AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (3)

•Diagnostic Errors (8)

•Identification Errors (2)

•Discontinuities, Gaps, and Hand-Off Problems (8)

•Fatigue and Sleep Deprivation (2)

•Medication Safety (27)

•Medical Complications (4)

•Nonsurgical Procedural Complications (1)

•Surgical Complications (2)

•Psychological and Social Complications (9)

Origin/Sponsor

•Asia (1)

•Australia and New Zealand (3)

Resource Types

•Journal Article (118)

•Legislation/Regulation (1)

•Newspaper/Magazine Article (4)

•Special or Theme Issue (2)

•Web Resource (2)

•Grant (1)

Error Types

•Epidemiology of Errors and Adverse Events (11)

•Active Errors (16)

•Latent Errors (5)

•Near Miss (2)

Approach to Improving Safety
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Students

Clinical Areas

•Allied Health Services (2)

Target Audience

•Health Care Providers (68)

•Health Care Executives and Administrators (68)

•Non-Health Care Professionals (128)

•Patients (2)

Setting of Care

•Hospitals (22)

•Ambulatory Care (3)

•Outpatient Surgery (1)

1 - 20 of 131

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STUDY

Team training in the neonatal resuscitation program for interns: teamwork and quality of resuscitations.

Thomas EJ, Williams AL, Reichman EF, Lasky RE, Crandell S, Taggart WR. Pediatrics. 2010;125:539-546.

NEWSPAPER/MAGAZINE ARTICLE

Medical simulation gets real.

Voelker R. JAMA. 2009;302:2190-2192.

STUDY

Assessing the impact of teaching patient safety principles to medical students during surgical clerkships.

Stahl K, Augenstein J, Schulman CI, Wilson K, McKenney M, Livingstone A. J Surg Res. 2011;170:e29-e40.

GRANT RECIPIENT

Improving Patient Safety Through Simulation Research.

Rockville, MD: Agency for Healthcare Research and Quality; June 2008.

STUDY

Tolerance of uncertainty and fears of making mistakes among fifth-year medical students.

Nevalainen M, Kuikka L, Sjoberg L, Eriksson J, Pitkala K. Fam Med. 2012;44:240-246.

STUDY

Student-observed surgical safety practices across an urban regional health authority.

Spence J, Goodwin B, Enns C, Dean H. BMJ Qual Saf. 2011;20:580-586.

STUDY

Does simulator-based clinical performance correlate with actual hospital behavior? The effect of extended work hours on patient care provided by medical interns.

Gordon JA, Alexander EK, Lockley SW, et al; Harvard Work Hours, Health, and Safety Group (Boston, Massachusetts). Acad Med. 2010;85:1583-1588.

COMMENTARY

Teaching patient safety in simulated learning experiences.

Jenkins S, Blake J, Brandy-Webb P, Ashe W. Nurs Educ. 2011;36:112-117.

STUDY

Information-gathering patterns associated with higher rates of diagnostic error.

Delzell JE Jr, Chumley H, Webb R, Chakrabarti S, Relan A. Adv Health Sci Edu Theory Pract. 2009;14:697-711.

STUDY

Medical students benefit from learning about patient safety in an interprofessional team.

Anderson E, Thorpe L, Heney D, Petersen S. Med Educ. 2009;43:542-552.

COMMENTARY

We meant no harm, yet we made a mistake; why not apologize for it? A student's view.

Sanford DE, Fleming DA. HEC Forum. 2010;22:159-169.

COMMENTARY

Do Not Disturb!

Duffy FD, Cassel CK. AHRQ WebM&M [serial online]. October 2007.

STUDY

Enculturation of unsafe attitudes and behaviors: student perceptions of safety culture.

Bowman C, Neeman N, Sehgal NL. Acad Med. 2013 Apr 24; [Epub ahead of print].

STUDY

Using simulation to teach patient safety behaviors in undergraduate nursing education.

Gantt LT, Webb-Corbett R. J Nurs Educ. 2010;49:48-51.

STUDY

A complementary approach to promoting professionalism: identifying, measuring, and addressing unprofessional behaviors.

Hickson GB, Pichert JW, Webb LE, Gabbe SG. Acad Med. 2007;82:1040-1048.

STUDY

Why nurses make medication errors: a simulation study.

Kazaoka T, Ohtsuka K, Ueno K, Mori M. Nurse Educ Today. 2007;27:312-17.

STUDY

Laboratory session to improve first-year pharmacy students' knowledge and confidence concerning the prevention of medication errors.

Kiersma ME, Darbishire PL, Plake KS, Oswald C, Walters BM. Am J Pharm Edu. 2009;73:article 99.

COMMENTARY

The incorporation of patient safety into board certification examinations.

Kachalia A, Johnson JK, Miller S, Brennan T. Acad Med. 2006;81:317-325.

COMMENTARY

Simulation to enhance patient safety: why aren't we there yet?

Aggarwal R, Darzi A. Chest. 2011;140:854-858.

COMMENTARY

Teaching medication reconciliation through simulation: a patient safety initiative for second year medical students.

Lindquist LA, Gleason KM, McDaniel MR, Doeksen A, Liss D. J Gen Intern Med. 2008;23:998-1001.

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