AHRQ Patient Safety Network

The Collection > Physicians

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Safety Target

•Device-related Complications (35)

•Diagnostic Errors (138)

•Identification Errors (28)

•Discontinuities, Gaps, and Hand-Off Problems (158)

•Fatigue and Sleep Deprivation (77)

•Medication Safety (318)

•Medical Complications (43)

•Nonsurgical Procedural Complications (21)

•Surgical Complications (182)

•Transfusion Complications (1)

•Psychological and Social Complications (59)

Origin/Sponsor

•Asia (13)

•Australia and New Zealand (20)

•Central and South America (2)

•Europe (110)

•North America (1004)

Resource Types

•Audiovisual (12)

•Book/Report (27)

•Clinical Guideline (5)

•Journal Article (944)

•Legislation/Regulation (20)

•Meeting/Conference (3)

•Newsletter/Journal (4)

•Newspaper/Magazine Article (130)

•Press Release/Announcement (3)

•Special or Theme Issue (12)

•Tools/Toolkit (13)

•Web Resource (19)

•Grant (1)

Error Types

•Epidemiology of Errors and Adverse Events (232)

•Active Errors (178)

•Latent Errors (58)

•Near Miss (15)

Approach to Improving Safety

•Quality Improvement Strategies (251)

•Legal and Policy Approaches (100)

•Error Reporting and Analysis (341)

•Communication Improvement (270)

•Human Factors Engineering (100)

•Teamwork (76)

•Specialization of Care (50)

•Logistical Approaches (118)

•Culture of Safety (91)

•Technologic Approaches (208)

•Education and Training (263)

Clinical Areas

•Allied Health Services (3)

Target Audience
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Physicians

Setting of Care

•Hospitals (625)

•Residential Facilities (7)

•Ambulatory Care (111)

•Outpatient Surgery (13)

•Patient Transport (3)

1 - 20 of 1193

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STUDY

An institution-wide handoff task force to standardise and improve physician handoffs.

Horwitz LI, Schuster KM, Thung SF, et al. BMJ Qual Saf. 2012;21:863-871.

STUDY

Implementing peer evaluation of handoffs: associations with experience and workload.

Arora VM, Greenstein EA, Woodruff JN, Staisiunas PG, Farnan JM. J Hosp Med. 2013;8:132-136.

STUDY

Who's covering our loved ones: surprising barriers in the sign-out process.

Antonoff MB, Berdan EA, Kirchner VA, et al. Am J Surg. 2013;205:77-84.

COMMENTARY

Handoffs in the era of duty hours reform: a focused review and strategy to address changes in the Accreditation Council for Graduate Medical Education Common Program Requirements.

DeRienzo CM, Frush K, Barfield ME, et al. Acad Med. 2012;87:403-410.

STUDY

Concept and development of a discharge alert filter for abnormal laboratory values coupled with computerized provider order entry: a tool for quality improvement and hospital risk management.

Mathew G, Kho A, Dexter P, et al. J Patient Saf. 2012;8:69-75.

STUDY

Design and implementation of an automated email notification system for results of tests pending at discharge.

Dalal AK, Schnipper JL, Poon EG, et al. J Am Med Inform Assoc. 2012;19:523-538.

STUDY

Use of an appreciative inquiry approach to improve resident sign-out in an era of multiple shift changes.

Helms AS, Perez TE, Baltz J, et al. J Gen Intern Med. 2012;27:287-291.

STUDY

The importance of preparation for doctors' handovers in an acute medical assessment unit: a hierarchical task analysis.

Raduma-Tomàs MA, Flin R, Yule S, Close S. BMJ Qual Saf. 2012;21:211-217.

STUDY

Preventability of adverse drug events involving multiple drugs using publicly available clinical decision support tools.

Wright A, Feblowitz J, Phansalkar S, et al. Am J Health Syst Pharm. 2012;69:221-227.

STUDY

Avoiding handover fumbles: a controlled trial of a structured handover tool versus traditional handover methods.

Payne CE, Stein JM, Leong T, Dressler DD. BMJ Qual Saf. 2012;21:925-932.

STUDY

Characterising physician listening behaviour during hospitalist handoffs using the HEAR checklist.

Greenstein EA, Arora VM, Staisiunas PG, Banerjee SS, Farnan JM. BMJ Qual Saf. 2013;22:219-224.

STUDY

Effect of a systems intervention on the quality and safety of patient handoffs in an internal medicine residency program.

Graham KL, Marcantonio ER, Huang GC, Yang J, Davis RB, Smith CC. J Gen Intern Med. 2013 Apr 18; [Epub ahead of print].

STUDY

What stands in the way of technology-mediated patient safety improvements? A study of facilitators and barriers to physicians' use of electronic health records.

Holden RJ. J Patient Saf. 2011;7:193-203.

STUDY

Physicians' attitudes towards copy and pasting in electronic note writing.

O'Donnell HC, Kaushal R, Barrón Y, Callahan MA, Adelman RD, Siegler EL. J Gen Intern Med. 2009;24:63-68.

STUDY

"Learning by Doing"—resident perspectives on developing competency in high-quality discharge care.

Greysen SR, Schiliro D, Curry L, Bradley EH, Horwitz LI. J Gen Intern Med. 2012;27:1188-1194.

ORGANIZATIONAL POLICY/GUIDELINES

Health care worker fatigue and patient safety.

Sentinel Event Alert. December 14, 2011;(48):1-4.

REVIEW

Promoting effective transitions of care at hospital discharge: a review of key issues for hospitalists.

Kripalani S, Jackson AT, Schnipper JL, Coleman EA. J Hosp Med. 2007;2:314-323.

STUDY

Electronic alerts to prevent venous thromboembolism among hospitalized patients.

Kucher N, Koo S, Quiroz R, et al. N Engl J Med. 2005;352:969-977.

STUDY

Differences in outcomes between ICU attending and senior resident physician led medical emergency team responses.

Morris DS, Schweickert W, Holena D, et al. Resuscitation. 2012;83:1434-1437.

REVIEW

Hospital discharge.

Alper E, O'Malley TA, Greenwald J. UpToDate. May 14, 2013.

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