AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (44)

•Diagnostic Errors (56)

•Identification Errors (22)

•Discontinuities, Gaps, and Hand-Off Problems (109)

•Fatigue and Sleep Deprivation (31)

•Medication Safety (200)

•Medical Complications (77)

•Nonsurgical Procedural Complications (29)

•Surgical Complications (89)

•Transfusion Complications (5)

•Psychological and Social Complications (31)

Origin/Sponsor

•Australia and New Zealand (13)

•Central and South America (2)

•North America (775)

Resource Types
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Commentary

Error Types

•Epidemiology of Errors and Adverse Events (64)

•Active Errors (161)

•Latent Errors (88)

•Near Miss (15)

Approach to Improving Safety

•Quality Improvement Strategies (234)

•Legal and Policy Approaches (97)

•Error Reporting and Analysis (222)

•Communication Improvement (229)

•Human Factors Engineering (146)

•Teamwork (80)

•Specialization of Care (82)

•Logistical Approaches (68)

•Culture of Safety (130)

•Technologic Approaches (145)

•Education and Training (203)

Clinical Areas

•Allied Health Services (3)

•Dentistry (1)

•Medicine (579)

•Nursing (110)

•Pharmacy (91)

Target Audience

•Health Care Providers (685)

•Health Care Executives and Administrators (720)

•Non-Health Care Professionals (303)

•Patients (14)

Setting of Care

•Hospitals (593)

•Psychiatric Facilities (1)

•Residential Facilities (2)

•Ambulatory Care (65)

•Outpatient Surgery (7)

•Patient Transport (4)

1 - 20 of 897

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COMMENTARY

Clinical nurse specialists as leaders in rapid response.

Jenkins SD, Lindsey PL. Clin Nurse Spec. 2010;24:24-30.

COMMENTARY

Development of a modified early warning score using the electronic medical record.

Albert BL, Huesman L. Dimens Crit Care Nurs. 2011;30:283-292.

COMMENTARY

Evolution of a rapid response system from voluntary to mandatory activation.

Jones CM, Bleyer AJ, Petree B. Jt Comm J Qual Patient Saf. 2010;36:266-270.

COMMENTARY

Rapid response systems: from implementation to evidence base.

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

COMMENTARY

Rethinking rapid response teams.

Litvak E, Pronovost PJ. JAMA. 2010;304:1375-1376.

COMMENTARY

Using an advanced practice nursing model for a rapid response team.

Benson L, Mitchell C, Link M, Carlson G, Fisher J. Jt Comm J Qual Patient Saf. 2008;34:743-747.

COMMENTARY

Rolling out the rapid response team.

Gallagher-Ford L, Fineout-Overholt E, Melnyk BM, Stillwell SB. Am J Nurs. 2011;111:42-47.

COMMENTARY

Improving rapid response systems: progress, issues, and future directions.

Øvretveit J, Suffoletto J. Jt Comm J Qual Patient Saf. 2007;33:512-519.

COMMENTARY

The growth of rapid response systems.

Steel AC, Reynolds SF. Jt Comm J Qual Patient Saf. 2008;34:489-495.

COMMENTARY

Findings of the first consensus conference on medical emergency teams.

Devita MA, Bellomo R, Hillman K, et al. Crit Care Med. 2006;34;2463-2478.

COMMENTARY

Implementation of a rapid response team: a success story.

Scott SS, Elliott S. Crit Care Nurse. 2009;29:66-75.

COMMENTARY

Intrahospital transport to the radiology department: risk for adverse events, nursing surveillance, utilization of a MET and practice implications.

Ott LK, Hoffman LA, Hravnak M. J Radiol Nurs. 2011;30:49-52.

COMMENTARY

Residents' duty hours—toward an empirical narrative.

Rosenbaum L, Lamas D. N Engl J Med. 2012;367:2044-2049.

COMMENTARY

In Conversation with…Peter J. Pronovost, MD, PhD

AHRQ WebM&M [serial online]. June 2005.

COMMENTARY

Hospitalists as emerging leaders in patient safety: targeting a few to affect many.

Flanders SA, Kaufman SR, Saint S. J Patient Saf. 2005;1:78-82.

COMMENTARY classic

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Fixing healthcare from the inside, today.

Spear SJ. Harv Bus Rev. September 2005;83:78-91.

COMMENTARY

A pediatric medical emergency team manages a complex child with hypoxia and a worried parent.

Shilkofski NA, Hunt EA. Jt Comm J Qual Patient Saf. 2007;33:236-241.

COMMENTARY

An implementation strategy for a multicenter pediatric rapid response system in Ontario.

Lobos A, Costello J, Gilleland J, Gaiteiro R, Kotsakis A; The Ontario Pediatric Critical Care Response Team Collaborative. Jt Comm J Qual Patient Saf. 2010;36:271-280.

COMMENTARY

Improving sepsis care through systems change: the impact of a medical emergency team.

Sarani B, Brenner SR, Gabel B, et al. Jt Comm J Qual Patient Saf. 2008;34:179-182.

COMMENTARY

Using incident reporting to improve patient safety: a conceptual model.

Pronovost PJ, Holzmueller CG, Young J, et al. J Patient Saf. 2007;3:27-33.

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