AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (7)

•Diagnostic Errors (22)

•Identification Errors (3)

•Discontinuities, Gaps, and Hand-Off Problems (64)

•Fatigue and Sleep Deprivation (60)

•Medication Safety (79)

•Medical Complications (38)

•Nonsurgical Procedural Complications (15)

•Surgical Complications (67)

•Psychological and Social Complications (35)

Origin/Sponsor

•Asia (7)

•Australia and New Zealand (9)

•Central and South America (1)

Resource Types

•Journal Article (525)

•Legislation/Regulation (2)

•Meeting/Conference (1)

•Newsletter/Journal (1)

•Newspaper/Magazine Article (23)

•Press Release/Announcement (2)

•Special or Theme Issue (15)

•Tools/Toolkit (7)

•Web Resource (14)

•Grant (1)

Error Types

•Epidemiology of Errors and Adverse Events (84)

•Active Errors (69)

•Latent Errors (25)

•Near Miss (7)

Approach to Improving Safety

•Quality Improvement Strategies (74)

•Legal and Policy Approaches (26)

•Error Reporting and Analysis (96)

•Communication Improvement (159)

•Human Factors Engineering (30)

•Teamwork (135)

•Specialization of Care (22)

•Logistical Approaches (92)

•Culture of Safety (95)

•Technologic Approaches (37)

•Education and Training (518)

Clinical Areas

•Allied Health Services (3)

Target Audience
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Educators

Setting of Care

•Hospitals (364)

•Residential Facilities (4)

•Ambulatory Care (34)

•Outpatient Surgery (1)

•Patient Transport (1)

1 - 20 of 614

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STUDY

Improving safety culture on adult medical units through multidisciplinary teamwork and communication interventions: the TOPS Project.

Blegen MA, Sehgal NL, Alldredge BK, Gearhart S, Auerbach AD, Wachter RM. Qual Saf Health Care. 2010;19:346-350.

STUDY

A case for safety leadership team training of hospital managers.

Singer SJ, Hayes J, Cooper JB, et al. Health Care Manage Rev. 2011;36:1-13.

COMMENTARY

What are the critical success factors for team training in health care?

Salas E, Almeida SA, Salisbury M, et al. Jt Comm J Qual Patient Saf. 2009;35:398-405.

BOOK/REPORT

Medical Team Training.

Oakbrook, IL: Joint Commission Resources; 2008. ISBN: 9781599400921.

NEWSPAPER/MAGAZINE ARTICLE

That’s the way we do things around here!

ISMP Medication Safety Alert! Acute Care Edition. February 24, 2011;16:1-2.

REVIEW

Reducing hospital errors: interventions that build safety culture.

Singer SJ, Vogus TJ. Annu Rev Public Health. 2013;34:373-396.

REVIEW

Outcomes of classroom-based team training interventions for multiprofessional hospital staff. A systematic review.

Rabøl LI, Østergaard D, Mogensen T. Qual Saf Health Care. 2010;19:e27.

STUDY

Trainees' perceptions of patient safety practices: recounting failures of supervision.

Ross PT, McMyler ET, Anderson SG, et al. Jt Comm J Qual Patient Saf. 2011;37:88-95.

STUDY

Eradicating medical student mistreatment: a longitudinal study of one institution's efforts.

Fried JM, Vermillion M, Parker NH, Uijtdehaage S. Acad Med. 2012;87:1191-1198.

STUDY

Medical team training: applying crew resource management in the Veterans Health Administration.

Dunn EJ, Mills PD, Neily J, Crittenden MD, Carmack AL, Bagian JP. Jt Comm J Qual Patient Saf. 2007;33:317-325.

NEWSPAPER/MAGAZINE ARTICLE

Standardizing safety.

Meyers S. Trustee. July/August 2006;59:12, 14, 21.

STUDY

The cost of harm and savings through safety: using simulated patients for leadership decision support.

Denham CR, Guilloteau FR. J Patient Saf. 2012;8:89-96.

STUDY

The 2011 duty-hour requirements—a survey of residency program directors.

Drolet BC, Khokhar MT, Fischer SA. N Engl J Med. 2013;368:694-697.

COMMENTARY

Making inpatient medication reconciliation patient centered, clinically relevant and implementable: a consensus statement on key principles and necessary first steps.

Greenwald JL, Halasyamani L, Greene J, et al. J Hosp Med. 2010;5:477-485.

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

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

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

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

COMMENTARY

Perspective: beyond counting hours: the importance of supervision, professionalism, transitions of care, and workload in residency training.

Schumacher DJ, Slovin SR, Riebschleger MP, Englander R, Hicks PJ, Carraccio C. Acad Med. 2012;87:883-888.

STUDY

A multidisciplinary teamwork training program: The Triad for Optimal Patient Safety (TOPS) experience.

Sehgal NL, Fox M, Vidyarthi AR, et al; TOPS Project. J Gen Intern Med. 2008;23:2053-2057.

STUDY

Prolonged hospital stay and the resident duty hour rules of 2003.

Silber JH, Rosenbaum PR, Rosen AK, et al. Med Care. 2009;47:1191-1200.

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