AHRQ Patient Safety Network

The Collection > Internal Medicine

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Safety Target

•Device-related Complications (95)

•Diagnostic Errors (95)

•Identification Errors (39)

•Discontinuities, Gaps, and Hand-Off Problems (309)

•Fatigue and Sleep Deprivation (46)

•Medication Safety (525)

•Medical Complications (332)

•Nonsurgical Procedural Complications (41)

•Surgical Complications (98)

•Transfusion Complications (16)

•Psychological and Social Complications (73)

Origin/Sponsor

•Africa (3)

•Asia (26)

•Australia and New Zealand (52)

•Central and South America (1)

•Europe (291)

•North America (1536)

Resource Types

•Audiovisual (22)

•Award (7)

•Book/Report (117)

•Clinical Guideline (4)

•Journal Article (1459)

•Legislation/Regulation (16)

•Meeting/Conference (6)

•Newspaper/Magazine Article (200)

•Press Release/Announcement (6)

•Special or Theme Issue (12)

•Tools/Toolkit (29)

•Web Resource (36)

•Grant (2)

Error Types

•Epidemiology of Errors and Adverse Events (544)

•Active Errors (291)

•Latent Errors (125)

•Near Miss (29)

Approach to Improving Safety

•Quality Improvement Strategies (499)

•Legal and Policy Approaches (191)

•Error Reporting and Analysis (530)

•Communication Improvement (496)

•Human Factors Engineering (195)

•Teamwork (117)

•Specialization of Care (146)

•Logistical Approaches (151)

•Culture of Safety (286)

•Technologic Approaches (329)

•Education and Training (370)

Clinical Areas
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Internal Medicine

•Allergy & Immunology (9)

•Cardiology (58)

•Emergency Medicine (35)

•Endocrinology (23)

•Gastroenterology (13)

•General Internal Medicine (1440)

•Geriatrics (125)

•Hematology (29)

•Medical Oncology (83)

•Nephrology (16)

•Pulmonology (17)

•Infectious Diseases (128)

Target Audience

•Health Care Providers (1201)

•Health Care Executives and Administrators (1520)

•Non-Health Care Professionals (699)

•Patients (145)

Setting of Care

•Hospitals (1544)

•Psychiatric Facilities (5)

•Residential Facilities (47)

•Ambulatory Care (254)

•Outpatient Surgery (7)

•Patient Transport (4)

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STUDY

Patient whiteboards as a communication tool in the hospital setting: A survey of practices and recommendations.

Sehgal NL, Green A, Vidyarthi AR, Blegen MA, Wachter RM. J Hosp Med. 2010;5:234-239.

COMMENTARY

Patient-assisted incident reporting: including the patient in patient safety.

Millman EA, Pronovost PJ, Makary MA, Wu AW. J Patient Saf. 2011;7:106-108.

STUDY

Results of the Medications At Transitions and Clinical Handoffs (MATCH) study: an analysis of medication reconciliation errors and risk factors at hospital admission.

Gleason KM, McDaniel MR, Feinglass J, et al. J Gen Intern Med. 2010;25:441-447.

STUDY

Hospitalized patients' participation and its impact on quality of care and patient safety.

Weingart SN, Zhu J, Chiappetta L, et al. Int J Qual Health Care. 2011;23:269-277.

STUDY

Lack of patient knowledge regarding hospital medications.

Cumbler E, Wald H, Kutner J. J Hosp Med. 2010;5-83-86.

STUDY

Improving teamwork: impact of structured interdisciplinary rounds on a medical teaching unit.

O'Leary KJ, Wayne DB, Haviley C, Slade ME, Lee J, Williams MV. J Gen Intern Med. 2010;25:826-832.

BOOK/REPORT

Advancing Effective Communication, Cultural Competence, and Patient- and Family-Centered Care: A Roadmap for Hospitals.

Oakbrook Terrace, IL: The Joint Commission; 2010.

STUDY

What are covering doctors told about their patients? Analysis of sign-out among internal medicine house staff.

Horwitz LI, Moin T, Krumholz HM, Wang L, Bradley EH. Qual Saf Health Care. 2009;18:248-255.

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.

ORGANIZATIONAL POLICY/GUIDELINES

Preventing errors relating to commonly used anticoagulants.

Sentinel Event Alert. September 24, 2008;(41):1-4.

STUDY

Disclosure of hospital adverse events and its association with patients' ratings of the quality of care.

López L, Weissman JS, Schneider EC, Weingart SN, Cohen AP, Epstein AM. Arch Intern Med. 2009;169:1888-1894.

STUDY

Family-centered rounds on pediatric wards: a PRIS network survey of US and Canadian hospitalists.

Mittal VS, Sigrest T, Ottolini MC, et al. Pediatrics. 2010;126:37-43.

COMMENTARY

Lethal Cap.

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

STUDY

Assessing and improving safety culture throughout an academic medical centre: a prospective cohort study.

Paine LA, Rosenstein BJ, Sexton JB, Kent P, Holzmueller CG, Pronovost PJ. Qual Saf Health Care. 2010;19:547-554.

STUDY

Effect of medication reconciliation with and without patient counseling on the number of pharmaceutical interventions among patients discharged from the hospital.

Karapinar-Çarkit F, Borgsteede SD, Zoer J, Smit HJ, Egberts ACG, van den Bemt PMLA. Ann Pharmacother. 2009;43:1001-1010.

STUDY

Effect of bar-code–assisted medication administration on medication administration errors and accuracy in multiple patient care areas.

Helmons PJ, Wargel LN, Daniels CE. Am J Health Syst Pharm. 2009;66:1202-1210.

COMMENTARY

ISMP medication error report analysis.

Cohen MR. Hosp Pharm. 2008;43:696–698.

STUDY

Hospital discharge documentation and risk of rehospitalisation.

Hansen LO, Strater A, Smith L, et al. BMJ Qual Saf. 2011;20:773-778.

STUDY

Chronic kidney disease adversely influences patient safety.

Seliger SL, Zhan M, Hsu VD, Walker LD, Fink JC. J Am Soc Nephrol. 2008;19:2414-2419.

STUDY

Impact of a pharmacist-facilitated hospital discharge program: a quasi-experimental study.

Walker PC, Bernstein SJ, Tucker Jones JN, et al. Arch Intern Med. 2009;169:2003-2010.

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