AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (7)

•Diagnostic Errors (35)

•Identification Errors (3)

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

•Fatigue and Sleep Deprivation (60)

•Medication Safety (94)

•Medical Complications (39)

•Nonsurgical Procedural Complications (16)

•Surgical Complications (74)

•Psychological and Social Complications (39)

Origin/Sponsor

•Asia (10)

•Australia and New Zealand (16)

•Central and South America (1)

Resource Types

•Journal Article (579)

•Legislation/Regulation (2)

•Meeting/Conference (2)

•Newsletter/Journal (1)

•Newspaper/Magazine Article (25)

•Press Release/Announcement (2)

•Special or Theme Issue (15)

•Tools/Toolkit (6)

•Web Resource (18)

•Grant (2)

Error Types

•Epidemiology of Errors and Adverse Events (101)

•Active Errors (86)

•Latent Errors (25)

•Near Miss (7)

Approach to Improving Safety

•Quality Improvement Strategies (87)

•Legal and Policy Approaches (29)

•Error Reporting and Analysis (108)

•Communication Improvement (171)

•Human Factors Engineering (41)

•Teamwork (129)

•Specialization of Care (19)

•Logistical Approaches (91)

•Culture of Safety (95)

•Technologic Approaches (39)

•Education and Training (577)

Clinical Areas

•Allied Health Services (3)

•Complementary and Alternative Medicine (1)

Target Audience
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Educators

Setting of Care

•Hospitals (378)

•Residential Facilities (4)

•Ambulatory Care (36)

•Outpatient Surgery (1)

•Patient Transport (1)

1 - 20 of 680

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STUDY

From the school of nursing quality and safety officer: nursing students' use of safety reporting tools and their perception of safety issues in clinical settings.

Cooper E. J Prof Nurs. 2013;29:109-116.

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

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

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

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.

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.

STUDY

Safety of using a computerized rounding and sign-out system to reduce resident duty hours.

Van Eaton EG, McDonough K, Lober WB, Johnson EA, Pellegrini CA, Horvath KD. Acad Med. 2010;85:1189-1195.

STUDY

Improving the quality of the surgical morbidity and mortality conference: a prospective intervention study.

Mitchell EL, Lee DY, Arora S, et al. Acad Med. 2013 Apr 24; [Epub ahead of print].

STUDY

Effects of learning climate and registered nurse staffing on medication errors.

Chang Y, Mark B. Nurs Res. 2011;60:32-39.

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.

STUDY

Questionable hospital chart documentation practices by physicians.

Sharma R, Kostis WJ, Wilson AC, et al. J Gen Intern Med. 2008;23:1865-1870.

STUDY

Patient safety, quality care, and service utilization with PLATO (Physician Leadership for Accurate and Timely Orders): a pilot study.

Brunt BA, Gifford IL. J Nurses Staff Dev. 2009;25:E11-E18.

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

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.

STUDY

"Learning by Doing"—resident perspectives on developing competency in high-quality discharge care.

Greysen SR, Schiliro D, Curry L, Bradley EH, Horwitz LI. J Gen Intern Med. 2012;27:1188-1194.

STUDY

Parents' medication administration errors: role of dosing instruments and health literacy.

Yin HS, Mendelsohn AL, Wolf MS, et al. Arch Pediatr Adolesc Med. 2010;164:181-186.

STUDY

Faculty member review and feedback using a sign-out checklist: improving intern written sign-out.

Bump GM, Bost JE, Buranosky R, Elnicki M. Acad Med. 2012;87;1125-1131.

STUDY

Eradicating medical student mistreatment: a longitudinal study of one institution's efforts.

Fried JM, Vermillion M, Parker NH, Uijtdehaage S. Acad Med. 2012;87:1191-1198.

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

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.

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