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 (218)

•Fatigue and Sleep Deprivation (33)

•Medication Safety (289)

•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 (897)

•Legislation/Regulation (11)

•Meeting/Conference (6)

•Newspaper/Magazine Article (168)

•Press Release/Announcement (2)

•Special or Theme Issue (11)

•Tools/Toolkit (19)

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Error Types

•Epidemiology of Errors and Adverse Events (338)

•Active Errors (145)

•Latent Errors (99)

•Near Miss (17)

Approach to Improving Safety

•Quality Improvement Strategies (326)

•Legal and Policy Approaches (157)

•Error Reporting and Analysis (367)

•Communication Improvement (324)

•Human Factors Engineering (131)

•Teamwork (80)

•Specialization of Care (102)

•Logistical Approaches (104)

•Culture of Safety (232)

•Technologic Approaches (199)

•Education and Training (226)

Clinical Areas
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Hospital Medicine

Target Audience

•Health Care Providers (682)

•Health Care Executives and Administrators (1032)

•Non-Health Care Professionals (489)

•Patients (119)

Setting of Care

•Hospitals (1251)

•Psychiatric Facilities (4)

•Residential Facilities (7)

•Ambulatory Care (31)

•Outpatient Surgery (4)

•Patient Transport (2)

1 - 20 of 1271

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STUDY

Last orders: follow-up of tests ordered on the day of hospital discharge.

Ong MS, Magrabi F, Jones G, Coiera E. Arch Intern Med. 2012;172:1347-1349.

COMMENTARY

Improving heparin safety: a multidisciplinary invited conference.

Peterson C, Ham CW, Vanderveen T. Hosp Pharm. 2008;43:491-497.

STUDY

Evaluation of an anonymous system to report medical errors in pediatric inpatients.

Taylor JA, Brownstein D, Klein EJ, Strandjord TP. J Hosp Med. 2007;2:226-33.

STUDY

The care transitions intervention: translating from efficacy to effectiveness.

Voss R, Gardner R, Baier R, Butterfield K, Lehrman S, Gravenstein S. Arch Intern Med. 2011;171:1232-1237.

STUDY

Emergency hospitalizations for adverse drug events in older Americans.

Budnitz DS, Lovegrove MC, Shehab N, Richards CL. N Engl J Med. 2011;365:2002-2012.

STUDY

Hospital discharge documentation and risk of rehospitalisation.

Hansen LO, Strater A, Smith L, et al. BMJ Qual Saf. 2011;20:773-778.

STUDY

Detecting unapproved abbreviations in the electronic medical record.

Capraro A, Stack A, Harper MB, Kimia A. Jt Comm J Qual Patient Saf. 2012;38:178-183.

STUDY

Language barriers and understanding of hospital discharge instructions.

Karliner LS, Auerbach A, Nápoles A, Schillinger D, Nickleach D, Pérez-Stable EJ. Med Care. 2012;50:283-289.

STUDY

The association between transfer of emergency department boarders to inpatient hallways and mortality: a 4-year experience.

Viccellio A, Santora C, Singer AJ, Thode HC Jr, Henry MC. Ann Emerg Med. 2009;54:511-513.

STUDY

Hospitalized patients' understanding of their plan of care.

O'Leary KJ, Kulkarni N, Landler MP, et al. Mayo Clin Proc. 2010;85:47-52.

STUDY

Effect of bar-code technology on the safety of medication administration.

Poon EG, Keohane CA, Yoon CS, et al. N Engl J Med. 2010;362:1698-1707.

STUDY

Inpatient fall prevention: use of in-room Webcams.

Hardin SR, Dienemann J, Rudisill P, Mills KK. J Patient Saf. 2013;9:29-35.

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

A reengineered hospital discharge program to decrease rehospitalization: a randomized trial.

Jack BW, Chetty VK, Anthony D, et al. Ann Intern Med. 2009;150:178-187.

STUDY

An exploratory study measuring verbal order content and context.

Wakefield DS, Brokel J, Ward MM, Schwichtenberg T, Groath D, Kolb M, Davis JW, Crandall D. Qual Saf Health Care. 2009;18:169-173.

BOOK/REPORT

Hospital Reporting Program.

Portland, OR: Oregon Patient Safety Commission.

BOOK/REPORT

Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2009.

Oakbrook Terrace, IL: The Joint Commission; January 2010.

STUDY

Venous thromboembolism after trauma: a never event?

Thorson CM, Ryan ML, Van Haren RM, et al. Crit Care Med. 2012;40:2967-2973.

COMMENTARY

Implementation of computerized prescriber order entry in four academic medical centers.

Cooley TW, May D, Alwan M, Sue C. Am J Health Syst Pharm. 2012;69:2166-2173.

STUDY

A July spike in fatal medication errors: a possible effect of new medical residents.

Phillips DP, Barker GEC. J Gen Intern Med. 2010;25:774-779.

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