AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (18)

•Diagnostic Errors (16)

•Identification Errors (5)

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

•Fatigue and Sleep Deprivation (9)

•Medication Safety (59)

•Medical Complications (39)

•Nonsurgical Procedural Complications (3)

•Surgical Complications (11)

•Transfusion Complications (1)

•Psychological and Social Complications (15)

Origin/Sponsor

•Australia and New Zealand (3)

•Europe (36)

•North America (312)

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Commentary

Error Types

•Epidemiology of Errors and Adverse Events (11)

•Active Errors (52)

•Latent Errors (30)

•Near Miss (5)

Approach to Improving Safety

•Quality Improvement Strategies (101)

•Legal and Policy Approaches (101)

•Error Reporting and Analysis (95)

•Communication Improvement (88)

•Human Factors Engineering (51)

•Teamwork (21)

•Specialization of Care (20)

•Logistical Approaches (28)

•Culture of Safety (68)

•Technologic Approaches (61)

•Education and Training (74)

Clinical Areas

•Allied Health Services (2)

•Medicine (238)

•Nursing (20)

•Pharmacy (27)

Target Audience

•Health Care Providers (198)

•Health Care Executives and Administrators (273)

•Non-Health Care Professionals (216)

•Patients (10)

Setting of Care

•Hospitals (197)

•Psychiatric Facilities (5)

•Residential Facilities (12)

•Ambulatory Care (53)

•Outpatient Surgery (2)

•Patient Transport (1)

1 - 20 of 360

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COMMENTARY

Computer visualisation of patient safety in primary care: a systems approach adapted from management science and engineering.

Singh R, Singh A, Fox C, Seldan Taylor J, Rosenthal T, Singh G. Inform Prim Care. 2005;13:135-144.

COMMENTARY classic

Refocusing the lens: patient safety in ambulatory chronic disease care.

Sarkar U, Wachter RM, Schroeder SA, Schillinger D. Jt Comm J Qual Patient Saf. 2009;35:377-383.

COMMENTARY

ISMP medication error report analysis.

Smetzer JL, Cohen MR. Hosp Pharm. 2008;43:869-872.

COMMENTARY

The art of apology: when and how to seek forgiveness.

Roberts RG. Fam Pract Manag. July/August 2007;14:44-49.

COMMENTARY

Medication errors in family practice, in hospitals and after discharge from the hospital: an ethical analysis.

Clark PA. J Law Med Ethics. 2004;32:349-357.

COMMENTARY

Information chaos in primary care: implications for physician performance and patient safety.

Beasley JW, Wetterneck TB, Temte J, et al. J Am Board Fam Med. 2011;24:745-751.

COMMENTARY

Improving ambulatory patient safety: learning from the last decade, moving ahead in the next.

Wynia MK, Classen DC. JAMA. 2011;306:2504-2505.

COMMENTARY

Medication reconciliation campaign in a clinic for homeless patients.

Moczygemba LR, Gatewood SB, Kennedy AK, et al. Am J Health Syst Pharm. 2012;69:558-562.

COMMENTARY

Sued for misdiagnosis? It could happen to you.

Lippman H, Davenport J. J Fam Pract. 2010;59:498-508.

COMMENTARY

Simple strategies to avoid medication errors.

Jenkins RH, Vaida AJ. Fam Pract Manag. 2007;14:41-47.

COMMENTARY

The association between culture, climate and quality of care in primary health care teams.

Hann M, Bower P, Campbell S, Marshall M, Reeves D. Fam Pract. 2007;24:323-329.

COMMENTARY

Patient safety beyond the hospital.

Gandhi TK, Lee TH. N Engl J Med. 2010;363:1001-1003.

COMMENTARY

CMS changes in reimbursement for HAIs: setting a research agenda.

Stone PW, Glied SA, McNair PD, et al. Med Care. 2010;48:433-439.

COMMENTARY

A new frontier in patient safety.

McCannon J, Berwick DM. JAMA. 2011;305:2221-2222.

COMMENTARY

Defining patient safety in hospice: principles to guide measurement and public reporting.

Casarett D, Spence C, Clark MA, Shield R, Teno JM. J Palliat Med. 2012;15:1120-1123.

COMMENTARY

The Henry Ford Health System No Harm Campaign: a comprehensive model to reduce harm and save lives.

Conway WA, Hawkins S, Jordan J, Voutt-Goos MJ. Jt Comm J Qual Patient Saf. 2012;38:318-327.

COMMENTARY

Duty hour reform in a shifting medical landscape.

Jena AB, Prasad V. J Gen Intern Med. 2013 Apr 9; [Epub ahead of print].

COMMENTARY

The economics of health care quality and medical errors.

Andel C, Davidow SL, Hollander M, Moreno DA. J Health Care Finance. 2012;39:39-50.

COMMENTARY

Safer out of hours primary care.

Cosford PA, Thomas JM. BMJ. 2010;340:c3194.

COMMENTARY

Revisiting duty-hour limits — IOM recommendations for patient safety and resident education.

Iglehart JK. N Engl J Med. 2008;359:2633-2635.

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