AHRQ Patient Safety Network

The Collection > Hospital Medicine

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Safety Target

•Device-related Complications (27)

•Diagnostic Errors (23)

•Identification Errors (21)

•Discontinuities, Gaps, and Hand-Off Problems (222)

•Fatigue and Sleep Deprivation (26)

•Medication Safety (238)

•Medical Complications (140)

•Nonsurgical Procedural Complications (9)

•Surgical Complications (48)

•Transfusion Complications (6)

•Psychological and Social Complications (33)

Origin/Sponsor

•Africa (1)

•Asia (13)

•Australia and New Zealand (31)

Resource Types

•Journal Article (673)

•Legislation/Regulation (6)

•Newspaper/Magazine Article (86)

•Special or Theme Issue (6)

•Tools/Toolkit (6)

•Web Resource (15)

Error Types

•Epidemiology of Errors and Adverse Events (346)

•Active Errors (128)

•Latent Errors (108)

•Near Miss (13)

Approach to Improving Safety

•Quality Improvement Strategies (190)

•Legal and Policy Approaches (72)

•Error Reporting and Analysis (253)

•Communication Improvement (286)

•Human Factors Engineering (89)

•Teamwork (45)

•Specialization of Care (73)

•Logistical Approaches (74)

•Culture of Safety (109)

•Technologic Approaches (149)

•Education and Training (145)

Clinical Areas
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Hospital Medicine

Target Audience

•Health Care Providers (547)

•Health Care Executives and Administrators (701)

•Non-Health Care Professionals (325)

•Patients (58)

Setting of Care

•Hospitals (837)

•Psychiatric Facilities (1)

•Residential Facilities (4)

•Ambulatory Care (27)

•Outpatient Surgery (2)

•Patient Transport (2)

1 - 20 of 849

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COMMENTARY

Miscalculated Risk

Strassels SA. AHRQ WebM&M [serial online]. August 2006.

STUDY

Medication reconciliation for reducing drug-discrepancy adverse events.

Boockvar KS, Carlson Lacorte H, Giambanco V, Fridman B, Siu A. Am J Geriatr Pharmacother. 2006;4:236-243.

STUDY

Clinical and safety impact of an inpatient pharmacist-directed anticoagulation service.

Schillig J, Kaatz S, Hudson M, Krol GD, Szandzik EG, Kalus JS. J Hosp Med. 2011;6:322-328.

COMMENTARY

Discharge Fumbles.

Forster A. AHRQ WebM&M [serial online]. December 2004.

STUDY

"Did I do as best as the system would let me?" Healthcare professional views on hospital to home care transitions.

Davis MM, Devoe M, Kansagara D, Nicolaidis C, Englander H. J Gen Intern Med. 2012;27:1649-1656.

STUDY

What do patients think about year-end resident continuity clinic handoffs?: a qualitative study.

Pincavage AT, Lee WW, Beiting KJ, Arora VM. J Gen Intern Med. 2013 Apr 18; [Epub ahead of print].

REVIEW

Coordinating care across diseases, settings, and clinicians: a key role for the generalist in practice.

Stille CJ, Jerant A, Bell D, Meltzer D, Elmore JG. Ann Intern Med. 2005;142:700-708.

COMMENTARY

Triple Handoff

Vidyarthi AR. AHRQ WebM&M [serial online]. September 2006.

COMMENTARY

Hidden Mystery.

Brunette DD. AHRQ WebM&M [serial online]. March 2005.

STUDY

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.

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.

COMMENTARY

Missed Appendicitis.

Adams JG. AHRQ WebM&M [serial online]. June 2003.

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.

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.

STUDY

Designing for distractions: a human factors approach to decreasing interruptions at a centralised medication station.

Colligan L, Guerlain S, Steck SE, Hoke TR. BMJ Qual Saf. 2012;21:939-947.

COMMENTARY

Implementation of a specialized pharmacy team to monitor high-risk medications during discharge.

Martin ES III, Overstreet RL, Jackson-Khalil LR, McCollough HL, Meyer TA, Xu Q. Am J Health Syst Pharm. 2013;70:18-21.

STUDY

Impact of a pharmacist on medication reconciliation on patient admission to a Veterans Affairs Medical Center.

Strunk LB, Matson AW, Steinke D. Hosp Pharm. 2008;43:643-649.

STUDY

Medication details documented on hospital discharge: cross-sectional observational study of factors associated with medication non-reconciliation.

Grimes TC, Duggan CA, Delaney TP, et al. Br J Clin Pharmacol. 2011;71:449-457.

STUDY

Adverse drug events caused by serious medication administration errors.

Kale A, Keohane CA, Maviglia S, Gandhi TK, Poon EG. BMJ Qual Saf. 2012;21:933-938.

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.

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