AHRQ Patient Safety Network

The Collection > Hospital Medicine

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Safety Target

•Device-related Complications (50)

•Diagnostic Errors (27)

•Identification Errors (26)

•Discontinuities, Gaps, and Hand-Off Problems (221)

•Fatigue and Sleep Deprivation (34)

•Medication Safety (289)

•Medical Complications (223)

•Nonsurgical Procedural Complications (16)

•Surgical Complications (73)

•Transfusion Complications (9)

•Psychological and Social Complications (53)

Origin/Sponsor

•Africa (2)

•Asia (17)

•Australia and New Zealand (39)

•Europe (204)

•North America (1015)

Resource Types

•Audiovisual (17)

•Award (7)

•Book/Report (106)

•Journal Article (903)

•Legislation/Regulation (11)

•Meeting/Conference (6)

•Newspaper/Magazine Article (169)

•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 (340)

•Active Errors (149)

•Latent Errors (102)

•Near Miss (17)

Approach to Improving Safety

•Quality Improvement Strategies (326)

•Legal and Policy Approaches (157)

•Error Reporting and Analysis (372)

•Communication Improvement (327)

•Human Factors Engineering (132)

•Teamwork (80)

•Specialization of Care (101)

•Logistical Approaches (105)

•Culture of Safety (233)

•Technologic Approaches (200)

•Education and Training (227)

Clinical Areas
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Hospital Medicine

Target Audience

•Health Care Providers (689)

•Health Care Executives and Administrators (1037)

•Non-Health Care Professionals (493)

•Patients (120)

Setting of Care

•Hospitals (1259)

•Psychiatric Facilities (4)

•Residential Facilities (7)

•Ambulatory Care (31)

•Outpatient Surgery (4)

•Patient Transport (2)

1 - 20 of 1279

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STUDY

Saving lives by studying deaths: using standardized mortality reviews to improve inpatient safety.

Lau H, Litman KC. Jt Comm J Qual Patient Saf. 2011;37:400-408.

STUDY

Physician implicit review to identify preventable errors during in-hospital cardiac arrest.

Jain R, Kuhn L, Repaskey W, et al. Arch Intern Med. 2011;171:89-90.

STUDY

Improving resident engagement in quality improvement and patient safety initiatives at the bedside: the Advocate for Clinical Education (ACE).

Schleyer AM, Best JA, McIntyre LK, Ehrmantraut R, Calver P, Goss JR. Am J Med Qual. 2012 Aug 20; [Epub ahead of print].

STUDY

Improving teamwork on general medical units: when teams do not work face-to-face.

McComb SA, Henneman EA, Hinchey KT, et al. Jt Comm J Qual Patient Saf. 2012;38:471-478.

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.

COMMENTARY

I-CaRe: a case review tool focused on improving inpatient care.

Huang Lee J, Vidyarthi AR, Sehgal NL, Auerbach AD, Wachter RM. Jt Comm J Qual Patient Saf. 2009;35:115-119.

STUDY

Collaboration between pharmacists, physicians and nurse practitioners: a qualitative investigation of working relationships in the inpatient medical setting.

Makowsky MJ, Schindel TJ, Rosenthal M, Campbell K, Tsuyuki RT, Madill HM. J Interprof Care. 2009;23:169-84.

MEASUREMENT TOOL/INDICATOR

Medication Safety Self Assessment for Automated Dispensing Cabinets.

Horsham, PA: Institute for Safe Medication Practices; 2009.

BOOK/REPORT

Hand Hygiene Project: Best Practices from Hospitals Participating in the Joint Commission Center for Transforming Healthcare Project.

Health Research and Educational Trust. Chicago, IL: American Hospital Association; 2010.

COMMENTARY

View the world through a different lens: shadowing another provider.

Thompson DA, Holzmueller CG, Lubomski L, Pronovost PJ. Jt Comm J Qual Patient Saf. 2008;34:614-618.

COMMENTARY

The clinical transformation of Ascension Health: eliminating all preventable injuries and deaths.

Pryor DB, Tolchin SF, Hendrich A, Thomas CS, Tersigni AR. Jt Comm J Qual Patient Saf. 2006;32:299-308.

BOOK/REPORT

How-to Guide: Multidisciplinary Rounds.

Cambridge, MA: Institute for Healthcare Improvement; February 2010.

STUDY

Hospital discharge documentation and risk of rehospitalisation.

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

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.

AWARD RECIPIENT

Achievements in eliminating healthcare-associated infections awards.

Washington, DC: US Health and Human Services and Critical Care Societies Collaborative. December 7, 2010.

BOOK/REPORT

Preventing Central Line–Associated Bloodstream Infections: a Global Challenge, a Global Perspective.

The Joint Commission. Oakbrook Terrace, IL: Joint Commission Resources; May 2012.

PRESS RELEASE/ANNOUNCEMENT

New 2012 National Patient Safety Goal - catheter-associated urinary tract infection (CAUTI).

Oakbrook Terrace, IL: Joint Commission; May 17, 2011.

TOOLS/TOOLKIT

Improving Transitions of Care: Hand-off Communications.

Oakbrook Terrace, IL: Joint Commission Center for Transforming Healthcare; June 2012.

COMMENTARY

Learning accountability for patient outcomes.

Pronovost PJ. JAMA. 2010;304:204-205.

COMMENTARY

Achieving a high-reliability organization through implementation of the ARCC model for systemwide sustainability of evidence-based practice.

Melnyk BM. Nurs Adm Q. 2012;36:127-135.

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