AHRQ Patient Safety Network

The Collection > Hospital Medicine

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Safety Target

•Device-related Complications (32)

•Diagnostic Errors (19)

•Identification Errors (18)

•Discontinuities, Gaps, and Hand-Off Problems (154)

•Fatigue and Sleep Deprivation (10)

•Medication Safety (235)

•Medical Complications (117)

•Nonsurgical Procedural Complications (9)

•Surgical Complications (35)

•Transfusion Complications (6)

•Psychological and Social Complications (24)

Origin/Sponsor

•Africa (1)

•Asia (8)

•Australia and New Zealand (24)

Resource Types

•Journal Article (498)

•Legislation/Regulation (5)

•Meeting/Conference (2)

•Newspaper/Magazine Article (74)

•Press Release/Announcement (1)

•Special or Theme Issue (9)

•Tools/Toolkit (18)

•Web Resource (16)

•Grant (1)

Error Types

•Epidemiology of Errors and Adverse Events (194)

•Active Errors (121)

•Latent Errors (65)

•Near Miss (11)

Approach to Improving Safety

•Quality Improvement Strategies (194)

•Legal and Policy Approaches (55)

•Error Reporting and Analysis (158)

•Communication Improvement (257)

•Human Factors Engineering (84)

•Teamwork (59)

•Specialization of Care (65)

•Logistical Approaches (49)

•Culture of Safety (114)

•Technologic Approaches (149)

•Education and Training (141)

Clinical Areas
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Hospital Medicine

Target Audience

•Health Care Providers (573)

•Health Care Executives and Administrators (584)

•Non-Health Care Professionals (256)

•Patients (40)

Setting of Care

•Hospitals (687)

•Psychiatric Facilities (1)

•Residential Facilities (3)

•Ambulatory Care (26)

•Outpatient Surgery (2)

•Patient Transport (1)

1 - 20 of 694

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COMMENTARY

Discharge Fumbles.

Forster A. AHRQ WebM&M [serial online]. December 2004.

COMMENTARY

The Dropped Lung.

Heffner JE. AHRQ WebM&M [serial online]. May 2003.

COMMENTARY

X-ray Flip.

Shapiro MJ. AHRQ WebM&M [serial online]. February 2004.

COMMENTARY

Too Tight Control.

Rubin HR, Fajtova VT. AHRQ WebM&M [serial online]. May 2004.

COMMENTARY

Missed Appendicitis.

Adams JG. AHRQ WebM&M [serial online]. June 2003.

ORGANIZATIONAL POLICY/GUIDELINES

Preventing errors relating to commonly used anticoagulants.

Sentinel Event Alert. September 24, 2008;(41):1-4.

STUDY

Impact of a standard medication chart on prescribing errors: a before-and-after audit.

Coombes ID, Stowasser DA, Reid C, Mitchell CA. Qual Saf Health Care. 2009;18:478-485.

COMMENTARY

Crushing Chest Pain: A Missed Opportunity.

Graber M. AHRQ WebM&M [serial online]. January 2004.

COMMENTARY

Listen to the Family.

Campbell D Jr. AHRQ WebM&M [serial online]. June 2004.

COMMENTARY

Code Status Confusion.

Lo B, Tulsky JA. AHRQ WebM&M [serial online]. July 2003.

STUDY

Results of the Medications At Transitions and Clinical Handoffs (MATCH) study: an analysis of medication reconciliation errors and risk factors at hospital admission.

Gleason KM, McDaniel MR, Feinglass J, et al. J Gen Intern Med. 2010;25:441-447.

COMMENTARY

Delay in Initiating Antibiotics Leads to Fatal Error.

Bellini LM. AHRQ WebM&M [serial online]. February 2004.

REVIEW

Interventions to improve team effectiveness: a systematic review.

Buljac-Samardzic M, Dekker-van Doorn CM, van Wijngaarden JDH, van Wijk KP. Health Policy. 2010;94:183-195.

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.

COMMENTARY

Check the Bags.

Caldwell M, Dracup KA. AHRQ WebM&M [serial online]. September 2003.

NEWSPAPER/MAGAZINE ARTICLE

Cause for concern: drug shortages disrupt operations, tax hospitalists' treatment patterns.

Collins TR. The Hospitalist. July 2011.

STUDY

Impact of electronic prescribing in a hospital setting: a process-focused evaluation.

Cunningham TR, Geller ES, Clarke SW. Int J Med Inform. 2008;77:546-554.

COMMENTARY

Transfusion "Slip".

Kaplan HS. AHRQ WebM&M [serial online]. February 2004.

COMMENTARY

Lost in the Black Hole.

Wachter RM. AHRQ WebM&M [serial online]. October 2003.

NEWSPAPER/MAGAZINE ARTICLE

Anticoagulant safety practices call for pharmacist supervision.

Scott A. Drug Topics (Health-System Edition). November 10, 2008.

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