AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (157)

•Diagnostic Errors (213)

•Identification Errors (94)

•Discontinuities, Gaps, and Hand-Off Problems (704)

•Fatigue and Sleep Deprivation (188)

•Medication Safety (1114)

•Medical Complications (461)

•Nonsurgical Procedural Complications (82)

•Surgical Complications (414)

•Transfusion Complications (16)

•Psychological and Social Complications (184)

Origin/Sponsor

•Australia and New Zealand (73)

•Central and South America (4)

•Europe (331)

•North America (4013)

Resource Types

•Audiovisual (57)

•Bibliography (2)

•Book/Report (289)

•Clinical Guideline (7)

•Journal Article (3162)

•Legislation/Regulation (64)

•Meeting/Conference (35)

•Newsletter/Journal (10)

•Newspaper/Magazine Article (584)

•Press Release/Announcement (20)

•Special or Theme Issue (90)

•Tools/Toolkit (80)

•Web Resource (114)

Error Types

•Epidemiology of Errors and Adverse Events (783)

•Active Errors (504)

•Latent Errors (275)

•Near Miss (56)

Approach to Improving Safety

•Quality Improvement Strategies (1110)

•Legal and Policy Approaches (556)

•Error Reporting and Analysis (1224)

•Communication Improvement (1124)

•Human Factors Engineering (445)

•Teamwork (403)

•Specialization of Care (304)

•Logistical Approaches (411)

•Culture of Safety (954)

•Technologic Approaches (728)

•Education and Training (1105)

Clinical Areas

•Allied Health Services (14)

•Dentistry (5)

•Medicine (2804)

•Nursing (400)

•Pharmacy (433)

Target Audience

•Health Care Providers (3101)

•Health Care Executives and Administrators (3489)

•Non-Health Care Professionals (1852)

•Patients (401)

Setting of Care

•Hospitals (3062)

•Psychiatric Facilities (14)

•Residential Facilities (72)

•Ambulatory Care (336)

•Outpatient Surgery (36)

•Patient Transport (21)

1 - 20 of 4562

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COMMENTARY

Do Not Disturb!

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

STUDY

Residents' perspectives on ACGME regulation of supervision and duty hours—a national survey.

Drolet BC, Spalluto LB, Fischer SA. N Engl J Med. 2010;363:e34.

COMMENTARY

Implementing the 2009 Institute of Medicine recommendations on resident physician work hours, supervision, and safety.

Blum AB, Shea S, Czeisler CA, Landrigan CP, Leape L. Nat Sci Sleep. 2011;3:47-85.

STUDY

Cost implications of ACGME's 2011 changes to resident duty hours and the training environment.

Nuckols TK, Escarce JJ. J Gen Intern Med. 2012;27:241-249.

STUDY

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Changes in hospital mortality associated with residency work-hour regulations.

Shetty KD, Bhattacharya J. Ann Intern Med. 2007;147:73-80.

STUDY

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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.

COMMENTARY

The response of the APPD, CoPS and AAP to the Institute of Medicine report on resident duty hours.

Guralnick S, Rushton J, Bale JF Jr, Norwood V, Trimm F, Schumacher D. Pediatrics. 2010;125:786-790.

COMMENTARY

The ACGME’s final duty-hour standards—special PGY-1 limits and strategic napping.

Iglehart JK. N Engl J Med. 2010;363:1589-1591.

STUDY

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Changes in outcomes for internal medicine inpatients after work-hour regulations.

Horwitz LI, Kosiborod M, Lin Z, Krumholz HM. Ann Intern Med. 2007;147:97-103.

MULTI-USE WEBSITE

Quality Care and Excellence in Medical Education.

Accreditation Council for Graduate Medical Education.

STUDY

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Effects of the Accreditation Council for Graduate Medical Education duty hour limits on sleep, work hours, and safety.

Landrigan CP, Fahrenkopf AM, Lewin D, et al. Pediatrics. 2008;122:250-258.

COMMENTARY

An elusive balance — residents' work hours and the continuity of care.

Okie S. N Engl J Med. 2007;356:2665-2667.

STUDY

ACGME duty-hour recommendations—a national survey of residency program directors.

Antiel RM, Thompson SM, Reed DA, et al. N Engl J Med. 2010;363:e12.

COMMENTARY

Revisiting duty-hour limits — IOM recommendations for patient safety and resident education.

Iglehart JK. N Engl J Med. 2008;359:2633-2635.

COMMENTARY

Sleep deprivation, physician performance, and patient safety.

Olson EJ, Drage LA, Auger RR. Chest. 2009;136:1389-1396.

REVIEW

Duty-hour limits and patient care and resident outcomes: can high-quality studies offer insight into complex relationships?

Philibert I, Nasca T, Brigham T, Shapiro J. Annu Rev Med. 2013;64:467-483.

REVIEW

Effects of reducing or eliminating resident work shifts over 16 hours: a systematic review.

Levine AC, Adusumilli J, Landrigan CP. Sleep. 2010;33:1043-1053.

COMMENTARY

The Accreditation Council for Graduate Medical Education resident duty hour new standards: history, changes, and impact on staffing of intensive care units.

Pastores SM, O’Connor MF, Kleinpell RM, et al. Crit Care Med. 2011;39:2540-2549.

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.

BOOK/REPORT classic

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Resident Duty Hours: Enhancing Sleep, Supervision, and Safety.

Ulmer C, Wolman DM, Johns MME, eds. Committee on Optimizing Graduate Medical Trainee (Resident) Hours and Work Schedule to Improve Patient Safety, Institute of Medicine. Washington, DC: The National Academies Press; 2008. ISBN: 9780309127721.

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