AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (132)

•Diagnostic Errors (79)

•Identification Errors (64)

•Discontinuities, Gaps, and Hand-Off Problems (357)

•Fatigue and Sleep Deprivation (102)

•Medication Safety (683)

•Medical Complications (388)

•Nonsurgical Procedural Complications (65)

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Error Types

•Epidemiology of Errors and Adverse Events (544)

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Approach to Improving Safety

•Quality Improvement Strategies (686)

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Clinical Areas

•Allied Health Services (4)

•Medicine (1915)

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Target Audience

•Health Care Providers (1666)

•Health Care Executives and Administrators (2153)

•Non-Health Care Professionals (1127)

•Patients (290)

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Hospitals

•General Hospitals (540)

•Children’s Hospitals (67)

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1 - 20 of 2710

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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.

COMMENTARY

Minnesota Hospital Association Statewide Project: SAFE from FALLS.

Apold J, Quigley PA. J Nurs Care Qual. 2012;27:299-306.

NEWSPAPER/MAGAZINE ARTICLE

The impossible workload for doctors in training.

Chen PW. New York Times. April 18, 2013.

STUDY

Surgical training, duty-hour restrictions, and implications for meeting the Accreditation Council for Graduate Medical Education core competencies: views of surgical interns compared with program directors.

Antiel RM, Van Arendonk KJ, Reed DA, et al. Arch Surg. 2012;147:536-541.

COMMENTARY

Duty hour reform in a shifting medical landscape.

Jena AB, Prasad V. J Gen Intern Med. 2013 Apr 9; [Epub ahead of print].

BOOK/REPORT

Tennessee Center for Patient Safety Annual Report 2010.

Nashville, TN: Tennessee Center for Patient Safety; August 2011.

NEWSPAPER/MAGAZINE ARTICLE

The silent treatment: 'just be quiet about it'.

Smerd J. Workforce Management. November 19, 2007;1, 16-20.

AUDIOVISUAL

Chasing Zero: Winning the War on Healthcare Harm.

Austin, TX: Texas Medical Institute for Technology and the Quaid Foundation; 2010.

STUDY

Organizational culture, critical success factors, and the reduction of hospital errors.

Stock GN, McFadden KL, Gowen III, CR. Int J Prod Econ. 2007;106:368–392.

NEWSPAPER/MAGAZINE ARTICLE

Plan aims to cut hospital deaths.

Appleby J. USA Today. June 6, 2005.

COMMENTARY

The Henry Ford Health System No Harm Campaign: a comprehensive model to reduce harm and save lives.

Conway WA, Hawkins S, Jordan J, Voutt-Goos MJ. Jt Comm J Qual Patient Saf. 2012;38:318-327.

NEWSPAPER/MAGAZINE ARTICLE

Making hospitals accountable.

Peters PG Jr. Regulation. Summer 2009;32:30-36.

AUDIOVISUAL

Eye to eye: Donald Berwick.

"Eye to Eye with Katie Couric." CBS News Video. February 6, 2007.

MULTI-USE WEBSITE

MHA Keystone Center for Patient Safety and Quality.

Michigan Health and Hospital Association.

REVIEW

Negligence, genuine error, and litigation.

Sohn DH. Int J Gen Med. 2013;6:49-56.

NEWSPAPER/MAGAZINE ARTICLE

Team-based care.

Weinstock M. Hosp Health Netw. March 2010;84:6p following 28,2.

BOOK/REPORT

Through the Eyes of the Workforce: Creating Joy, Meaning, and Safer Health Care.

Roundtable on Joy and Meaning in Work and Workforce Safety, The Lucian Leape Institute. Boston, MA: National Patient Safety Foundation; 2013.

COMMENTARY

Do Not Disturb!

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

NEWSPAPER/MAGAZINE ARTICLE

Standards, audits, and saying I'm sorry: an engineer's family proposes solutions.

Wojcieszak D. Patient Safety Qual Healthc. May/June 2005;2:6, 8-9.

STUDY

Residents' response to duty-hour regulations—a follow-up national survey.

Drolet BC, Christopher DA, Fischer SA. N Engl J Med. 2012;366:e35.

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