AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (34)

•Diagnostic Errors (99)

•Identification Errors (24)

•Discontinuities, Gaps, and Hand-Off Problems (164)

•Fatigue and Sleep Deprivation (104)

•Medication Safety (307)

•Medical Complications (61)

•Nonsurgical Procedural Complications (30)

•Surgical Complications (181)

•Transfusion Complications (1)

•Psychological and Social Complications (74)

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United States of America

•United States Federal Government (16)

•State Governments and Agencies (1)

Resource Types

•Audiovisual (11)

•Book/Report (35)

•Clinical Guideline (5)

•Journal Article (1063)

•Legislation/Regulation (20)

•Meeting/Conference (3)

•Newsletter/Journal (5)

•Newspaper/Magazine Article (148)

•Press Release/Announcement (4)

•Special or Theme Issue (24)

•Tools/Toolkit (14)

•Web Resource (25)

•Grant (2)

Error Types

•Epidemiology of Errors and Adverse Events (224)

•Active Errors (150)

•Latent Errors (47)

•Near Miss (15)

Approach to Improving Safety

•Quality Improvement Strategies (242)

•Legal and Policy Approaches (107)

•Error Reporting and Analysis (317)

•Communication Improvement (321)

•Human Factors Engineering (85)

•Teamwork (134)

•Specialization of Care (63)

•Logistical Approaches (170)

•Culture of Safety (137)

•Technologic Approaches (187)

•Education and Training (585)

Clinical Areas

•Allied Health Services (3)

Target Audience

•Health Care Providers (1153)

•Health Care Executives and Administrators (833)

•Non-Health Care Professionals (673)

•Patients (83)

Setting of Care

•Hospitals (695)

•Residential Facilities (8)

•Ambulatory Care (103)

•Outpatient Surgery (12)

•Patient Transport (3)

1 - 20 of 1359

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COURSE MATERIAL/CURRICULUM

Medical Errors and Patient Safety: A Curriculum Guide for Teaching Medical Students and Family Practice Residents.

Halbach JL, Sullivan L. Yonkers, NY: New York Medical College; 2003.

COURSE MATERIAL/CURRICULUM

Safe Foundations: Junior Doctors and Patient Safety.

National Patient Safety Agency.

STUDY

Learning from mistakes: factors that influence how students and residents learn from medical errors.

Fischer MA, Mazor KM, Baril J, Alper E, DeMarco D, Pugnaire M. J Gen Intern Med. 2006;21:419-423.

STUDY

How trainees would disclose medical errors: educational implications for training programmes.

White AA, Bell SK, Krauss MJ, et al. Med Educ. 2011;45:372-380.

STUDY

Housestaff and medical student attitudes toward medical errors and adverse events.

Vohra PD, Johnson JK, Daugherty CK, Wen M, Barach P. Jt Comm J Qual Patient Saf. 2007;33:493-501.

STUDY

Effectiveness of a graduate medical education program for improving medical event reporting attitude and behavior.

Coyle YM, Mercer SQ, Murphy-Cullen CL, Schneider GW, Hynan LS. Qual Saf Health Care. 2005;14:383-388.

STUDY

Safe medication prescribing: training and experience of medical students and housestaff at a large teaching hospital.

Garbutt JM, Highstein G, Jeffe DB, Dunagan WC, Fraser VJ. Acad Med. 2005;80:594-599.

COMMENTARY

Pursuing professional accountability: an evidence-based approach to addressing residents with behavioral problems.

Sanfey H, DaRosa DA, Hickson GB, et al. Arch Surg. 2012;147:642-647.

NEWSPAPER/MAGAZINE ARTICLE

When the doctor is distressed.

Chen PW. New York Times. October 1, 2009.

STUDY

Patient safety and quality improvement education: a cross-sectional study of medical students' preferences and attitudes.

Teigland CL, Blasiak RC, Wilson LA, Hines RE, Meyerhoff KL, Viera AJ. BMC Med Educ. 2013;13:16.

REVIEW

Duty hours restriction and their effect on resident education and academic departments: the American perspective.

Swide CE, Kirsch JR. Curr Opin Anaesthesiol. 2007;20:580-584.

STUDY

Accreditation Council on Graduate Medical Education technical skills competency compliance: urologic surgical skills.

Hammond L, Ketchum J, Schwartz BF. J Am Coll Surg. 2005;201:454-457.

STUDY

An educational intervention for contextualizing patient care and medical students' abilities to probe for contextual issues in simulated patients.

Schwartz A, Weiner SJ, Harris IB, Binns-Calvey A. JAMA. 2010;304:1191-1197.

STUDY

Teaching but not learning: how medical residency programs handle errors.

Hoff TJ, Pohl H, Bartfield J. J Org Behav. 2006;27:869-896.

STUDY

An objective methodology for task analysis and workload assessment in anesthesia providers.

Weinger MB, Herndon OW, Zornow MH, Paulus MP, Gaba DM, Dallen LT. Anesthesiology. 1994;80:77-92.

COMMENTARY classic

The new recommendations on duty hours from the ACGME Task Force.

Nasca TJ, Day SH, Amis ES Jr; for ACGME Duty Hours Task Force. N Engl J Med. 2010;363:e3.

REVIEW

A systematic review of teamwork training interventions in medical student and resident education.

Chakraborti C, Boonyasai RT, Wright SM, Kern DE. J Gen Intern Med. 2008;23:846-853.

STUDY

Decreased bile duct injury rate during laparoscopic cholecystectomy in the era of the 80-hour resident workweek.

Yaghoubian A, Saltmarsh G, Rosing DK, et al. Arch Surg. 2008;143:847-851.

STUDY

Management of adverse surgical events: a structured education module for residents.

Brewster LP, Risucci DA, Joehl RJ, et al. Am J Surg. 2005;190:687-690.

COMMENTARY

Development and evaluation of a 1-day interclerkship program for medical students on medical errors and patient safety.

Moskowitz E, Veloski JJ, Fields SK, Nash DB. Am J Med Qual. 2007;22:13-17.

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