AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (27)

•Diagnostic Errors (2)

•Identification Errors (2)

•Discontinuities, Gaps, and Hand-Off Problems (2)

•Medication Safety (20)

•Medical Complications (7)

•Nonsurgical Procedural Complications (4)

•Surgical Complications (9)

•Transfusion Complications (1)

Origin/Sponsor

•Australia and New Zealand (4)

•Europe (20)

•North America (64)

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Commentary

Error Types

•Epidemiology of Errors and Adverse Events (3)

•Active Errors (18)

•Latent Errors (10)

•Near Miss (2)

Approach to Improving Safety

•Quality Improvement Strategies (57)

•Legal and Policy Approaches (8)

•Error Reporting and Analysis (33)

•Communication Improvement (14)

•Human Factors Engineering (42)

•Teamwork (6)

•Logistical Approaches (2)

•Culture of Safety (16)

•Technologic Approaches (15)

•Education and Training (13)

Clinical Areas

Target Audience

•Health Care Providers (45)

•Health Care Executives and Administrators (86)

•Non-Health Care Professionals (78)

•Patients (1)

Setting of Care

•Hospitals (44)

•Ambulatory Care (5)

•Outpatient Surgery (2)

•Patient Transport (1)

1 - 20 of 102

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COMMENTARY

MRI suites: safety outside the bore.

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

COMMENTARY

Risk, society and system failure.

Scalliet P. Radiother Oncol. 2006;80:275-281.

COMMENTARY

A practical framework for patient care teams to prospectively identify and mitigate clinical hazards.

Herzer KR, Rodriguez-Paz JM, Doyle PA, et al. Jt Comm J Qual Patient Saf. 2009;35:72-81.

COMMENTARY

Intravenous medication safety and smart infusion systems: lessons learned and future opportunities.

Keohane CA, Hayes J, Saniuk C, Rothschild JM, Bates DW. J Infus Nurs. 2005;28:321-328.

COMMENTARY

Safety management in different high-risk domains—all the same?

Grote G. Safety Sci. 2012;50:1983-1992.

COMMENTARY

Profiles in patient safety: misplaced femoral line guidewire and multiple failures to detect the foreign body on chest radiography.

Lum TE, Fairbanks RJ, Pennington EC, Zwemer FL. Acad Emerg Med. 2005;12:658-662.

COMMENTARY

In Conversation With...Donald A. Norman, PhD

AHRQ WebM&M [serial online]. November 2006.

COMMENTARY

Epidural pump programming error leading to inadvertent 10-fold dosing error during epidural labor analgesia with ropivacaine.

Thyen AB, McAllister RK, Councilman LM. J Patient Saf. 2010;6:244-246.

COMMENTARY

Enteral feeding misconnections: a consortium position statement.

Guenter P, Hicks RW, Simmons D, et al. Jt Comm J Qual Patient Saf. 2008;34:285-292.

COMMENTARY

Impatient Inpatient Dosing

White RH. AHRQ WebM&M [serial online]. July/August 2005.

COMMENTARY

Patient safety in obstetrics and gynecology: an agenda for the future.

Pearlman MD. Obstet Gynecol. 2006;108:1266-1271.

COMMENTARY

Critical care checklists, the Keystone Project, and the Office for Human Research Protections: a case for streamlining the approval process in quality-improvement research.

Savel RH, Goldstein EB, Gropper MA. Crit Care Med. 2009;37:725-728.

COMMENTARY

Taking aim at infusion confusion.

Burdeu G, Crawford R, van de Vreede M, McCann J. J Nurs Care Qual. 2006;21:151-159.

COMMENTARY

Smart pumps: advanced capabilities and continuous quality improvement.

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

COMMENTARY

Right? Left? Neither!

Howell EA, Chassin MR. AHRQ WebM&M [serial online]. May 2006.

COMMENTARY

In Conversation with...James P. Bagian, MD

AHRQ WebM&M [serial online]. September 2006.

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

Bridging the gap: leveraging business intelligence tools in support of patient safety and financial effectiveness.

Ferranti JM, Langman MK, Tanaka D, McCall J, Ahmad A. J Am Med Inform Assoc. 2010;17:136-143.

COMMENTARY

Reviewing methodologically disparate data: a practical guide for the patient safety research field.

Brown KF, Long SJ, Athanasiou T, Vincent CA, Kroll JS, Sevdalis N. J Eval Clin Pract. 2012;18:172-181.

COMMENTARY

Improving heparin safety: a multidisciplinary invited conference.

Peterson C, Ham CW, Vanderveen T. Hosp Pharm. 2008;43:491-497.

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