonsurgical Procedural Complications (66)

•Surgical Complications (250)

•Transfusion Complications (9)

•Psychological and Social Complications (63)

Origin/Sponsor

•Asia (22)

•Australia and New Zealand (48)

•Central and South America (1)

•Europe (192)

•North America (1729)

Resource Types

•Audiovisual (7)

•Award (5)

•Book/Report (67)

•Clinical Guideline (3)

•Journal Article (1686)

•Legislation/Regulation (28)

•Meeting/Conference (11)

•Newsletter/Journal (3)

•Newspaper/Magazine Article (122)

•Press Release/Announcement (6)

•Special or Theme Issue (19)

•Tools/Toolkit (18)

•Web Resource (33)

•Grant (4)

Error Types

•Epidemiology of Errors and Adverse Events (537)

•Active Errors (335)

•Latent Errors (126)

•Near Miss (42)

Approach to Improving Safety

•Quality Improvement Strategies (506)

•Legal and Policy Approaches (102)

•Error Reporting and Analysis (590)

•Communication Improvement (450)

•Human Factors Engineering (296)

•Teamwork (205)

•Specialization of Care (147)

•Logistical Approaches (162)

•Culture of Safety (252)

•Technologic Approaches (356)

•Education and Training (463)

Clinical Areas

•Allied Health Services (7)

Target Audience
< All

Quality and Safety Professionals

Setting of Care

•Hospitals (1373)

•Psychiatric Facilities (5)

•Residential Facilities (31)

•Ambulatory Care (140)

•Outpatient Surgery (18)

•Patient Transport (12)

1 - 20 of 2012

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STUDY

Using an objective structured clinical examination to test adherence to Joint Commission National Patient Safety Goal–associated behaviors.

Pernar LIM, Shaw TJ, Pozner CN, et al. Jt Comm J Qual Patient Saf. 2012;38:414-418.

STUDY

Internal medicine trainees' views of training adequacy and duty hours restrictions in 2009.

Shea JA, Weissman A, McKinney S, Silber JH, Volpp KG. Acad Med. 2012;87:889-894.

STUDY

The simulated ward: ideal for training clinical clerks in an era of patient safety.

Mollo EA, Reinke CE, Nelson C, et al. J Surg Res. 2012;177:E1-E6.

REVIEW

Simulation exercises as a patient safety strategy: a systematic review.

Schmidt E, Goldhaber-Fiebert SN, Ho LA, McDonald KM. Ann Intern Med. 2013;158(5 Pt 2):426-432.

STUDY

Nurses' perceptions of simulation-based interprofessional training program for rapid response and code blue events.

Wehbe-Janek H, Lenzmeier CR, Ogden PE, et al. J Nurs Care Qual. 2012;27:43-50.

REVIEW

High fidelity simulation as a research tool.

Littlewood KE. Best Pract Res Clin Anaesthesiol. 2011;25:473-487.

STUDY

A patient safety objective structured clinical examination.

Singh R, Singh A, Fish R, McLean D, Anderson DR, Singh G. J Patient Saf. 2009;5:55-60.

STUDY

Cognitive errors detected in anaesthesiology: a literature review and pilot study.

Stiegler MP, Neelankavil JP, Canales C, Dhillon A. Br J Anaesth. 2012;108:229-235.

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.

NEWSPAPER/MAGAZINE ARTICLE

Are you a great diagnostician?

Yasgur BS. Medscape Business of Medicine. March 27, 2013.

STUDY

Changes in intern attitudes toward medical error and disclosure.

Varjavand N, Bachegowda LS, Gracely E, Novack DH. Med Educ. 2012;46:668-677.

COMMENTARY

Academic year-end transfers of outpatients from outgoing to incoming residents: an unaddressed patient safety issue.

Young JQ, Wachter RM. JAMA. 2009;302:1327-1329.

REVIEW

Safety in the academic medical center: transforming challenges into ingredients for improvement.

Blumenthal D, Ferris TG. Acad Med. 2006;81:817-822.

STUDY

Interns overestimate the effectiveness of their hand-off communication.

Chang VY, Arora VM, Lev-Ari S, D'Arcy M, Keysar B. Pediatrics. 2010;125:491-496.

STUDY

The impact of resident duty hour reform on hospital readmission rates among Medicare beneficiaries.

Press MJ, Silber JH, Rosen AK, et al. J Gen Intern Med. 2011;26:405-411.

COMMENTARY

Teaching internal medicine residents quality improvement and patient safety: a lean thinking approach.

Kim CS, Lukela MP, Parekh VI, et al. Am J Med Qual. 2010;25:211-217.

MULTI-USE WEBSITE

Quality & Safety Research Group.

Johns Hopkins University, Department of Anesthesiology & Critical Care Medicine.

STUDY

Didactic and simulation nontechnical skills team training to improve perinatal patient outcomes in a community hospital.

Riley W, Davis S, Miller K, Hansen H, Sainfort F, Sweet R. Jt Comm J Qual Patient Saf. 2011;37:357-364.

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.

COMMENTARY

"Just like EKGs!" Should EEGs undergo a confirmatory interpretation by a clinical neurophysiologist?

Benbadis SR. Neurology. 2013;80(suppl 1):S47-S51.

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