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Search results for "Discontinuities, Gaps, and Hand-Off Problems"
- Agency for Healthcare Research and Quality (AHRQ)
- Discontinuities, Gaps, and Hand-Off Problems
- Scheduling Changes
Journal Article > Commentary
Collins Sharp BA, Clancy CM. J Nurs Care Qual. 2008;23:97-100.
This AHRQ commentary describes research findings linking nurses' working environment (including organizational climate, staffing, overtime, and fatigue) to patient outcomes.
Journal Article > Study
Landrigan CP, Czeisler CA, Barger LK, et al. Jt Comm J Qual Patient Saf. 2007;33(suppl 1):19-29.
Efforts to comply with resident work-hour restrictions have placed a significant burden on hospitals and training programs, particularly in addressing the impact of these restrictions on patient safety. This AHRQ-supported study provides a framework to address the scheduling practices that aim to minimize sleep deprivation, optimize teamwork, and promote patient safety. The authors share a number of case examples and discuss policy implications around developing evidence-based scheduling and systematic culture change. This study's lead author, Dr. Christopher Landrigan, was featured in a past AHRQ WebM&M conversation that discussed the role of sleep deprivation in residency training and its effect on medical errors.
Thompson D, Holzmueller C, Hunt D, Cafe C, Sexton B, Pronovost PJ. Jt Comm J Qual Patient Saf. 2005;31:476-479.
The authors describe a tool to support reliable communication at shift change and promote improved patient safety. The project was supported by the Agency for Healthcare Research and Quality (AHRQ).