AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (53)

•Diagnostic Errors (41)

•Identification Errors (25)

•Discontinuities, Gaps, and Hand-Off Problems (243)

•Fatigue and Sleep Deprivation (35)

•Medication Safety (356)

•Medical Complications (230)

•Nonsurgical Procedural Complications (16)

•Surgical Complications (69)

•Transfusion Complications (9)

•Psychological and Social Complications (59)

Origin/Sponsor

•Australia and New Zealand (42)

•Europe (233)

•North America (1153)

Resource Types

•Audiovisual (21)

•Book/Report (111)

•Clinical Guideline (1)

•Journal Article (1043)

•Legislation/Regulation (11)

•Meeting/Conference (6)

•Newspaper/Magazine Article (178)

•Press Release/Announcement (2)

•Special or Theme Issue (11)

•Tools/Toolkit (23)

•Web Resource (28)

Error Types

•Epidemiology of Errors and Adverse Events (391)

•Active Errors (165)

•Latent Errors (104)

•Near Miss (19)

Approach to Improving Safety

•Quality Improvement Strategies (359)

•Legal and Policy Approaches (166)

•Error Reporting and Analysis (420)

•Communication Improvement (378)

•Human Factors Engineering (138)

•Teamwork (95)

•Specialization of Care (101)

•Logistical Approaches (114)

•Culture of Safety (242)

•Technologic Approaches (248)

•Education and Training (252)

Clinical Areas
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General Internal Medicine

Target Audience

•Health Care Providers (807)

•Health Care Executives and Administrators (1138)

•Non-Health Care Professionals (558)

•Patients (126)

Setting of Care

•Hospitals (1282)

•Psychiatric Facilities (5)

•Residential Facilities (9)

•Ambulatory Care (153)

•Outpatient Surgery (4)

•Patient Transport (2)

1 - 20 of 1443

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STUDY

Effects of the 2011 duty hour reforms on interns and their patients: a prospective longitudinal cohort study.

Sen S, Kranzler HR, Didwania AK, et al. JAMA Intern Med. 2013;173:657-662.

STUDY

Hospital responses to the Leapfrog Group in local markets.

Scanlon DP, Christianson JB, Ford EW. Med Care Res Rev. 2008;32:548-556.

COMMENTARY

Perspective: beyond counting hours: the importance of supervision, professionalism, transitions of care, and workload in residency training.

Schumacher DJ, Slovin SR, Riebschleger MP, Englander R, Hicks PJ, Carraccio C. Acad Med. 2012;87:883-888.

NEWSPAPER/MAGAZINE ARTICLE

Hospital safety records, CEO pay increasingly linked.

Wilson B. Am Med News. November 26, 2007:50:16.

NEWSPAPER/MAGAZINE ARTICLE

Fixing relationships, preventing errors.

McGinn P, Chabon R. HHN Magazine Online. November 25, 2008.

STUDY

classic

Effects of the Accreditation Council for Graduate Medical Education duty hour limits on sleep, work hours, and safety.

Landrigan CP, Fahrenkopf AM, Lewin D, et al. Pediatrics. 2008;122:250-258.

STUDY

Use of an appreciative inquiry approach to improve resident sign-out in an era of multiple shift changes.

Helms AS, Perez TE, Baltz J, et al. J Gen Intern Med. 2012;27:287-291.

COMMENTARY

As she lay dying: how I fought to stop medical errors from killing my mom.

Welch JR. Health Aff (Millwood). 2012;31:2817-2820.

STUDY

Patient safety event reporting expectation: does it influence residents' attitudes and reporting behaviors?

Boike JR, Bortman JS, Radosta JM, et al. J Patient Saf. 2013;9:59-67.

STUDY

classic

Consequences of inadequate sign-out for patient care.

Horwitz LI, Moin T, Krumholz HM, Wang L, Bradley EH. Arch Intern Med. 2008;168:1755-1760.

BOOK/REPORT

Tennessee Center for Patient Safety Annual Report 2010.

Nashville, TN: Tennessee Center for Patient Safety; August 2011.

NEWSPAPER/MAGAZINE ARTICLE

Could it happen here? Learning from other organizations' safety errors.

Conway J. Healthc Exec. November/December 2008;23:64-67.

BOOK/REPORT

Health Care Leaders Action Guide: Hospital Strategies for Reducing Preventable Mortality.

Chicago, IL: Health Research & Educational Trust; March 2011.

REVIEW

Interdisciplinary teamwork in hospitals: a review and practical recommendations for improvement.

O'Leary KJ, Sehgal NL, Terrell G, Williams MV; High Performance Teams and the Hospital of the Future Project Team. J Hosp Med. 2011 Oct 31; [Epub ahead of print].

COMMENTARY

A framework for patient safety: a defense nuclear industry-based high-reliability model.

Birnbach DJ, Rosen LF, Williams L, Fitzpatrick M, Lubarsky DA, Menna JD. Jt Comm J Qual Patient Saf. 2013;39:233-240.

STUDY

Design and implementation of an automated email notification system for results of tests pending at discharge.

Dalal AK, Schnipper JL, Poon EG, et al. J Am Med Inform Assoc. 2012;19:523-538.

NEWSPAPER/MAGAZINE ARTICLE

Hospitals boost patients' power as advisers.

Landro L. Wall Street Journal. August 8, 2007:D1.

STUDY

Cost and workforce implications of subjecting all physicians to aviation industry work-hour restrictions.

Payette M, Chatterjee A, Weeks WB. Am J Surg. 2009:197:820-825.

BOOK/REPORT

Charting the Course: Launching Patient-Centric Healthcare.

Nance JJ, Bartholomew KM. Boseman, MT: Second River Healthcare Press; 2012. ISBN: 9781936406128.

MULTI-USE WEBSITE

BOOSTing Care Transitions Resource Room.

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

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