AHRQ Patient Safety Network

Skip Navigation

The Collection > Logistical Approaches

Narrow By

clear selections

Safety Target

•Device-related Complications (7)

•Diagnostic Errors (15)

•Identification Errors (20)

•Discontinuities, Gaps, and Hand-Off Problems (98)

•Fatigue and Sleep Deprivation (96)

•Medication Safety (110)

•Medical Complications (47)

•Nonsurgical Procedural Complications (6)

•Surgical Complications (49)

•Transfusion Complications (3)

•Psychological and Social Complications (13)

Origin/Sponsor

•Australia and New Zealand (8)

•North America (355)

Resource Types

•Audiovisual (2)

•Book/Report (14)

•Journal Article (322)

•Legislation/Regulation (5)

•Meeting/Conference (1)

•Newspaper/Magazine Article (48)

•Special or Theme Issue (7)

•Tools/Toolkit (1)

•Web Resource (2)

Error Types

•Epidemiology of Errors and Adverse Events (109)

•Active Errors (46)

•Latent Errors (33)

•Near Miss (7)

Approach to Improving Safety
< All

Logistical Approaches

•Laboratory Result Tracking Improvement (52)

•Nurse Staffing Ratios (37)

•Scheduling Changes (24)

•Duty Hour Limitation (102)

Clinical Areas

•Medicine (256)

•Nursing (81)

•Pharmacy (40)

Target Audience

•Health Care Providers (304)

•Health Care Executives and Administrators (326)

•Non-Health Care Professionals (150)

•Patients (23)

Setting of Care

•Hospitals (290)

•Psychiatric Facilities (1)

•Residential Facilities (4)

•Ambulatory Care (36)

•Outpatient Surgery (3)

•Patient Transport (3)

1 - 20 of 404

Show ExcerptDon't Show Excerpt

dropdown

STUDY

Bariatric surgery with operating room teams that stayed fixed during the day: a multicenter study analyzing the effects on patient outcomes, teamwork and safety climate, and procedure duration.

Stepaniak PS, Heij C, Buise MP, Mannaerts GHH, Smulders JF, Nienhuijs SW. Anesth Analg. 2012;115:1384-1392.

REVIEW

Avoiding wrong site surgery: a systematic review.

DeVine J, Chutkan N, Norvell DC, Dettori JR. Spine. 2010;35(suppl 9):S28-S36.

STUDY

The impact of the 80-hour work week on appropriate resident case coverage.

Shin S, Britt R, Doviak M, Britt LD. J Surg Res. 2010;162:33-36.

STUDY

Critical phase distractions in anaesthesia and the sterile cockpit concept.

Broom MA, Capek AL, Carachi P, Akeroyd MA, Hilditch G. Anaesthesia. 2011;66:175-179.

STUDY

Implementation of resident work hour restrictions is associated with a reduction in mortality and provider-related complications on the surgical service: a concurrent analysis of 14,610 patients.

Privette AR, Shackford SR, Osler T, Ratliff J, Sartorelli K, Hebert JC. Ann Surg. 2009;250:316-321.

STUDY

The impact of resident duty hour reform on hospital readmission rates among Medicare beneficiaries.

Press MJ, Silber JH, Rosen AK, et al. J Gen Intern Med. 2011;26:405-411.

NEWSPAPER/MAGAZINE ARTICLE

Lost surgical specimens, lost opportunities.

PA-PSRS Patient Saf Advis. September 2005;2:1-5.

ORGANIZATIONAL POLICY/GUIDELINES

Recommendations for quality assurance and improvement in surgical and autopsy pathology.

Association of Directors of Anatomic and Surgical Pathology. Hum Pathol. 2006;37:985-988.

STUDY

Safety of using a computerized rounding and sign-out system to reduce resident duty hours.

Van Eaton EG, McDonough K, Lober WB, Johnson EA, Pellegrini CA, Horvath KD. Acad Med. 2010;85:1189-1195.

NEWSPAPER/MAGAZINE ARTICLE

How hospital design saves lives.

Blum A. Business Week. August 15, 2006.

STUDY

Association between Leapfrog safe practices score and hospital mortality in major surgery.

Qian F, Lustik SJ, Diachun CA, Wissler RN, Zollo RA, Glance LG. Med Care. 2011;49:1082-1088.

STUDY

Nighttime and weekend medication error rates in an inpatient pediatric population.

Miller AD, Piro CC, Rudisill CN, Bookstaver PB, Bair JD, Bennett CL. Ann Pharmacother. 2010;44:1739-1746.

COMMENTARY

Sleep deprivation, elective surgical procedures, and informed consent.

Nurok M, Czeisler CA, Lehmann LS. N Engl J Med. 2010;363:2577-2579.

STUDY

ED overcrowding is associated with an increased frequency of medication errors.

Kulstad EB, Sikka R, Sweis RT, Kelley KM, Rzechula KH. Am J Emerg Med. 2010;28:304-309.

STUDY

Effect of short-term pretrial practice on surgical proficiency in simulated environments: a randomized trial of the "preoperative warm-up" effect.

Kahol K, Satava RM, Ferrara J, Smith ML. J Am Coll Surg. 2009;208:255-268.

STUDY

Persistent noncompliance with the work-hour regulation.

Tabrizian P, Rajhbeharrysingh U, Khaitov S, Divino CM. Arch Surg. 2011;146:175-178.

STUDY

Critical care delivery in the United States: distribution of services and compliance with Leapfrog recommendations.

Angus DC, Shorr AF, White A, Dremsizov TT, Schmitz RJ, Kelley MA, on behalf of the Committee on Manpower for Pulmonary and Critical Care Societies (COMPACCS). Crit Care Med. 2006;34:1016-1024.

STUDY

Trends in central line–associated bloodstream infections in a trauma-surgical intensive care unit.

Ong A, Dysert K, Herbert C, et al. Arch Surg. 2011;146:302-307.

STUDY

Promoting patient safety through prospective risk identification: example from peri-operative care.

Smith A, Boult M, Woods I, Johnson S. Qual Saf Health Care. 2010;19:69-73.

STUDY

Comprehensive stroke centers overcome the weekend versus weekday gap in stroke treatment and mortality.

McKinney JS, Deng Y, Kasner SE, Kostis JB; Myocardial Infarction Data Acquisition System (MIDAS 15) Study Group. Stroke. 2011;42:2403-2409.

1 2 3 4 5 6 7 8 9 10 11 Next >