AHRQ Patient Safety Network

The Collection > General Internal Medicine

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Safety Target

•Device-related Complications (50)

•Diagnostic Errors (49)

•Identification Errors (25)

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

•Fatigue and Sleep Deprivation (35)

•Medication Safety (350)

•Medical Complications (226)

•Nonsurgical Procedural Complications (16)

•Surgical Complications (70)

•Transfusion Complications (9)

•Psychological and Social Complications (59)

Origin/Sponsor

•Africa (2)

•Asia (18)

•Australia and New Zealand (44)

•Europe (234)

•North America (1134)

Resource Types

•Audiovisual (20)

•Award (7)

•Book/Report (109)

•Journal Article (1037)

•Legislation/Regulation (11)

•Meeting/Conference (6)

•Newspaper/Magazine Article (175)

•Press Release/Announcement (2)

•Special or Theme Issue (11)

•Tools/Toolkit (21)

•Web Resource (27)

•Grant (2)

Error Types

•Epidemiology of Errors and Adverse Events (387)

•Active Errors (167)

•Latent Errors (99)

•Near Miss (20)

Approach to Improving Safety

•Quality Improvement Strategies (351)

•Legal and Policy Approaches (165)

•Error Reporting and Analysis (419)

•Communication Improvement (379)

•Human Factors Engineering (139)

•Teamwork (93)

•Specialization of Care (101)

•Logistical Approaches (115)

•Culture of Safety (240)

•Technologic Approaches (242)

•Education and Training (252)

Clinical Areas
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General Internal Medicine

Target Audience

•Health Care Providers (799)

•Health Care Executives and Administrators (1135)

•Non-Health Care Professionals (550)

•Patients (124)

Setting of Care

•Hospitals (1259)

•Psychiatric Facilities (5)

•Residential Facilities (9)

•Ambulatory Care (158)

•Outpatient Surgery (4)

•Patient Transport (2)

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STUDY

Why patient summaries in electronic health records do not provide the cognitive support necessary for nurses' handoffs on medical and surgical units: insights from interviews and observations.

Staggers N, Clark L, Blaz JW, Kapsandoy S. Health Informatics J. 2011;17:209-223.

REVIEW

Research on nursing handoffs for medical and surgical settings: an integrative review.

Staggers N, Blaz JW. J Adv Nurs. 2013;69:247-262.

COMMENTARY

Ticket to ride: reducing handoff risk during hospital patient transport.

Pesanka DA, Greenhouse PK, Rack LL, et al. J Nurs Care Qual. 2009;24:109-115.

NEWSPAPER/MAGAZINE ARTICLE

Following the patient journey to improve medicines management and reduce errors.

Crocker C. Nurs Times. 2009 Nov 24;105:12-15.

COMMENTARY

2009 National Patient Safety Goals.

Saufl NM. J Perianesth Nurs. 2009;24:114-118.

COMMENTARY

Implementing AORN recommended practices for transfer of patient care information.

Seifert PC. AORN J. 2012;96:475-493.

COMMENTARY

Blending evidence and innovation: improving intershift handoffs in a multihospital setting.

Thomas L, Donohue-Porter P. J Nurs Care Qual. 2012;27:116-124.

STUDY

Bar code medication administration technology: characterization of high-alert medication triggers and clinician workarounds.

Miller DF, Fortier CR, Garrison KL. Ann Pharmacother. 2011;45:162-168.

STUDY

A relational leadership perspective on unit-level safety climate.

Thompson DN, Hoffman LA, Sereika SM, et al. J Nurs Adm. 2011;41:479-487.

COMMENTARY

Condition concern: an innovative response system for enhancing hospitalized patient care and safety.

Baird SK, Turbin LB. J Nurs Care Qual. 2011;26:199-207.

STUDY

Nurses' work schedule characteristics, nurse staffing, and patient mortality.

Trinkoff AM, Johantgen M, Storr CL, Gurses AP, Liang Y, Han K. Nurs Res. 2011;60:1-8.

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

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.

COMMENTARY

The role of nursing surveillance in keeping patients safe.

Dresser S. J Nurs Adm. 2012;42:361-368.

COMMENTARY

A performance improvement plan to increase nurse adherence to use of medication safety software.

Gavriloff C. J Pediatr Nurs. 2012;27:375-382.

STUDY

An institution-wide handoff task force to standardise and improve physician handoffs.

Horwitz LI, Schuster KM, Thung SF, et al. BMJ Qual Saf. 2012;21:863-871.

COMMENTARY

Cascade iatrogenesis: factors leading to the development of adverse events in hospitalized older adults.

Thornlow DK, Anderson R, Oddone E. Int J Nurs Stud. 2009;46:1528-1535.

REVIEW

The published literature on handoffs in hospitals: deficiencies identified in an extensive review.

Cohen MD, Hilligoss PB. Qual Saf Health Care. 2010;19:493-497.

COMMENTARY

Handoffs in the era of duty hours reform: a focused review and strategy to address changes in the Accreditation Council for Graduate Medical Education Common Program Requirements.

DeRienzo CM, Frush K, Barfield ME, et al. Acad Med. 2012;87:403-410.

STUDY

Impact of resident workload and handoff training on patient outcomes.

Mueller SK, Call SA, McDonald FS, Halvorsen AJ, Schnipper JL, Hicks LS. Am J Med. 2012;125:104-110.

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