AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (7)

•Diagnostic Errors (21)

•Identification Errors (1)

•Discontinuities, Gaps, and Hand-Off Problems (59)

•Fatigue and Sleep Deprivation (57)

•Medication Safety (69)

•Medical Complications (34)

•Nonsurgical Procedural Complications (12)

•Surgical Complications (58)

•Psychological and Social Complications (32)

Origin/Sponsor

•Asia (2)

•Australia and New Zealand (7)

•Central and South America (1)

Resource Types

•Journal Article (474)

•Legislation/Regulation (2)

•Meeting/Conference (1)

•Newsletter/Journal (1)

•Newspaper/Magazine Article (23)

•Press Release/Announcement (2)

•Special or Theme Issue (14)

•Tools/Toolkit (4)

•Web Resource (13)

•Grant (2)

Error Types

•Epidemiology of Errors and Adverse Events (76)

•Active Errors (61)

•Latent Errors (26)

•Near Miss (5)

Approach to Improving Safety

•Quality Improvement Strategies (61)

•Legal and Policy Approaches (26)

•Error Reporting and Analysis (83)

•Communication Improvement (145)

•Human Factors Engineering (24)

•Teamwork (107)

•Specialization of Care (17)

•Logistical Approaches (86)

•Culture of Safety (94)

•Technologic Approaches (34)

•Education and Training (469)

Clinical Areas

•Allied Health Services (3)

Target Audience
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Educators

Setting of Care

•Hospitals (317)

•Residential Facilities (3)

•Ambulatory Care (28)

•Patient Transport (1)

1 - 20 of 559

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COMMENTARY classic

Structural and organizational issues in patient safety: a comparison of health care to other high-hazard industries.

Gaba DM. Calif Manage Rev. 2000;43:1-20.

COMMENTARY classic

Risk mitigation in large scale systems: lessons from high reliability organizations.

Grabowski M, Roberts KH. Calif Manage Rev. 1997;39:152-162.

REVIEW

Duty-hour limits and patient care and resident outcomes: can high-quality studies offer insight into complex relationships?

Philibert I, Nasca T, Brigham T, Shapiro J. Annu Rev Med. 2013;64:467-483.

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.

PRESS RELEASE/ANNOUNCEMENT

AHA-NPSF Comprehensive Patient Safety Leadership Fellowship.

American Hospital Association, National Patient Safety Foundation.

NEWSPAPER/MAGAZINE ARTICLE

The impossible workload for doctors in training.

Chen PW. New York Times. April 18, 2013.

STUDY

Medical error disclosure training: evidence for values-based ethical environments.

Rathert C, Phillips W. J Bus Ethics. 2010;97:491-503.

NEWSPAPER/MAGAZINE ARTICLE

Team-based care.

Weinstock M. Hosp Health Netw. March 2010;84:6p following 28,2.

NEWSPAPER/MAGAZINE ARTICLE

Medical errors: should you apologize?

Weiss GG. Med Econ. April 21, 2006;83:50-54.

COMMENTARY

Do Not Disturb!

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

STUDY

A case for safety leadership team training of hospital managers.

Singer SJ, Hayes J, Cooper JB, et al. Health Care Manage Rev. 2011;36:1-13.

STUDY

Residents' response to duty-hour regulations—a follow-up national survey.

Drolet BC, Christopher DA, Fischer SA. N Engl J Med. 2012;366:e35.

COMMENTARY

Patient safety: where is nursing education?

Gregory DM, Guse LW, Dick DD, Russell CK. J Nurs Educ. 2007;46:79-82.

NEWSPAPER/MAGAZINE ARTICLE

That’s the way we do things around here!

ISMP Medication Safety Alert! Acute Care Edition. February 24, 2011;16:1-2.

STUDY

Trainees' perceptions of patient safety practices: recounting failures of supervision.

Ross PT, McMyler ET, Anderson SG, et al. Jt Comm J Qual Patient Saf. 2011;37:88-95.

STUDY

Should all duty hours be the same? Results of a national survey of surgical trainees.

Moalem J, Salzman P, Ruan DT, et al. J Am Coll Surg. 2009;209:47-54.

REVIEW

What have we learned about interventions to reduce medical errors?

Woodward HI, Mytton OT, Lemer C, et al. Annu Rev Public Health. 2010;31:479-497.

GRANT RECIPIENT

Improving Patient Safety Through Simulation Research.

Rockville, MD: Agency for Healthcare Research and Quality; June 2008.

COMMENTARY

In Conversation with...Lucian Leape, MD

AHRQ WebM&M [serial online]. August 2006.

COMMENTARY

The response of the APPD, CoPS and AAP to the Institute of Medicine report on resident duty hours.

Guralnick S, Rushton J, Bale JF Jr, Norwood V, Trimm F, Schumacher D. Pediatrics. 2010;125:786-790.

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