AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (5)

•Diagnostic Errors (1)

•Identification Errors (5)

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

•Fatigue and Sleep Deprivation (2)

•Medication Safety (22)

•Medical Complications (16)

•Nonsurgical Procedural Complications (1)

•Surgical Complications (13)

•Psychological and Social Complications (4)

Origin/Sponsor

•Africa (1)

•Australia and New Zealand (2)

•Europe (7)

•North America (102)

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Multi-use Website

Error Types

•Epidemiology of Errors and Adverse Events (7)

•Active Errors (5)

•Latent Errors (6)

•Near Miss (1)

Approach to Improving Safety

•Quality Improvement Strategies (40)

•Legal and Policy Approaches (10)

•Error Reporting and Analysis (31)

•Communication Improvement (20)

•Human Factors Engineering (7)

•Teamwork (4)

•Specialization of Care (3)

•Logistical Approaches (2)

•Culture of Safety (16)

•Technologic Approaches (7)

•Education and Training (32)

Clinical Areas

•Allied Health Services (1)

•Medicine (39)

•Pharmacy (4)

Target Audience

•Health Care Providers (100)

•Health Care Executives and Administrators (87)

•Non-Health Care Professionals (42)

•Patients (29)

Setting of Care

•Hospitals (47)

•Residential Facilities (1)

•Ambulatory Care (8)

•Outpatient Surgery (3)

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MULTI-USE WEBSITE

National Patient Safety Awareness Week.

National Patient Safety Foundation.

MULTI-USE WEBSITE

Safer Sign Out.

Emergency Medicine Patient Safety Foundation.

MULTI-USE WEBSITE

BOOSTing Care Transitions Resource Room.

Project BOOST (Better Outcomes for Older adults through Safe Transitions), Society of Hospital Medicine.

MULTI-USE WEBSITE

Drug Error Finder.

United States Pharmacopeia.

MULTI-USE WEBSITE

Southern California Patient Safety Collaborative.

Convergence Health Consulting, Hospital Association of Southern California, and National Health Foundation.

MULTI-USE WEBSITE

Hand-off Communications.

Joint Commission Center for Transforming Healthcare.

MULTI-USE WEBSITE

National Center for Patient Safety (NCPS).

Department of Veterans Affairs (VA), PO Box 486, Ann Arbor, MI 48106-0486.

MULTI-USE WEBSITE

Medical Event Data Collection and Analysis Service (MEDCAS).

Cognitive Technologies Laboratory, University of Chicago.

MULTI-USE WEBSITE

Safe Surgery 2015.

Harvard School of Public Health.

MULTI-USE WEBSITE

Minnesota Time Out Campaign.

Minnesota Safe Surgery Coalition. June 15, 2011.

MULTI-USE WEBSITE

Joint Commission International Center for Patient Safety.

The Joint Commission, Joint Commission Resources.

MULTI-USE WEBSITE

National Patient Safety Foundation.

268 Summer Street, 6th Floor, Boston, MA 02210-1108.

MULTI-USE WEBSITE

Texas Center for Quality & Patient Safety.

Texas Hospital Association.

MULTI-USE WEBSITE

PreventInfection.org.

Association for Professionals in Infection Control and Epidemiology.

MULTI-USE WEBSITE

The Patient Safety Group.

Boston, MA.

MULTI-USE WEBSITE

National Patient Safety Goals.

Oakbrook Terrace, IL: The Joint Commission; 2011.

MULTI-USE WEBSITE

The Josie King Foundation.

Tony and Sorrel King.

MULTI-USE WEBSITE

Patient Safety Education Project.

Buehler Center on Aging, Health & Society, Northwestern University.

MULTI-USE WEBSITE

Optimizing Graduate Medical Trainee (Resident) Hours and Work Schedules to Improve Patient Safety.

Institute of Medicine.

MULTI-USE WEBSITE

Council on Surgical and Perioperative Safety.

Council on Surgical and Perioperative Safety; 633 N. St. Clair St. Chicago, IL, 60611.

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