AHRQ Patient Safety Network

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The Collection

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Safety Target

•Device-related Complications (49)

•Diagnostic Errors (61)

•Identification Errors (44)

•Discontinuities, Gaps, and Hand-Off Problems (200)

•Fatigue and Sleep Deprivation (47)

•Medication Safety (450)

•Medical Complications (208)

•Nonsurgical Procedural Complications (31)

•Surgical Complications (167)

•Transfusion Complications (10)

•Psychological and Social Complications (56)

Origin/Sponsor

•Asia (16)

•Australia and New Zealand (26)

•Europe (104)

•North America (1372)

Resource Types
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Study

Error Types

•Epidemiology of Errors and Adverse Events (589)

•Active Errors (199)

•Latent Errors (78)

•Near Miss (37)

Approach to Improving Safety

•Quality Improvement Strategies (308)

•Legal and Policy Approaches (71)

•Error Reporting and Analysis (530)

•Communication Improvement (292)

•Human Factors Engineering (131)

•Teamwork (109)

•Specialization of Care (129)

•Logistical Approaches (159)

•Culture of Safety (182)

•Technologic Approaches (275)

•Education and Training (273)

Clinical Areas

•Allied Health Services (1)

•Medicine (1104)

•Nursing (199)

•Pharmacy (144)

Target Audience

•Health Care Providers (994)

•Health Care Executives and Administrators (1363)

•Non-Health Care Professionals (573)

•Patients (10)

Setting of Care

•Hospitals (1259)

•Psychiatric Facilities (5)

•Residential Facilities (29)

•Ambulatory Care (104)

•Outpatient Surgery (8)

•Patient Transport (10)

1 - 20 of 1515

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STUDY

Evaluating the Patient Safety Indicators: how well do they perform on Veterans Health Administration data?

Rosen AK, Rivard P, Zhao S, et al. Med Care. 2005;43:873-884.

STUDY

Relevance of the Agency for Healthcare Research and Quality Patient Safety Indicators for children's hospitals.

Sedman A, Harris JM 2nd, Schulz K, et al. Pediatrics. 2005;115:135-145.

STUDY

Multiple patient safety events within a single hospitalization: a national profile in US hospitals.

Yu H, Greenberg MD, Haviland AM, Farley DO. Am J Med Qual. 2012;27:472-479.

STUDY

Exploring relationships between hospital patient safety culture and adverse events.

Mardon RE, Khanna K, Sorra J, Dyer N, Famolaro T. J Patient Saf. 2010;6:226-232.

STUDY

Impact of date stamping on patient safety measurement in patients undergoing CABG: experience with the AHRQ Patient Safety Indicators.

Glance LG, Li Y, Osler TM, Mukamel DB, Dick AW. BMC Health Serv Res. 2008;8:176.

STUDY

Clinical validation of the AHRQ postoperative venous thromboembolism patient safety indicator.

Henderson KE, Recktenwald AJ, Reichley RM, et al. Jt Comm J Qual Patient Saf. 2009;35:370-376.

STUDY

Understanding safer practices in health care: a prologue for the role of indicators.

Kazandjian VA, Wicker K, Ogunbo S, Silverman N. J Eval Clin Pract. 2005;11:161-170.

STUDY

Positive predictive value of the AHRQ accidental puncture or laceration patient safety indicator.

Utter GH, Zrelak PA, Baron R, et al. Ann Surg. 2009;250:1041-1045.

STUDY

Cost-effective enhancement of claims data to improve comparisons of patient safety.

Jordan HS, Pine M, Elixhauser A, et al. J Patient Saf. 2007;3:82-90.

STUDY

Relationship of safety climate and safety performance in hospitals.

Singer S, Lin S, Falwell A, Gaba D, Baker L. Health Serv Rev. 2009;44:399-421.

STUDY

The association between hospital characteristics and rates of preventable complications and adverse events.

Thornlow DK, Stukenborg GJ. Med Care. 2006;44:265-269.

STUDY

Examining the impact of the AHRQ Patient Safety Indicators (PSIs) on the Veterans Health Administration: the case of readmissions.

Rosen AK, Loveland S, Shin M, et al. Med Care. 2013;51:37-44.

STUDY

The influence of resident involvement on surgical outcomes.

Raval MV, Wang X, Cohen ME, et al. J Am Coll Surg. 2011;212:889-898.

STUDY

Care management implementation and patient safety.

Alexander JA, Weiner BJ, Baker LC, Shortell SM, Becker M. J Patient Saf. 2006:2:83-96.

STUDY

Does the patient's payer matter in hospital patient safety?: a study of urban hospitals.

Clement JP, Lindrooth RC, Chukmaitov AS, Chen HF. Med Care. 2007;45:131-138.

STUDY

The relationship between patients' perception of care and measures of hospital quality and safety.

Isaac T, Zaslavsky AM, Cleary PD, Landon BE. Health Serv Res. 2010;45:1024-1040.

STUDY

How best to measure surgical quality? Comparison of the Agency for Healthcare Research and Quality Patient Safety Indicators (AHRQ-PSI) and the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) postoperative adverse events at a single institution.

Cima RR, Lackore KA, Nehring SA, et al. Surgery. 2011;150:943-949.

STUDY

Selecting indicators for patient safety at the health system level in OECD countries.

McLoughlin V, Millar J, Mattke S, et al. Int J Qual Health Care. 2006;18(suppl 1):14-20.

STUDY

'Global Trigger Tool' shows that adverse events in hospitals may be ten times greater than previously measured.

Classen DC, Resar R, Griffin F, et al. Health Aff (Millwood). 2011;30:581-589.

STUDY

Chronic kidney disease adversely influences patient safety.

Seliger SL, Zhan M, Hsu VD, Walker LD, Fink JC. J Am Soc Nephrol. 2008;19:2414-2419.

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