AHRQ Patient Safety Network

The Collection > Hospital Medicine

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Safety Target

•Device-related Complications (50)

•Diagnostic Errors (26)

•Identification Errors (26)

•Discontinuities, Gaps, and Hand-Off Problems (219)

•Fatigue and Sleep Deprivation (33)

•Medication Safety (290)

•Medical Complications (223)

•Nonsurgical Procedural Complications (16)

•Surgical Complications (72)

•Transfusion Complications (9)

•Psychological and Social Complications (53)

Origin/Sponsor

•Africa (2)

•Asia (17)

•Australia and New Zealand (39)

•Europe (203)

•North America (1008)

Resource Types

•Audiovisual (17)

•Award (7)

•Book/Report (105)

•Journal Article (899)

•Legislation/Regulation (11)

•Meeting/Conference (6)

•Newspaper/Magazine Article (168)

•Press Release/Announcement (2)

•Special or Theme Issue (11)

•Tools/Toolkit (19)

•Web Resource (27)

•Grant (1)

Error Types

•Epidemiology of Errors and Adverse Events (339)

•Active Errors (146)

•Latent Errors (100)

•Near Miss (17)

Approach to Improving Safety

•Quality Improvement Strategies (326)

•Legal and Policy Approaches (157)

•Error Reporting and Analysis (367)

•Communication Improvement (325)

•Human Factors Engineering (131)

•Teamwork (80)

•Specialization of Care (101)

•Logistical Approaches (104)

•Culture of Safety (231)

•Technologic Approaches (201)

•Education and Training (225)

Clinical Areas
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Hospital Medicine

Target Audience

•Health Care Providers (684)

•Health Care Executives and Administrators (1034)

•Non-Health Care Professionals (488)

•Patients (119)

Setting of Care

•Hospitals (1253)

•Psychiatric Facilities (4)

•Residential Facilities (7)

•Ambulatory Care (31)

•Outpatient Surgery (4)

•Patient Transport (2)

1 - 20 of 1273

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STUDY

A multidisciplinary teamwork training program: The Triad for Optimal Patient Safety (TOPS) experience.

Sehgal NL, Fox M, Vidyarthi AR, et al; TOPS Project. J Gen Intern Med. 2008;23:2053-2057.

STUDY

Professionalism: a necessary ingredient in a culture of safety.

DuPree E, Anderson R, McEvoy MD, Brodman M. Jt Comm J Qual Patient Saf. 2011;37:447-455.

STUDY

Improving safety culture on adult medical units through multidisciplinary teamwork and communication interventions: the TOPS Project.

Blegen MA, Sehgal NL, Alldredge BK, Gearhart S, Auerbach AD, Wachter RM. Qual Saf Health Care. 2010;19:346-350.

STUDY

Structured interdisciplinary rounds in a medical teaching unit: improving patient safety.

O’Leary KJ, Buck R, Fligiel HM, et al. Arch Intern Med. 2011;171:678-684.

STUDY

Improving teamwork: impact of structured interdisciplinary rounds on a medical teaching unit.

O'Leary KJ, Wayne DB, Haviley C, Slade ME, Lee J, Williams MV. J Gen Intern Med. 2010;25:826-832.

STUDY

Rethinking resident supervision to improve safety: from hierarchical to interprofessional models.

Tamuz M, Giardina TD, Thomas EJ, Menon S, Singh H. J Hosp Med. 2011;6:448-456.

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

A leadership initiative to improve communication and enhance safety.

Donahue M, Miller M, Smith L, Dykes P, Fitzpatrick JJ. Am J Med Qual. 2011;26:206-211.

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.

STUDY

A case for safety leadership team training of hospital managers.

Singer SJ, Hayes J, Cooper JB, et al. Health Care Manage Rev. 2011;36:1-13.

STUDY

Standardizing hospital discharge planning at the Mayo Clinic.

Holland DE, Hemann MA. Jt Comm J Qual Patient Saf. 2011;37:29-36.

COMMENTARY

An anesthesiology department leads culture change at a hospital system level to improve quality and patient safety.

Fleischut PM, Evans AS, Faggiani SL, Lazar EJ, Kerr GE. Anesthesiol Clin. 2011;29:153-167.

COMMENTARY

Medication reconciliation in a community, nonteaching hospital.

Wortman SB. Am J Health Syst Pharm. 2008;65:2047-2054.

REVIEW

Interventions to improve team effectiveness: a systematic review.

Buljac-Samardzic M, Dekker-van Doorn CM, van Wijngaarden JDH, van Wijk KP. Health Policy. 2010;94:183-195.

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.

NEWSPAPER/MAGAZINE ARTICLE

Patient safety: the synergy of technology and behavior.

Yarbrough C, Rypkema S. Patient Safety & Quality Healthcare. January-February 2008;5:32-35.

STUDY

Patient Safety Dialogue: evaluation of an intervention aimed at achieving an improved patient safety culture.

Öhrn A, Rutberg H, Nilsen P. J Patient Saf. 2011;7:185-192.

NEWSPAPER/MAGAZINE ARTICLE

Raising the index of suspicion: red flags that represent credible threats to patient safety.

ISMP Medication Safety Alert! Acute Care Edition. July 26, 2012;17:1-3.

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

Hospital readmissions: physician awareness and communication practices.

Roy CL, Kachalia A, Woolf S, et al. J Gen Intern Med. 2009;24:374-380.

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