AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (36)

•Diagnostic Errors (77)

•Identification Errors (25)

•Discontinuities, Gaps, and Hand-Off Problems (164)

•Fatigue and Sleep Deprivation (19)

•Medication Safety (173)

•Medical Complications (85)

•Nonsurgical Procedural Complications (21)

•Surgical Complications (62)

•Transfusion Complications (6)

•Psychological and Social Complications (41)

Origin/Sponsor

•Asia (2)

•Australia and New Zealand (24)

•Central and South America (1)

•Europe (63)

•North America (584)

Resource Types
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Commentary

Error Types

•Epidemiology of Errors and Adverse Events (40)

•Active Errors (221)

•Latent Errors (156)

•Near Miss (17)

Approach to Improving Safety

•Quality Improvement Strategies (237)

•Legal and Policy Approaches (140)

•Error Reporting and Analysis (197)

•Communication Improvement (268)

•Human Factors Engineering (126)

•Teamwork (92)

•Specialization of Care (80)

•Logistical Approaches (81)

•Culture of Safety (151)

•Technologic Approaches (143)

•Education and Training (236)

Clinical Areas

•Allied Health Services (4)

Target Audience

•Health Care Providers (646)

•Health Care Executives and Administrators (646)

•Non-Health Care Professionals (347)

•Patients (23)

Setting of Care

•Hospitals (566)

•Psychiatric Facilities (5)

•Residential Facilities (12)

•Ambulatory Care (68)

•Outpatient Surgery (3)

•Patient Transport (6)

1 - 20 of 809

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COMMENTARY

Do Not Disturb!

Duffy FD, Cassel CK. AHRQ WebM&M [serial online]. October 2007.

COMMENTARY

When “Psychiatric” Symptoms are Not.

Goldberg RJ. AHRQ WebM&M [serial online]. February 2003.

COMMENTARY

Back to Basics

Hellman R. AHRQ WebM&M [serial online]. March 2007.

COMMENTARY

Suicidal Man with Gun.

Simon RI. AHRQ WebM&M [serial online]. May 2003.

COMMENTARY

The Dangerous Detour.

Gibson J, Taylor D. AHRQ WebM&M [serial online]. June 2003.

COMMENTARY

All in the History

Fee C. AHRQ WebM&M [serial online]. February/March 2009.

COMMENTARY

On the Other Hand

Henneman EA. AHRQ WebM&M [serial online]. May 2007.

COMMENTARY

Triage Time Bomb.

Washington DL. AHRQ WebM&M [serial online]. January 2004.

COMMENTARY

Missed Appendicitis.

Adams JG. AHRQ WebM&M [serial online]. June 2003.

COMMENTARY

Lethal Vertigo.

Furman JM. AHRQ WebM&M [serial online]. June 2004.

COMMENTARY

Language Barrier

Flores G. AHRQ WebM&M [serial online]. April 2006.

COMMENTARY

Achieving the 'perfect handoff' in patient transfers: building teamwork and trust.

Clarke D, Werestiuk K, Schoffner A, et al. J Nurs Manag. 2012;20:592-598.

COMMENTARY

Another Fall.

Bogardus ST Jr. AHRQ WebM&M [serial online]. April 2003.

COMMENTARY

Preparing your hospital for compliance with The Joint Commission's National Patient Safety Goals.

Murdaugh L, Jordin R. Hosp Pharm. 2008;43:728-733.

COMMENTARY

To Transfer or Not to Transfer

Pines JM. AHRQ WebM&M [serial online]. January 2009.

COMMENTARY

Retrieval medicine: a review and guide for UK practitioners. Part 2: safety in patient retrieval systems.

Hearns S, Shirley PJ. Emerg Med J. 2006;23:943-947.

COMMENTARY

Undiagnosed Vaginal Bleeding.

Mandelblatt J. AHRQ WebM&M [serial online]. February 2004.

COMMENTARY

Rapid response systems: from implementation to evidence base.

Sarani B, Scott S. Jt Comm J Qual Patient Saf. 2010;36:514-517.

COMMENTARY

Dangerous Shift

Patterson ES. AHRQ WebM&M [serial online]. November 2008.

COMMENTARY

Human cognition and the dynamics of failure to rescue: the Lewis Blackman case.

Acquaviva K, Haskell H, Johnson J. J Prof Nurs. 2013;29:95-101.

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