AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (6)

•Diagnostic Errors (31)

•Identification Errors (3)

•Discontinuities, Gaps, and Hand-Off Problems (66)

•Fatigue and Sleep Deprivation (61)

•Medication Safety (82)

•Medical Complications (41)

•Nonsurgical Procedural Complications (15)

•Surgical Complications (79)

•Psychological and Social Complications (36)

Origin/Sponsor

•Australia and New Zealand (14)

•Central and South America (1)

•North America (543)

Resource Types

•Audiovisual (4)

•Book/Report (23)

•Journal Article (550)

•Legislation/Regulation (2)

•Meeting/Conference (3)

•Newsletter/Journal (1)

•Newspaper/Magazine Article (25)

•Press Release/Announcement (2)

•Special or Theme Issue (18)

•Tools/Toolkit (6)

•Web Resource (17)

Error Types

•Epidemiology of Errors and Adverse Events (91)

•Active Errors (81)

•Latent Errors (28)

•Near Miss (8)

Approach to Improving Safety

•Quality Improvement Strategies (78)

•Legal and Policy Approaches (27)

•Error Reporting and Analysis (100)

•Communication Improvement (166)

•Human Factors Engineering (34)

•Teamwork (126)

•Specialization of Care (20)

•Logistical Approaches (92)

•Culture of Safety (87)

•Technologic Approaches (35)

•Education and Training (553)

Clinical Areas

•Allied Health Services (3)

•Complementary and Alternative Medicine (1)

•Dentistry (1)

•Medicine (411)

•Nursing (65)

•Pharmacy (29)

Target Audience
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Educators

Setting of Care

•Hospitals (384)

•Residential Facilities (5)

•Ambulatory Care (35)

•Outpatient Surgery (1)

•Patient Transport (1)

1 - 20 of 652

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STUDY

Residents' perspectives on ACGME regulation of supervision and duty hours—a national survey.

Drolet BC, Spalluto LB, Fischer SA. N Engl J Med. 2010;363:e34.

STUDY

Cost implications of ACGME's 2011 changes to resident duty hours and the training environment.

Nuckols TK, Escarce JJ. J Gen Intern Med. 2012;27:241-249.

REVIEW

classic

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

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

Prolonged hospital stay and the resident duty hour rules of 2003.

Silber JH, Rosenbaum PR, Rosen AK, et al. Med Care. 2009;47:1191-1200.

STUDY

The impact of the 80-hour work week on appropriate resident case coverage.

Shin S, Britt R, Doviak M, Britt LD. J Surg Res. 2010;162:33-36.

COMMENTARY

The ACGME’s final duty-hour standards—special PGY-1 limits and strategic napping.

Iglehart JK. N Engl J Med. 2010;363:1589-1591.

NEWSPAPER/MAGAZINE ARTICLE

IOM: shorten residents' work shifts to reduce fatigue, improve patient safety.

Kuehn BM. JAMA. 2009;301:259-261.

BOOK/REPORT classic

classic

Resident Duty Hours: Enhancing Sleep, Supervision, and Safety.

Ulmer C, Wolman DM, Johns MME, eds. Committee on Optimizing Graduate Medical Trainee (Resident) Hours and Work Schedule to Improve Patient Safety, Institute of Medicine. Washington, DC: The National Academies Press; 2008. ISBN: 9780309127721.

STUDY

Impact of the Accreditation Council for Graduate Medical Education work-hour regulations on neurosurgical resident education and productivity.

Jagannathan J, Vates GE, Pouratian N, et al. J Neurosurg. 2009;110:820-827.

STUDY

Effect of the 50-hour workweek limitation on training of surgical residents in Switzerland.

Businger A, Guller U, Oertli D. Arch Surg. 2010;145:558-563.

COMMENTARY

How long does it take to train a surgeon?

Purcell Jackson G, Tarpley JL. BMJ. 2009;339:b4260.

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.

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.

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.

COMMENTARY

An elusive balance — residents' work hours and the continuity of care.

Okie S. N Engl J Med. 2007;356:2665-2667.

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.

STUDY

The "July phenomenon": is trauma the exception?

Schroeppel TJ, Fischer PE, Magnotti LJ, Croce MA, Fabian TC. J Am Coll Surg. 2009;209:378-384.

REVIEW

Duty hours restriction and their effect on resident education and academic departments: the American perspective.

Swide CE, Kirsch JR. Curr Opin Anaesthesiol. 2007;20:580-584.

STUDY

Admission handoff communications: clinician's shared understanding of patient severity of illness and problems.

Brannen ML, Cameron KA, Adler M, Goodman D, Holl JL. J Patient Saf. 2009;5:237-242.

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