AHRQ Patient Safety Network

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Safety Target

•Diagnostic Errors (2)

•Discontinuities, Gaps, and Hand-Off Problems (10)

•Fatigue and Sleep Deprivation (3)

•Medication Safety (14)

•Medical Complications (14)

•Nonsurgical Procedural Complications (1)

•Surgical Complications (6)

Origin/Sponsor

•Australia and New Zealand (3)

•Europe (4)

•North America (52)

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Special or Theme Issue

Error Types

•Epidemiology of Errors and Adverse Events (2)

•Active Errors (6)

•Latent Errors (3)

Approach to Improving Safety

•Quality Improvement Strategies (22)

•Legal and Policy Approaches (8)

•Error Reporting and Analysis (13)

•Communication Improvement (15)

•Human Factors Engineering (13)

•Teamwork (16)

•Specialization of Care (2)

•Logistical Approaches (5)

•Culture of Safety (16)

•Technologic Approaches (9)

•Education and Training (14)

Clinical Areas

•Allied Health Services (1)

•Medicine (39)

•Nursing (10)

•Pharmacy (2)

Target Audience

•Health Care Providers (59)

•Health Care Executives and Administrators (49)

•Non-Health Care Professionals (18)

•Patients (1)

Setting of Care

•Hospitals (34)

•Residential Facilities (2)

•Ambulatory Care (7)

•Patient Transport (1)

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SPECIAL OR THEME ISSUE

Improving Health Care Quality.

Wisc Med J. 2006:105;1-86.

SPECIAL OR THEME ISSUE

Front-Line Ownership: Generating a Cure Mindset for Patient Safety.

Kitts J, ed. Healthcare Papers. 2013;13:1-82.

SPECIAL OR THEME ISSUE

Elderly Falls.

J Safety Res. 2011;42:415-542.

SPECIAL OR THEME ISSUE

Safety in Numbers: Evidence-based Development of a Medicine Management Learning Tool.

Holland K, ed. Nurse Educ Pract. 2013;13:e1-e87.

SPECIAL OR THEME ISSUE

The Criminal Edition.

The Just Culture Community. January/February 2007;1-6.

SPECIAL OR THEME ISSUE

CMS 30-minute rule for drug administration needs revision.

ISMP Medication Safety Alert! Acute Care Edition. September 9, 2010;15:1-6.

SPECIAL OR THEME ISSUE

Patient Safety Papers.

Baker GE, ed. Healthc Q. 2006;9:1-140.

SPECIAL OR THEME ISSUE

Pediatric Quality.

Feld LG, Jain S, eds. Pediatr Clin North Am. 2009;56:731-1034.

SPECIAL OR THEME ISSUE

Nurses Transforming Care.

Am J Nurs. 2009;109(suppl 11):3-80, C3.

SPECIAL OR THEME ISSUE

ASPEN parenteral nutrition safety summit.

Andris DA, Mirtallo JM, Guenter P, eds. JPEN J Parenter Enteral Nutr. 2012;36(2 Suppl):1S-62S.

SPECIAL OR THEME ISSUE

Errors and Malpractice in Radiology.

Pinto A, ed. Semin Ultrasound CT MR. 2012;33:273-382.

SPECIAL OR THEME ISSUE

2011 John M. Eisenberg Patient Safety and Quality Awards.

Jt Comm J Qual Patient Saf. 2012;38:289-327.

SPECIAL OR THEME ISSUE

How-to Guides: Improving Transitions from the Hospital to Reduce Avoidable Rehospitalizations.

Cambridge, MA: Institute for Healthcare Improvement; June 2012.

SPECIAL OR THEME ISSUE

Quality of Anesthesia Care.

Neuman MD, Martinez EA, eds. Anesthesiol Clin. 2011;29:1-178.

SPECIAL OR THEME ISSUE

Patient Safety.

Matlow A, Laxer RM, eds. Pediatr Clin North Am. 2006;53:1053-1267.

SPECIAL OR THEME ISSUE

The Patient Safety in Surgery Study.

J Am Coll Surg. 2007;204(6):1087-1300.

SPECIAL OR THEME ISSUE

Patient Safety.

Martin RF, Sanchez JA, eds. Surg Clin North Am. 2012;92:1-177.

SPECIAL OR THEME ISSUE

Obstetric Issues.

PA-PSRS Patient Saf Advis. December 2009;6(suppl 1):1-32.

SPECIAL OR THEME ISSUE

Safety in EMS.

Brice JH, Patterson PD, eds. Prehosp Emerg Care. 2012;16:1-108.

SPECIAL OR THEME ISSUE

Risk Prevention and Surgical Checklists.

Neurosurg Focus. 2012;33:E1-E16.

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