AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (47)

•Diagnostic Errors (16)

•Identification Errors (7)

•Discontinuities, Gaps, and Hand-Off Problems (26)

•Fatigue and Sleep Deprivation (12)

•Medication Safety (90)

•Medical Complications (31)

•Nonsurgical Procedural Complications (8)

•Surgical Complications (25)

•Transfusion Complications (3)

•Psychological and Social Complications (11)

Origin/Sponsor

•Australia and New Zealand (2)

•North America (439)

Resource Types
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Commentary

Error Types

•Epidemiology of Errors and Adverse Events (11)

•Active Errors (50)

•Latent Errors (42)

•Near Miss (5)

Approach to Improving Safety

•Quality Improvement Strategies (133)

•Legal and Policy Approaches (81)

•Error Reporting and Analysis (124)

•Communication Improvement (65)

•Human Factors Engineering (86)

•Teamwork (32)

•Specialization of Care (33)

•Logistical Approaches (29)

•Culture of Safety (104)

•Technologic Approaches (141)

•Education and Training (76)

Clinical Areas

•Allied Health Services (3)

•Medicine (208)

•Nursing (28)

•Pharmacy (46)

Target Audience

•Health Care Providers (280)

•Health Care Executives and Administrators (427)

•Non-Health Care Professionals (279)

•Patients (15)

Setting of Care

•Hospitals (211)

•Residential Facilities (5)

•Ambulatory Care (26)

•Outpatient Surgery (1)

1 - 20 of 464

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COMMENTARY

Smart pumps: advanced capabilities and continuous quality improvement.

Vanderveen T. Patient Saf Quality Healthc. January/February 2007.

COMMENTARY

The need for systems integration in health care.

Mathews SC, Pronovost PJ. JAMA. 2011;305:934-935.

COMMENTARY

Error reporting as a preventive force.

Simpson RL. Nurs Manage. June 2005;36:21-24,56.

COMMENTARY

Risks related to patient bed safety.

Sharkey JE, Van Leuven K, Radovich P. J Nurs Care Qual. 2012;27:346-351.

COMMENTARY

Medical librarians supporting information systems project lifecycles toward improved patient safety.

Saimbert MK, Zhang Y, Pierce J, Moncrief ES, O'Hagan KB, Cole P. J Healthc Inf Manag. 2010;24:52-56.

COMMENTARY

A vision for patient-centered health information systems.

Krist AH, Woolf SH. JAMA. 2011;305:300-301.

COMMENTARY

Duke Surgery Patient Safety: an open-source application for anonymous reporting of adverse and near-miss surgical events.

Pietrobon R, Lima R, Shah A, et al. Ann Surg Innov Res. 2007;1:5.

COMMENTARY

Health care information technology vendors' "hold harmless" clause: implications for patients and clinicians.

Koppel R, Kreda D. JAMA. 2009;301:1276-1278.

COMMENTARY

Preventing medication errors in hospitals through a systems approach and technological innovation: a prescription for 2010.

Crane J, Crane FG. Hosp Top. Fall 2006;84:3-8.

COMMENTARY

IV medication safety software implementation in a multihospital health system.

Cassano AT. Hosp Pharm. 2006;41:151-156.

COMMENTARY

Framework for patient safety—part 1 and part 2.

Blouin AS, McDonagh KJ. J Nurs Adm. 2011;41:397-400, 450-452.

COMMENTARY

Meaningful use and certification of health information technology: what about safety?

Hoffman S, Podgurski A. J Law Med Ethics. 2011;39(suppl 1):77-80.

COMMENTARY

Latency of ECG displays of hospital telemetry systems: a science advisory from the American Heart Association.

Turakhia MP, Estes NA 3rd, Drew BJ, et al; Electrocardiography and Arrhythmias Committee of the American Heart Association Council on Clinical Cardiology and Council on Cardiovascular Nursing. Circulation. 2012;126:1665-1669.

COMMENTARY

MRI suites: safety outside the bore.

Gilk T. Patient Saf Qual Healthc. September/October 2006;3:16-18, 20-21.

COMMENTARY classic

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Defining health information technology–related errors: new developments since To Err Is Human.

Sittig DF, Singh H. Arch Intern Med. 2011;171:1281-1284.

COMMENTARY

A next act for patient safety.

Viola AF, Kallem C, Bronnert J. J AHIMA. 2009;80:30-35.

COMMENTARY

Video technology to advance safety in the operating room and perioperative environment.

Xiao Y, Schimpff S, Mackenzie C, et al. Surg Innov. 2007;14:52-61.

COMMENTARY

Smart pumps: implications for nurse leaders.

Kirkbride G, Vermace B. Nurs Adm Q. 2011;35:110-118.

COMMENTARY

Enhancing electronic health record usability in pediatric patient care: a scenario-based approach.

Patterson ES, Zhang J, Abbott P, et al. Jt Comm J Qual Patient Saf. 2013;39:129-135.

COMMENTARY

From tasks to processes: the case for changing health information technology to improve health care.

Walker JM, Carayon P. Health Aff. 2009;28:467-477.

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