AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (50)

•Diagnostic Errors (27)

•Identification Errors (25)

•Discontinuities, Gaps, and Hand-Off Problems (220)

•Fatigue and Sleep Deprivation (32)

•Medication Safety (289)

•Medical Complications (223)

•Nonsurgical Procedural Complications (16)

•Surgical Complications (71)

•Transfusion Complications (9)

•Psychological and Social Complications (52)

Origin/Sponsor

•Australia and New Zealand (39)

•Europe (203)

•North America (1007)

Resource Types

•Audiovisual (17)

•Book/Report (105)

•Journal Article (898)

•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)

Error Types

•Epidemiology of Errors and Adverse Events (339)

•Active Errors (145)

•Latent Errors (99)

•Near Miss (16)

Approach to Improving Safety

•Quality Improvement Strategies (328)

•Legal and Policy Approaches (156)

•Error Reporting and Analysis (367)

•Communication Improvement (324)

•Human Factors Engineering (132)

•Teamwork (80)

•Specialization of Care (101)

•Logistical Approaches (103)

•Culture of Safety (232)

•Technologic Approaches (200)

•Education and Training (225)

Clinical Areas
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Hospital Medicine

Target Audience

•Health Care Providers (683)

•Health Care Executives and Administrators (1034)

•Non-Health Care Professionals (486)

•Patients (119)

Setting of Care

•Hospitals (1253)

•Psychiatric Facilities (4)

•Residential Facilities (7)

•Ambulatory Care (30)

•Outpatient Surgery (4)

•Patient Transport (2)

1 - 20 of 1272

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REVIEW

Impact of reduction in working hours for doctors in training on postgraduate medical education and patients' outcomes: systematic review.

Moonesinghe SR, Lowery J, Shahi N, Millen A, Beard JD. BMJ. 2011;342:d1580.

REVIEW

classic

Systematic review: association of shift length, protected sleep time, and night float with patient care, residents' health, and education.

Reed DA, Fletcher KE, Arora VM. Ann Intern Med. 2010;153:829-842.

STUDY

Duty hours, quality of care, and patient safety: general surgery resident perceptions.

Borman KR, Jones AT, Shea JA. J Am Coll Surg. 2012;215:70-77.

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

The effects of a mid-day nap on the neurocognitive performance of first-year medical residents: a controlled interventional pilot study.

Amin MM, Graber M, Ahmad K, et al. Acad Med. 2012;87:1428-1433.

STUDY

Physicians-in-training attitudes on patient safety: 2003 to 2008.

Sorokin R, Riggio JM, Moleski S, Sullivan J. J Patient Saf. 2011;7:132-137.

NEWSPAPER/MAGAZINE ARTICLE

IOM: shorten residents' work shifts to reduce fatigue, improve patient safety.

Kuehn BM. JAMA. 2009;301:259-261.

COMMENTARY

Residents' duty hours—toward an empirical narrative.

Rosenbaum L, Lamas D. N Engl J Med. 2012;367:2044-2049.

BOOK/REPORT classic

classic

Resident Duty Hours: Enhancing Sleep, Supervision, and Safety.

Ulmer C, Wolman DM, Johns MME, eds. Committee on Optimizing Graduate Medical Trainee (Resident) Hours and Work Schedule to Improve Patient Safety, Institute of Medicine. Washington, DC: The National Academies Press; 2008. ISBN: 9780309127721.

STUDY

classic

Association of workload of on-call medical interns with on-call sleep duration, shift duration, and participation in educational activities.

Arora VM, Georgitis E, Siddique J, et al. JAMA. 2008;300:1146-1153.

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 duty-hour restriction on resident inpatient teaching.

Mazotti LA, Vidyarthi AR, Wachter RM, Auerbach AD, Katz PP. J Hosp Med. 2009;4:476-480.

STUDY

Eradicating medical student mistreatment: a longitudinal study of one institution's efforts.

Fried JM, Vermillion M, Parker NH, Uijtdehaage S. Acad Med. 2012;87:1191-1198.

COMMENTARY

Professionalism in the era of duty hours: time for a shift change?

Arora VM, Farnan JM, Humphrey HJ. JAMA. 2012;308:2195-2196.

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

Effect of a protected sleep period on hours slept during extended overnight in-hospital duty hours among medical interns: a randomized trial.

Volpp KG, Shea JA, Small DS, et al. JAMA. 2012;308:2208-2217.

STUDY

classic

Residents' response to duty-hour regulations—a follow-up national survey.

Drolet BC, Christopher DA, Fischer SA. N Engl J Med. 2012;366:e35.

STUDY

"Learning by Doing"—resident perspectives on developing competency in high-quality discharge care.

Greysen SR, Schiliro D, Curry L, Bradley EH, Horwitz LI. J Gen Intern Med. 2012;27:1188-1194.

STUDY

Cost implications of ACGME's 2011 changes to resident duty hours and the training environment.

Nuckols TK, Escarce JJ. J Gen Intern Med. 2012;27:241-249.

REVIEW

Restricting resident work hours: the good, the bad, and the ugly.

Peets A, Ayas NT. Crit Care Med. 2012;40:960-966.

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