AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (3)

•Diagnostic Errors (17)

•Identification Errors (2)

•Discontinuities, Gaps, and Hand-Off Problems (49)

•Fatigue and Sleep Deprivation (41)

•Medication Safety (61)

•Medical Complications (34)

•Nonsurgical Procedural Complications (15)

•Surgical Complications (51)

•Psychological and Social Complications (25)

Origin/Sponsor

•Asia (7)

•Australia and New Zealand (10)

•Central and South America (1)

Resource Types

•Journal Article (375)

•Legislation/Regulation (1)

•Meeting/Conference (2)

•Newsletter/Journal (1)

•Newspaper/Magazine Article (21)

•Press Release/Announcement (2)

•Special or Theme Issue (12)

•Tools/Toolkit (6)

•Web Resource (14)

•Grant (1)

Error Types

•Epidemiology of Errors and Adverse Events (72)

•Active Errors (57)

•Latent Errors (22)

•Near Miss (6)

Approach to Improving Safety

•Quality Improvement Strategies (59)

•Legal and Policy Approaches (21)

•Error Reporting and Analysis (61)

•Communication Improvement (130)

•Human Factors Engineering (26)

•Teamwork (107)

•Specialization of Care (15)

•Logistical Approaches (70)

•Culture of Safety (56)

•Technologic Approaches (29)

•Education and Training (376)

Clinical Areas

•Allied Health Services (1)

•Complementary and Alternative Medicine (1)

•Medicine (314)

•Nursing (37)

•Pharmacy (17)

Target Audience
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Educators

Setting of Care

•Hospitals (312)

•Residential Facilities (5)

•Ambulatory Care (34)

•Outpatient Surgery (1)

•Patient Transport (1)

1 - 20 of 453

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COMMENTARY

Lethal Cap.

Schillinger D. AHRQ WebM&M [serial online]. March 2004.

STUDY

Hospitalized patients' understanding of their plan of care.

O'Leary KJ, Kulkarni N, Landler MP, et al. Mayo Clin Proc. 2010;85:47-52.

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;88:824-830.

BOOK/REPORT

An In Depth Investigation into Causes of Prescribing Errors by Foundation Trainees in Relation to Their Medical Education—EQUIP Study.

Dornan T, Ashcroft D, Heathfield H, et al. London: General Medical Council; 2009.

NEWSPAPER/MAGAZINE ARTICLE

The impossible workload for doctors in training.

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

COMMENTARY

Simulation for ward processes of surgical care.

Pucher PH, Darzi A, Aggarwal R. Am J Surg. 2013 Mar 30; [Epub ahead of print].

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.

REVIEW

"July Effect": impact of the academic year-end changeover on patient outcomes. A systematic review.

Young JQ, Ranji SR, Wachter RM, Lee CM, Niehaus B, Auerbach AD. Ann Intern Med. 2011;155:309-315.

REVIEW

Understanding factors that impact on health care professionals' risk perceptions and responses toward Clostridium difficile and methicillin-resistant Staphylococcus aureus: a structured literature review.

Burnett E, Kearney N, Johnston B, Corlett J, Macgillivray S. Am J Infect Control. 2013;41:394-400.

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

Questionable hospital chart documentation practices by physicians.

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

REVIEW

Impact of reduction in working hours for doctors in training on postgraduate medical education and patients' outcomes: systematic review.

Moonesinghe SR, Lowery J, Shahi N, Millen A, Beard JD. BMJ. 2011;342:d1580.

STUDY

Development of a core drug list towards improving prescribing education and reducing errors in the UK.

Baker E, Roberts AP, Wilde K, et al. Br J Clin Pharmacol. 2011;71:190-198.

STUDY

The impact of shift patterns on junior doctors' perceptions of fatigue, training, work/life balance and the role of social support.

Brown M, Tucker P, Rapport F, et al. Qual Saf Health Care. 2010;19:e36.

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.

COMMENTARY

The Role of Health Literacy in Patient Safety

Wolf MS, Cooper Bailey S. AHRQ WebM&M [serial online]. February/March 2009.

TOOLKIT

Partnering to Heal: Teaming-Up Against Healthcare-Associated Infections.

Washington, DC: US Department of Health and Human Services; May 2011.

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.

COMMENTARY

Practising safely in the foundation years.

Long S, Neale G, Vincent C. BMJ. 2009;338:1046.

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.

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