AHRQ Patient Safety Network

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The Collection

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Safety Target

•Device-related Complications (64)

•Diagnostic Errors (45)

•Identification Errors (21)

•Discontinuities, Gaps, and Hand-Off Problems (231)

•Fatigue and Sleep Deprivation (49)

•Medication Safety (470)

•Medical Complications (240)

•Nonsurgical Procedural Complications (23)

•Surgical Complications (84)

•Transfusion Complications (6)

•Psychological and Social Complications (59)

Origin/Sponsor

•Africa (1)

•Asia (29)

•Australia and New Zealand (60)

•Europe (187)

•North America (1339)

Resource Types
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Study

Error Types

•Epidemiology of Errors and Adverse Events (575)

•Active Errors (148)

•Latent Errors (109)

•Near Miss (32)

Approach to Improving Safety

•Quality Improvement Strategies (310)

•Legal and Policy Approaches (89)

•Error Reporting and Analysis (482)

•Communication Improvement (324)

•Human Factors Engineering (118)

•Teamwork (105)

•Specialization of Care (173)

•Logistical Approaches (161)

•Culture of Safety (211)

•Technologic Approaches (304)

•Education and Training (246)

Clinical Areas

•Allied Health Services (3)

•Medicine (1258)

•Nursing (155)

•Pharmacy (161)

Target Audience

•Health Care Providers (1004)

•Health Care Executives and Administrators (1337)

•Non-Health Care Professionals (601)

•Patients (18)

Setting of Care

•Hospitals (1362)

•Psychiatric Facilities (2)

•Residential Facilities (18)

•Ambulatory Care (139)

•Outpatient Surgery (5)

•Patient Transport (6)

1 - 20 of 1600

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STUDY

Sustained effectiveness of a primary-team-based rapid response system.

Howell MD, Ngo L, Folcarelli P, et al. Crit Care Med. 2012;40:2562-2568.

STUDY

Predictive combinations of monitor alarms preceding in-hospital code blue events.

Hu X, Sapo M, Nenov V, et al. J Biomed Inform. 2012;45:913-921.

STUDY

Change in intern calls at night after a work hour restriction process change.

Spellberg B, Sue D, Chang D, Witt M. JAMA Intern Med. 2013;173:707-709.

STUDY

Does the Leapfrog program help identify high-quality hospitals?

Jha AK, Orav EJ, Ridgway AB, Zheng J, Epstein AM. Jt Comm J Qual Patient Saf. 2008;34:318-325.

STUDY

Defining impact of a rapid response team: qualitative study with nurses, physicians and hospital administrators.

Benin AL, Borgstrom CP, Jenq GY, Roumanis SA, Horwitz LI. BMJ Qual Saf. 2012;21:391-398.

STUDY

Smartphone use during inpatient attending rounds: prevalence, patterns and potential for distraction.

Katz-Sidlow RJ, Ludwig A, Miller S, Sidlow R. J Hosp Med. 2012;7:595-599.

STUDY

Rapid response systems: a prospective study of response times.

Adelstein BA, Piza MA, Nayyar V, Mudaliar Y, Klineberg PL, Rubin G. J Crit Care. 2011;26:635.e11-635.e18.

STUDY

Impact of proactive rounding by a rapid response team on patient outcomes at an academic medical center.

Butcher BW, Vittinghoff E, Maselli J, Auerbach AD. J Hosp Med. 2013;8:7-12.

STUDY

Residents' response to duty-hour regulations—a follow-up national survey.

Drolet BC, Christopher DA, Fischer SA. N Engl J Med. 2012;366:e35.

STUDY

High-reliability emergency response teams in the hospital: improving quality and safety using in situ simulation training.

Wheeler DS, Geis G, Mack EH, LeMaster T, Patterson MD. BMJ Qual Saf. 2013 Mar 1; [Epub ahead of print].

STUDY

"Did I do as best as the system would let me?" Healthcare professional views on hospital to home care transitions.

Davis MM, Devoe M, Kansagara D, Nicolaidis C, Englander H. J Gen Intern Med. 2012;27:1649-1656.

STUDY

Rapid response team in a rural hospital.

Brown S, Anderson MA, Hill PD. Clin Nurse Spec. 2012;26:95-102.

STUDY

Differences in outcomes between ICU attending and senior resident physician led medical emergency team responses.

Morris DS, Schweickert W, Holena D, et al. Resuscitation. 2012;83:1434-1437.

STUDY

Medicare's policy not to pay for treating hospital-acquired conditions: the impact.

McNair PD, Luft HS, Bindman AB. Health Aff (Millwood). 2009;28:1485-1493.

STUDY

Using Lean to improve medication administration safety: in search of the "perfect dose."

Ching JM, Long C, Williams BL, Blackmore CC. Jt Comm J Qual Patient Saf. 2013;39:195-204.

STUDY

Prolonged hospital stay and the resident duty hour rules of 2003.

Silber JH, Rosenbaum PR, Rosen AK, et al. Med Care. 2009;47:1191-1200.

STUDY

Impact of electronic prescribing in a hospital setting: a process-focused evaluation.

Cunningham TR, Geller ES, Clarke SW. Int J Med Inform. 2008;77:546-554.

STUDY

Diet order entry by registered dietitians results in a reduction in error rates and time delays compared with other health professionals.

Imfeld K, Keith M, Stoyanoff L, Fletcher H, Miles S, McLaughlin J. J Acad Nutr Diet. 2012;112:1656-1661.

STUDY

A framework for engaging physicians in quality and safety.

Taitz JM, Lee TH, Sequist TD. BMJ Qual Saf. 2012;21:722-728.

STUDY

Patient safety, satisfaction, and quality of hospital care: cross sectional surveys of nurses and patients in 12 countries in Europe and the United States.

Aiken LH, Sermeus W, Van den Heede K, et al. BMJ. 2012;344:e1717.

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