AHRQ Patient Safety Network

The Collection > General Internal Medicine

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Safety Target

•Device-related Complications (51)

•Diagnostic Errors (50)

•Identification Errors (27)

•Discontinuities, Gaps, and Hand-Off Problems (247)

•Fatigue and Sleep Deprivation (35)

•Medication Safety (353)

•Medical Complications (227)

•Nonsurgical Procedural Complications (16)

•Surgical Complications (70)

•Transfusion Complications (9)

•Psychological and Social Complications (62)

Origin/Sponsor

•Africa (2)

•Asia (19)

•Australia and New Zealand (46)

•Europe (238)

•North America (1139)

Resource Types

•Audiovisual (20)

•Award (7)

•Book/Report (109)

•Journal Article (1048)

•Legislation/Regulation (11)

•Meeting/Conference (6)

•Newspaper/Magazine Article (175)

•Press Release/Announcement (2)

•Special or Theme Issue (11)

•Tools/Toolkit (22)

•Web Resource (27)

•Grant (2)

Error Types

•Epidemiology of Errors and Adverse Events (387)

•Active Errors (169)

•Latent Errors (99)

•Near Miss (20)

Approach to Improving Safety

•Quality Improvement Strategies (353)

•Legal and Policy Approaches (166)

•Error Reporting and Analysis (419)

•Communication Improvement (382)

•Human Factors Engineering (139)

•Teamwork (95)

•Specialization of Care (102)

•Logistical Approaches (117)

•Culture of Safety (243)

•Technologic Approaches (244)

•Education and Training (256)

Clinical Areas
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General Internal Medicine

Target Audience

•Health Care Providers (806)

•Health Care Executives and Administrators (1142)

•Non-Health Care Professionals (559)

•Patients (124)

Setting of Care

•Hospitals (1261)

•Psychiatric Facilities (5)

•Residential Facilities (9)

•Ambulatory Care (169)

•Outpatient Surgery (4)

•Patient Transport (2)

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STUDY

Improving teamwork on general medical units: when teams do not work face-to-face.

McComb SA, Henneman EA, Hinchey KT, et al. Jt Comm J Qual Patient Saf. 2012;38:471-478.

ORGANIZATIONAL POLICY/GUIDELINES

Safely implementing health information and converging technologies.

Sentinel Event Alert. December 11, 2008;(42):1-4.

COMMENTARY

Leading clinical handover improvement: a change strategy to implement best practices in the acute care setting.

Clarke CM, Persaud DD. J Patient Saf. 2011;7:11-18.

STUDY

The effects of a 'discharge time-out' on the quality of hospital discharge summaries.

Mohta N, Vaishnava P, Liang C, et al. BMJ Qual Saf. 2012;21:885-890.

BOOK/REPORT classic

The Silent Treatment: Why Safety Tools and Checklists Aren't Enough to Save Lives.

Maxfield D, Grenny J, Lavandero R, Groah L. Provo, UT: VitalSmarts; 2011.

STUDY

Patterns of nurse–physician communication and agreement on the plan of care.

O'Leary KJ, Thompson JA, Landler MP, et al. Qual Saf Health Care. 2010;19:195-199.

STUDY

A survey of the impact of disruptive behaviors and communication defects on patient safety.

Rosenstein AH, O'Daniel M. Jt Comm J Qual Patient Saf. 2008;34:464-471.

STUDY

Assessment of teamwork during structured interdisciplinary rounds on medical units.

O'Leary KJ, Boudreau YN, Creden AJ, Slade ME, Williams MV. J Hosp Med. 2012;7:679-683.

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.

REVIEW

Hospital do-not-resuscitate orders: why they have failed and how to fix them.

Yuen JK, Reid MC, Fetters MD. J Gen Intern Med. 2011;26:791-797.

BOOK/REPORT

Improving America's Hospitals: The Joint Commission's Report on Quality and Safety 2008.

Oakbrook Terrace, IL: The Joint Commission; November 2008.

REVIEW

A systematic review of failures in handoff communication during intrahospital transfers.

Ong MS, Coiera E. Jt Comm J Qual Patient Saf. 2011;37:274-284.

STUDY

Understanding communication during hospitalist service changes: a mixed methods study.

Hinami K, Farnan JM, Meltzer DO, Arora VM. J Hosp Med. 2009;4:535-540.

MULTI-USE WEBSITE

BOOSTing Care Transitions Resource Room.

Project BOOST (Better Outcomes for Older adults through Safe Transitions), Society of Hospital Medicine.

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.

REVIEW

What is patient safety culture? A review of the literature.

Sammer CE, Lykens K, Singh KP, Mains DA, Lackan NA. J Nurs Scholarsh. 2010;42:156-165.

STUDY

Hospital discharge documentation and risk of rehospitalisation.

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

NEWSPAPER/MAGAZINE ARTICLE

Daily check-in for safety: from best practice to common practice.

Stockmeier C, Clapper C. Patient Saf Qual Healthc. September/October 2011;8:30-31,34-36.

COMMENTARY

Revisiting duty-hour limits — IOM recommendations for patient safety and resident education.

Iglehart JK. N Engl J Med. 2008;359:2633-2635.

REVIEW

Fall prevention in hospitals: an integrative review.

Spoelstra SL, Given BA, Given CW. Clin Nurs Res. 2012;21:92-112.

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