AHRQ Patient Safety Network

The Collection > United States of America

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Safety Target

•Device-related Complications (167)

•Diagnostic Errors (192)

•Identification Errors (124)

•Discontinuities, Gaps, and Hand-Off Problems (600)

•Fatigue and Sleep Deprivation (130)

•Medication Safety (1221)

•Medical Complications (475)

•Nonsurgical Procedural Complications (102)

•Surgical Complications (415)

•Transfusion Complications (23)

•Psychological and Social Complications (162)

Origin/Sponsor
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United States of America

•United States Federal Government (345)

•State Governments and Agencies (46)

Resource Types

•Clinical Guideline (8)

•Journal Article (2934)

•Legislation/Regulation (62)

•Meeting/Conference (40)

•Newsletter/Journal (17)

•Newspaper/Magazine Article (525)

•Press Release/Announcement (32)

•Special or Theme Issue (62)

•Tools/Toolkit (82)

•Web Resource (142)

•Grant (15)

Error Types

•Epidemiology of Errors and Adverse Events (823)

•Active Errors (562)

•Latent Errors (259)

•Near Miss (68)

Approach to Improving Safety

•Quality Improvement Strategies (1133)

•Legal and Policy Approaches (460)

•Error Reporting and Analysis (1136)

•Communication Improvement (1070)

•Human Factors Engineering (497)

•Teamwork (349)

•Specialization of Care (291)

•Logistical Approaches (376)

•Culture of Safety (597)

•Technologic Approaches (734)

•Education and Training (950)

Clinical Areas

•Allied Health Services (11)

Target Audience

•Health Care Providers (3062)

•Health Care Executives and Administrators (3302)

•Non-Health Care Professionals (1689)

•Patients (391)

Setting of Care

•Hospitals (2600)

•Psychiatric Facilities (15)

•Residential Facilities (75)

•Ambulatory Care (412)

•Outpatient Surgery (45)

•Patient Transport (25)

1 - 20 of 4307

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COMMENTARY

An anesthesiology department leads culture change at a hospital system level to improve quality and patient safety.

Fleischut PM, Evans AS, Faggiani SL, Lazar EJ, Kerr GE. Anesthesiol Clin. 2011;29:153-167.

COMMENTARY

Medication reconciliation in a community, nonteaching hospital.

Wortman SB. Am J Health Syst Pharm. 2008;65:2047-2054.

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.

COMMENTARY

Academic year-end transfers of outpatients from outgoing to incoming residents: an unaddressed patient safety issue.

Young JQ, Wachter RM. JAMA. 2009;302:1327-1329.

STUDY

The computerized rounding report: implementation of a model system to support transitions of care.

Wohlauer MV, Rove KO, Pshak TJ, et al. J Surg Res. 2012;172:11-17.

BOOK/REPORT

Meeting the Joint Commission's 2013 National Patient Safety Goals.

Oakbrook Terrace, IL: The Joint Commission; September 2012. ISBN: 9781599407555.

STUDY

Discrepancies between home medications listed at hospital admission and reported medical conditions.

Slain D, Kincaid SE, Dunsworth TS. Am J Geriatr Pharmacother. 2008;6:161-166.

STUDY

Results of the Medications At Transitions and Clinical Handoffs (MATCH) study: an analysis of medication reconciliation errors and risk factors at hospital admission.

Gleason KM, McDaniel MR, Feinglass J, et al. J Gen Intern Med. 2010;25:441-447.

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.

STUDY

What are covering doctors told about their patients? Analysis of sign-out among internal medicine house staff.

Horwitz LI, Moin T, Krumholz HM, Wang L, Bradley EH. Qual Saf Health Care. 2009;18:248-255.

COMMENTARY

Making inpatient medication reconciliation patient centered, clinically relevant and implementable: a consensus statement on key principles and necessary first steps.

Greenwald JL, Halasyamani L, Greene J, et al. J Hosp Med. 2010;5:477-485.

STUDY

Improving the quality of discharge communication with an educational intervention.

Key-Solle M, Paulk E, Bradford K, Skinner AC, Lewis MC, Shomaker K. Pediatrics. 2010;126:734-739.

STUDY

Association of workload of on-call medical interns with on-call sleep duration, shift duration, and participation in educational activities.

Arora VM, Georgitis E, Siddique J, et al. JAMA. 2008;300:1146-1153.

STUDY

Impact of duty-hour restriction on resident inpatient teaching.

Mazotti LA, Vidyarthi AR, Wachter RM, Auerbach AD, Katz PP. J Hosp Med. 2009;4:476-480.

COMMENTARY

The role of housestaff in implementing medication reconciliation on admission at an academic medical center.

Evans AS, Lazar EJ, Tiase VL, et al. Am J Med Qual. 2011;26:39-42.

STUDY

Hospital readmissions: physician awareness and communication practices.

Roy CL, Kachalia A, Woolf S, et al. J Gen Intern Med. 2009;24:374-380.

STUDY

Lessons learned from implementation of a computerized application for pending tests at hospital discharge.

Dalal AK, Poon EG, Karson AS, Gandhi TK, Roy CL. J Hosp Med. 2011;6:16-21.

STUDY

A multidisciplinary teamwork training program: The Triad for Optimal Patient Safety (TOPS) experience.

Sehgal NL, Fox M, Vidyarthi AR, et al; TOPS Project. J Gen Intern Med. 2008;23:2053-2057.

COMMENTARY

A leadership initiative to improve communication and enhance safety.

Donahue M, Miller M, Smith L, Dykes P, Fitzpatrick JJ. Am J Med Qual. 2011;26:206-211.

STUDY

Improving the discharge process by embedding a discharge facilitator in a resident team.

Finn KM, Heffner R, Chang Y, et al. J Hosp Med. 2011;6:494-500.

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