AHRQ Patient Safety Network

The Collection > General Internal Medicine

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Safety Target

•Device-related Complications (53)

•Diagnostic Errors (33)

•Identification Errors (26)

•Discontinuities, Gaps, and Hand-Off Problems (234)

•Fatigue and Sleep Deprivation (34)

•Medication Safety (312)

•Medical Complications (230)

•Nonsurgical Procedural Complications (16)

•Surgical Complications (69)

•Transfusion Complications (9)

•Psychological and Social Complications (57)

Origin/Sponsor

•Africa (2)

•Asia (18)

•Australia and New Zealand (42)

•Europe (227)

•North America (1082)

Resource Types

•Audiovisual (19)

•Award (7)

•Book/Report (109)

•Clinical Guideline (1)

•Journal Article (974)

•Legislation/Regulation (11)

•Meeting/Conference (6)

•Newspaper/Magazine Article (177)

•Press Release/Announcement (2)

•Special or Theme Issue (11)

•Tools/Toolkit (21)

•Web Resource (28)

•Grant (1)

Error Types

•Epidemiology of Errors and Adverse Events (365)

•Active Errors (157)

•Latent Errors (103)

•Near Miss (19)

Approach to Improving Safety

•Quality Improvement Strategies (345)

•Legal and Policy Approaches (165)

•Error Reporting and Analysis (402)

•Communication Improvement (351)

•Human Factors Engineering (135)

•Teamwork (90)

•Specialization of Care (99)

•Logistical Approaches (109)

•Culture of Safety (241)

•Technologic Approaches (226)

•Education and Training (243)

Clinical Areas
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General Internal Medicine

Target Audience

•Health Care Providers (746)

•Health Care Executives and Administrators (1110)

•Non-Health Care Professionals (537)

•Patients (124)

Setting of Care

•Hospitals (1278)

•Psychiatric Facilities (5)

•Residential Facilities (9)

•Ambulatory Care (91)

•Outpatient Surgery (4)

•Patient Transport (2)

1 - 20 of 1367

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GOVERNMENT RESOURCE classic

Partnership for Patients.

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

NEWSPAPER/MAGAZINE ARTICLE

NY Medicaid ups the ante: by refusing to pay for 14 'never events,' the nation's biggest Medicaid program could propel other states into action.

DerGurahian J. Mod Healthc. June 16, 2008;38:6.

BOOK/REPORT classic

Adverse Events in Hospitals: National Incidence Among Medicare Beneficiaries.

Levinson DR. Washington, DC: US Department of Health and Human Services, Office of the Inspector General; November 2010. Report No. OEI-06-09-00090.

BOOK/REPORT

Adverse Events in Hospitals: Care Study of Incidence Among Medicare Beneficiaries in Two Selected Counties.

Levinson DR. Washington, DC: US Department of Health and Human Services, Office of the Inspector General; December 2008. Report No. OEI-06-08-00220.

BOOK/REPORT

2009 Utah Sentinel Events Data Report.

Salt Lake City, UT: Utah Department of Health, Utah Hospitals & Health Systems Association, and HealthInsight; March 10, 2010.

REVIEW

The problem of engaging hospital doctors in promoting safety and quality in clinical care.

Neale G, Vincent C, Darzi SA. J R Soc Promot Health. 2007;127:87-94.

NEWSPAPER/MAGAZINE ARTICLE

Many Mass. hospitals will pay for errors.

Kowalczyk L. Boston Globe. September 17, 2007;Metro section:1A.

STUDY

Medicare's policy not to pay for treating hospital-acquired conditions: the impact.

McNair PD, Luft HS, Bindman AB. Health Aff (Millwood). 2009;28:1485-1493.

COMMENTARY

CMS's hospital-acquired condition lists link hospital payment, patient safety.

Clancy CM. Am J Med Qual. 2009;24:166-168.

STUDY

The $17.1 billion problem: the annual cost of measurable medical errors.

Van Den Bos J, Rustagi K, Gray T, Halford M, Ziemkiewicz E, Shreve J. Health Aff (Millwood). 2011;30:596-603.

NEWSPAPER/MAGAZINE ARTICLE

Minnesota is first state with policy to stop billing after medical errors.

Lerner M. Star Tribune. September 18, 2007;News section:5B.

REVIEW

Inpatient fall prevention programs as a patient safety strategy: a systematic review.

Miake-Lye IM, Hempel S, Ganz DA, Shekelle PG. Ann Intern Med. 2013;158(5 Pt 2):390-396.

BOOK/REPORT

Few Adverse Events in Hospitals Were Reported to State Adverse Event Reporting Systems.

Wright S. Washington, DC: US Department of Health and Human Services, Office of the Inspector General; July 2012. Report No. OEI-06-09-00092.

BOOK/REPORT classic

Hospital Incident Reporting Systems Do Not Capture Most Patient Harm.

Levinson DR. Washington, DC: US Department of Health and Human Services, Office of the Inspector General; January 2012. Report No. OEI-06-09-00091.

NEWSPAPER/MAGAZINE ARTICLE

'Never' land.

Carpenter D. Hosp Health Netw. November 2007;81:34-38.

NEWSPAPER/MAGAZINE ARTICLE

CMS seeks to add 9 hospital-acquired conditions to no-pay list.

O'Reilly KB. American Medical News. May 12, 2008.

STUDY

The effect of health information technology on quality in U.S. hospitals.

McCullough JS, Casey M, Moscovice I, Prasad S. Health Aff (Millwood). 2010;29:647-654.

STUDY

Slow progress on meeting hospital safety standards: learning from the Leapfrog Group's efforts.

Moran J, Scanlon D. Health Aff (Millwood). 2013;32:27-35.

STUDY

Use of electronic health records in US hospitals.

Jha AK, Desroches CM, Campbell EG, et al. N Engl J Med. 2009;360:1628-1638.

BOOK/REPORT

Adverse Events in Hospitals: State Reporting Systems.

Levinson DR. Washington, DC: US Department of Health and Human Services, Office of the Inspector General; December 2008. Report No. OEI-06-07-00471.

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