AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (38)

•Diagnostic Errors (40)

•Identification Errors (21)

•Discontinuities, Gaps, and Hand-Off Problems (55)

•Fatigue and Sleep Deprivation (10)

•Medication Safety (201)

•Medical Complications (61)

•Nonsurgical Procedural Complications (11)

•Surgical Complications (60)

•Transfusion Complications (4)

•Psychological and Social Complications (20)

Origin/Sponsor

•Europe (5)

•North America (557)

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Newspaper/Magazine Article

Error Types

•Epidemiology of Errors and Adverse Events (37)

•Active Errors (115)

•Latent Errors (49)

•Near Miss (6)

Approach to Improving Safety

•Quality Improvement Strategies (172)

•Legal and Policy Approaches (129)

•Error Reporting and Analysis (145)

•Communication Improvement (159)

•Human Factors Engineering (103)

•Teamwork (30)

•Specialization of Care (38)

•Logistical Approaches (42)

•Culture of Safety (70)

•Technologic Approaches (127)

•Education and Training (83)

Clinical Areas

•Allied Health Services (1)

•Medicine (329)

•Nursing (27)

•Pharmacy (103)

Target Audience

•Health Care Providers (319)

•Health Care Executives and Administrators (334)

•Non-Health Care Professionals (172)

•Patients (214)

Setting of Care

•Hospitals (417)

•Psychiatric Facilities (3)

•Residential Facilities (8)

•Ambulatory Care (35)

•Outpatient Surgery (9)

•Patient Transport (4)

1 - 20 of 566

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NEWSPAPER/MAGAZINE ARTICLE

Lost surgical specimens, lost opportunities.

PA-PSRS Patient Saf Advis. September 2005;2:1-5.

NEWSPAPER/MAGAZINE ARTICLE

Are you a great diagnostician?

Yasgur BS. Medscape Business of Medicine. March 27, 2013.

NEWSPAPER/MAGAZINE ARTICLE

Safety in ASCs: putting patients first.

Dix K. Today's Surgicenter. December 1, 2006.

NEWSPAPER/MAGAZINE ARTICLE

Promethazine conundrum: IV can hurt more than IM injection!

ISMP Medication Safety Alert! Acute Care Edition. November 2, 2006;11:1-3.

NEWSPAPER/MAGAZINE ARTICLE

Death by handwriting.

Glabman M. Trustee. October 2005;58:29-32.

NEWSPAPER/MAGAZINE ARTICLE

What pilots can teach hospitals about patient safety.

Murphy K. New York Times. October 31, 2006:F5.

NEWSPAPER/MAGAZINE ARTICLE

Hospitals study when to apologize to patients.

Kowalczyk L. The Boston Globe. July 24, 2005.

NEWSPAPER/MAGAZINE ARTICLE

Accreditation essentials: getting proactive about reducing adverse events and safety risks.

Joint Commission: The Source. September 2005;3:3-4,11.

NEWSPAPER/MAGAZINE ARTICLE

Alarm fatigue hazards: the sirens are calling.

Welch J. Patient Saf Qual Healthc. May/June 2012;9:26-29,32-33.

NEWSPAPER/MAGAZINE ARTICLE

Fault trees uncover complex causes.

Spath P. Hosp Peer Review. April 2007;32:49-52.

NEWSPAPER/MAGAZINE ARTICLE

JCAHO views medication reconciliation as adverse-event prevention.

Thompson CA. Am J Health Syst Pharm. 2005;62:1528-1532.

NEWSPAPER/MAGAZINE ARTICLE

Patients taking their own medications while in the hospital.

PA-PSRS Patient Saf Advis. June 2012;9:50-57.

NEWSPAPER/MAGAZINE ARTICLE

Medical simulations identify potential problems before they can pose a real threat.

Kleefeld E. Wisconsin Technology Network. June 15, 2005.

NEWSPAPER/MAGAZINE ARTICLE

Buried answers.

Dobbs D. New York Times Magazine. April 24, 2005;sect 6:40.

NEWSPAPER/MAGAZINE ARTICLE

Soaring to new safety heights.

Ketter P. T&D. January 2006;60:51-54.

NEWSPAPER/MAGAZINE ARTICLE

SWIFT: a new tool for identifying prospective hazards.

Joint Commission: The Source. September 2012;10:1-19.

NEWSPAPER/MAGAZINE ARTICLE

Intensivists: an Rx for the ICU?

Meyers S. Trustee. March 2006;59:29-30.

NEWSPAPER/MAGAZINE ARTICLE

When data go AWOL: filling the clinical gaps.

Shaw G. ACP Observer. May 2005.

NEWSPAPER/MAGAZINE ARTICLE

Dose of technology helps Shands at UF avoid drug errors.

Chun D. Gainsville Sun. August 21, 2006.

NEWSPAPER/MAGAZINE ARTICLE

Common cause analysis.

Clapper C, Crea K. Patient Saf Qual Healthc. May/June 2010;7:30-35.

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