U.S. Department of Health & Human Services
Discontinuities, Gaps, and Hand-Off Problems
PATIENT SAFETY PRIMERS
Adverse Events after Hospital Discharge
Handoffs and Signouts
Discontinuities, Gaps, and Hand-Off Problems
Missed or Critical Lab Results (46)
Australia and New Zealand (24)
North America (663)
Journal Article (636)
Newspaper/Magazine Article (72)
Special or Theme Issue (17)
Web Resource (18)
Epidemiology of Errors and Adverse Events (176)
Active Errors (160)
Latent Errors (111)
Near Miss (4)
Approach to Improving Safety
Quality Improvement Strategies (148)
Legal and Policy Approaches (52)
Error Reporting and Analysis (123)
Communication Improvement (518)
Human Factors Engineering (64)
Specialization of Care (66)
Logistical Approaches (116)
Culture of Safety (51)
Technologic Approaches (141)
Education and Training (170)
Allied Health Services (4)
Health Care Providers (591)
Health Care Executives and Administrators (612)
Non-Health Care Professionals (248)
Setting of Care
Psychiatric Facilities (3)
Residential Facilities (20)
Ambulatory Care (113)
Outpatient Surgery (5)
Patient Transport (18)
1 - 20
Don't Show Excerpt
Sort by relevance
Sort by significance
Sort by title
Sort by date
Sort by author
Do Not Disturb!
Duffy FD, Cassel CK. AHRQ WebM&M [serial online]. October 2007.
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.
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.
Changes in hospital mortality associated with residency work-hour regulations.
Shetty KD, Bhattacharya J. Ann Intern Med. 2007;147:73-80.
The ACGME’s final duty-hour standards—special PGY-1 limits and strategic napping.
Iglehart JK. N Engl J Med. 2010;363:1589-1591.
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.
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.
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.
An elusive balance — residents' work hours and the continuity of care.
Okie S. N Engl J Med. 2007;356:2665-2667.
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.
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.
For whom the Bell Commission tolls: unintended effects of limiting residents' hours.
Millard WB. Ann Emerg Med. 2009;54:A25-A29.
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.
Revisiting duty-hour limits — IOM recommendations for patient safety and resident education.
Iglehart JK. N Engl J Med. 2008;359:2633-2635.
Cost implications of reduced work hours and workloads for resident physicians.
Nuckols TK, Bhattacharya J, Miller Wolman D, Ulmer C, Escarce JJ. N Engl J Med. 2009;360:2202-2215.
Building physician work hour regulations from first principles and best evidence.
Volpp KG, Landrigan CP. JAMA. 2008;300:1197-1199.
Myths and realities of the 80-hour work week.
Schenarts PJ, Anderson Schenarts KD, Rotondo MF. Curr Surg. 2006;63:269-274.
Impact of reduction in working hours for doctors in training on postgraduate medical education and patients' outcomes: systematic review.
Moonesinghe SR, Lowery J, Shahi N, Millen A, Beard JD. BMJ. 2011;342:d1580.
Predicting future staffing needs at teaching hospitals: use of an analytical program with multiple variables.
Mitchell CC, Ashley SW, Zinner MJ, Moore FD. Arch Surg. 2007;142:329-334.
Health care worker fatigue and patient safety.
Sentinel Event Alert. December 14, 2011;(48):1-4.
Terms & Conditions
Produced for the
Agency for Healthcare Research and Quality
team of editors
University of California, San Francisco
with guidance from a prominent
. The AHRQ PSNet site was designed and implemented by Silverchair.