AHRQ Patient Safety Network

The Collection > United States of America

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Safety Target

•Device-related Complications (164)

•Diagnostic Errors (188)

•Identification Errors (138)

•Discontinuities, Gaps, and Hand-Off Problems (442)

•Fatigue and Sleep Deprivation (123)

•Medication Safety (1033)

•Medical Complications (446)

•Nonsurgical Procedural Complications (85)

•Surgical Complications (600)

•Transfusion Complications (21)

•Psychological and Social Complications (145)

Origin/Sponsor
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United States of America

•United States Federal Government (267)

•State Governments and Agencies (48)

Resource Types

•Clinical Guideline (7)

•Journal Article (2793)

•Legislation/Regulation (59)

•Meeting/Conference (41)

•Newsletter/Journal (12)

•Newspaper/Magazine Article (487)

•Press Release/Announcement (32)

•Special or Theme Issue (68)

•Tools/Toolkit (64)

•Web Resource (134)

•Grant (12)

Error Types

•Epidemiology of Errors and Adverse Events (1059)

•Active Errors (538)

•Latent Errors (219)

•Near Miss (74)

Approach to Improving Safety

•Quality Improvement Strategies (957)

•Legal and Policy Approaches (451)

•Error Reporting and Analysis (1126)

•Communication Improvement (930)

•Human Factors Engineering (441)

•Teamwork (334)

•Specialization of Care (275)

•Logistical Approaches (313)

•Culture of Safety (582)

•Technologic Approaches (647)

•Education and Training (938)

Clinical Areas

•Allied Health Services (12)

Target Audience

•Health Care Providers (2955)

•Health Care Executives and Administrators (3098)

•Non-Health Care Professionals (1626)

•Patients (358)

Setting of Care

•Hospitals (2455)

•Psychiatric Facilities (12)

•Residential Facilities (71)

•Ambulatory Care (353)

•Outpatient Surgery (57)

•Patient Transport (29)

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STUDY

The influence of resident involvement on surgical outcomes.

Raval MV, Wang X, Cohen ME, et al. J Am Coll Surg. 2011;212:889-898.

COMMENTARY

Resident duty hour regulation and patient safety: establishing a balance between concerns about resident fatigue and adequate training in neurosurgery.

Grady MS, Batjer HH, Dacey RG. J Neurosurg. 2009;110:828-836.

STUDY

Impact of the Accreditation Council for Graduate Medical Education work-hour regulations on neurosurgical resident education and productivity.

Jagannathan J, Vates GE, Pouratian N, et al. J Neurosurg. 2009;110:820-827.

COMMENTARY

How long does it take to train a surgeon?

Purcell Jackson G, Tarpley JL. BMJ. 2009;339:b4260.

STUDY

Resident participation does not affect surgical outcomes, despite introduction of new techniques.

Patel SP, Gauger PG, Brown DL, Englesbe MJ, Cederna PS. J Am Coll Surg. 2010;211:540-545.

STUDY

A policy-based intervention for the reduction of communication breakdowns in inpatient surgical care: results from a Harvard surgical safety collaborative.

Arriaga AF, Elbardissi AW, Regenbogen SE, et al. Ann Surg. 2011;253:849-854.

STUDY

Poor resident–attending intraoperative communication may compromise patient safety.

Belyansky I, Martin TR, Prabhu AS, et al. J Surg Res. 2011;171:386-394.

STUDY

Complications and death at the start of the new academic year: is there a July phenomenon?

Inaba K, Recinos G, Teixeira PGR, et al. J Trauma. 2010;68:19-22.

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

Framing family conversation after early diagnosis of iatrogenic injury and incidental findings.

Barrios L, Tsuda S, Derevianko A, et al. Surg Endosc. 2009;23:2535-2542.

STUDY

High-fidelity, simulation-based, interdisciplinary operating room team training at the point of care.

Paige JT, Kozmenko V, Yang T, et al. Surgery. 2009;145:138-146.

SPECIAL OR THEME ISSUE

Quality of Anesthesia Care.

Neuman MD, Martinez EA, eds. Anesthesiol Clin. 2011;29:1-178.

REVIEW

Missed injuries in trauma patients: a literature review.

Pfeifer R, Pape HC. Patient Saf Surg. 2008;2:20.

REVIEW

Restricted duty hours for surgeons and impact on residents quality of life, education, and patient care: a literature review.

Pape H, Pfeifer R. Patient Saf Surg. 2009;3:3.

STUDY

Reevaluating recovery: perceived violations and preemptive interventions on emergency psychiatry rounds.

Cohen T, Blatter B, Almeida C, Patel VL. J Am Med Inform Assoc. 2007;14:312-319.

STUDY

Older patients' understanding of emergency department discharge information and its relationship with adverse outcomes.

Hastings SN, Barrett A, Weinberger M, et al. J Patient Saf. 2011;7:19-25.

STUDY

Relationship between Leapfrog Safe Practices Survey and outcomes in trauma.

Glance LG, Dick AW, Osler TM, et al. Arch Surg. 2011;146:1170-1177.

STUDY

Medical reconciliation in patients discharged from the emergency department.

Sharma AN, Dvorkin R, Tucker V, Margulies J, Yens D, Rosalia A Jr. J Emerg Med. 2012;43:366-373.

STUDY

No harm found when nurse anesthetists work without supervision by physicians.

Dulisse B, Cromwell J. Health Aff (Millwood). 2010;29:1469-1475.

STUDY

Communication failure in the operating room.

Halverson AL, Casey JT, Andersson J, et al. Surgery. 2011;49:305-310.

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