AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (6)

•Diagnostic Errors (19)

•Identification Errors (2)

•Discontinuities, Gaps, and Hand-Off Problems (54)

•Fatigue and Sleep Deprivation (57)

•Medication Safety (49)

•Medical Complications (25)

•Nonsurgical Procedural Complications (6)

•Surgical Complications (80)

•Psychological and Social Complications (29)

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•Asia (4)

•Australia and New Zealand (18)

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Resource Types

•Journal Article (407)

•Newspaper/Magazine Article (17)

•Press Release/Announcement (2)

•Special or Theme Issue (8)

•Tools/Toolkit (2)

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Error Types

•Epidemiology of Errors and Adverse Events (73)

•Active Errors (68)

•Latent Errors (26)

•Near Miss (7)

Approach to Improving Safety

•Quality Improvement Strategies (53)

•Legal and Policy Approaches (19)

•Error Reporting and Analysis (70)

•Communication Improvement (139)

•Human Factors Engineering (26)

•Teamwork (109)

•Specialization of Care (8)

•Logistical Approaches (84)

•Culture of Safety (62)

•Technologic Approaches (28)

•Education and Training (399)

Clinical Areas

•Allied Health Services (1)

•Medicine (317)

•Nursing (28)

•Pharmacy (11)

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Educators

Setting of Care

•Hospitals (304)

•Residential Facilities (1)

•Ambulatory Care (12)

•Outpatient Surgery (1)

•Patient Transport (1)

1 - 20 of 458

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COMMENTARY

Do Not Disturb!

Duffy FD, Cassel CK. AHRQ WebM&M [serial online]. October 2007.

STUDY

Simulation-based training improves physicians' performance in patient care in high-stakes clinical setting of cardiac surgery.

Bruppacher HR, Alam SK, LeBlanc VR, et al. Anesthesiology. 2010;112:985-992.

SPECIAL OR THEME ISSUE

Quality of Anesthesia Care.

Neuman MD, Martinez EA, eds. Anesthesiol Clin. 2011;29:1-178.

COMMENTARY

Comparative issues in aviation and surgical crew resource management: (1) are we too solution focused?

Hunt GJF, Callaghan KSN. ANZ J Surg. 2008;78:690-693.

COMMENTARY

Defining the technical skills of teamwork in surgery.

Healey AN, Undre S, Vincent CA. Qual Saf Health Care. 2006;15:231-234.

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 "July phenomenon": is trauma the exception?

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

NEWSPAPER/MAGAZINE ARTICLE

Human costs of training doctors.

Dunklin R, Goetinck Ambrose S, Egerton B. Dallas Morning News. August 1, 2010:A01.

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.

COMMENTARY

How long does it take to train a surgeon?

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

REVIEW

Improving patient safety in the operating theatre and perioperative care: obstacles, interventions, and priorities for accelerating progress.

Sevdalis N, Hull L, Birnbach DJ. Br J Anaesth. 2012;109:i3-i16.

STUDY

Burns surgery handover study: trainees' assessment of current practice in the British Isles.

Al-Benna S, Al-Ajam Y, Alzoubaidi D. Burns. 2009;35:509-512.

REVIEW

Restricted duty hours for surgeons and impact on residents quality of life, education, and patient care: a literature review.

Pape H, Pfeifer R. Patient Saf Surg. 2009;3:3.

REVIEW

Error training: missing link in surgical education.

DaRosa DA, Pugh CM. Surgery. 2012;151:139-145.

STUDY

Management of anesthesia equipment failure: a simulation-based resident skill assessment.

Waldrop WB, Murray DJ, Boulet JR, Kras JF. Anesth Analg. 2009;109:426-433.

STUDY

Communication practices on 4 Harvard surgical services: a surgical safety collaborative.

ElBardissi AW, Regenbogen SE, Greenberg CC, et al. Ann Surg. 2009;250:861-865.

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

Poor resident–attending intraoperative communication may compromise patient safety.

Belyansky I, Martin TR, Prabhu AS, et al. J Surg Res. 2011;171:386-394.

STUDY

Reliability of a revised NOTECHS scale for use in surgical teams.

Sevdalis N, Davis R, Koutantji M, et al. Am J Surg. 2008;196:184-190.

STUDY

A policy-based intervention for the reduction of communication breakdowns in inpatient surgical care: results from a Harvard surgical safety collaborative.

Arriaga AF, Elbardissi AW, Regenbogen SE, et al. Ann Surg. 2011;253:849-854.

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