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 (219)

•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 (53)

Origin/Sponsor

•Australia and New Zealand (39)

•Europe (202)

•North America (1007)

Resource Types

•Audiovisual (17)

•Book/Report (104)

•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
< All

Hospital Medicine

Target Audience

•Health Care Providers (683)

•Health Care Executives and Administrators (1034)

•Non-Health Care Professionals (486)

•Patients (118)

Setting of Care

•Hospitals (1253)

•Psychiatric Facilities (4)

•Residential Facilities (7)

•Ambulatory Care (30)

•Outpatient Surgery (4)

•Patient Transport (2)

1 - 20 of 1271

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REVIEW

Patient safety, resident education and resident well-being following implementation of the 2003 ACGME duty hour rules.

Fletcher KE, Reed DA, Arora VM. J Gen Intern Med. 2011;26:907-919.

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.

COMMENTARY

Building physician work hour regulations from first principles and best evidence.

Volpp KG, Landrigan CP. JAMA. 2008;300:1197-1199.

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

The impact of shift patterns on junior doctors' perceptions of fatigue, training, work/life balance and the role of social support.

Brown M, Tucker P, Rapport F, et al. Qual Saf Health Care. 2010;19:e36.

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.

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.

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.

REVIEW

Educational interventions to improve handover in health care: a systematic review.

Gordon M, Findley R. Med Educ. 2011;45:1081-1089.

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

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.

COMMENTARY

Academic year-end transfers of outpatients from outgoing to incoming residents: an unaddressed patient safety issue.

Young JQ, Wachter RM. JAMA. 2009;302:1327-1329.

STUDY

The computerized rounding report: implementation of a model system to support transitions of care.

Wohlauer MV, Rove KO, Pshak TJ, et al. J Surg Res. 2012;172:11-17.

COMMENTARY

Revisiting duty-hour limits — IOM recommendations for patient safety and resident education.

Iglehart JK. N Engl J Med. 2008;359:2633-2635.

BOOK/REPORT

An In Depth Investigation into Causes of Prescribing Errors by Foundation Trainees in Relation to Their Medical Education—EQUIP Study.

Dornan T, Ashcroft D, Heathfield H, et al. London: General Medical Council; 2009.

STUDY

Impact of resident workload and handoff training on patient outcomes.

Mueller SK, Call SA, McDonald FS, Halvorsen AJ, Schnipper JL, Hicks LS. Am J Med. 2012;125:104-110.

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.

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