AHRQ Patient Safety Network

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The Collection

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Safety Target

•Device-related Complications (64)

•Diagnostic Errors (68)

•Identification Errors (36)

•Discontinuities, Gaps, and Hand-Off Problems (258)

•Fatigue and Sleep Deprivation (56)

•Medication Safety (599)

•Medical Complications (240)

•Nonsurgical Procedural Complications (30)

•Surgical Complications (204)

•Transfusion Complications (8)

•Psychological and Social Complications (73)

Origin/Sponsor

•Africa (3)

•Asia (27)

•Australia and New Zealand (58)

•Central and South America (2)

•Europe (215)

•North America (1614)

Resource Types
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Study

Error Types

•Epidemiology of Errors and Adverse Events (710)

•Active Errors (217)

•Latent Errors (79)

•Near Miss (42)

Approach to Improving Safety

•Quality Improvement Strategies (424)

•Legal and Policy Approaches (101)

•Error Reporting and Analysis (516)

•Communication Improvement (468)

•Human Factors Engineering (155)

•Teamwork (209)

•Specialization of Care (170)

•Logistical Approaches (175)

•Culture of Safety (233)

•Technologic Approaches (350)

•Education and Training (322)

Clinical Areas

•Allied Health Services (5)

Target Audience

•Health Care Providers (1439)

•Health Care Executives and Administrators (1554)

•Non-Health Care Professionals (716)

•Patients (25)

Setting of Care

•Hospitals (1456)

•Psychiatric Facilities (8)

•Residential Facilities (48)

•Ambulatory Care (189)

•Outpatient Surgery (11)

•Patient Transport (19)

1 - 20 of 1906

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STUDY

National Quality Forum 30 safe practices: priority and progress in Iowa hospitals.

Ward MM, Evans TC, Spies AJ, Roberts LL, Wakefield DS. Am J Med Qual. 2006;21:101-108.

STUDY

Utility of an online medication-error-reporting system.

Savage SW, Schneider PJ, Pedersen CA. Am J Health Syst Pharm. 2005;62:2265-2270.

STUDY

Adherence to Surgical Care Improvement Project measures and the association with postoperative infections.

Stulberg JJ, Delaney CP, Neuhauser DV, Aron DC, Fu P, Koroukian SM. JAMA. 2010;303:2479-2485.

STUDY

Improving the discharge process by embedding a discharge facilitator in a resident team.

Finn KM, Heffner R, Chang Y, et al. J Hosp Med. 2011;6:494-500.

STUDY

Implementation of a medication reconciliation process in an ambulatory internal medicine clinic.

Nassaralla CL, Naessens JM, Chaudhry R, Hansen MA, Scheitel SM. Qual Saf Health Care. 2007;16:90-94.

STUDY

Results of a medication reconciliation survey from the 2006 Society of Hospital Medicine national meeting.

Clay BJ, Halasyamani L, Stucky ER, Greenwald JL, Williams MV. J Hosp Med. 2008;3:465-472.

STUDY

Operating room teamwork among physicians and nurses: teamwork in the eye of the beholder.

Makary MA, Sexton JB, Freischlag JA, et al. J Am Coll Surg. 2006;202:746-752.

STUDY

A multidisciplinary approach to reduce central line–associated bloodstream infections.

McMullan C, Propper G, Schuhmacher C, et al. Jt Comm J Qual Patient Saf. 2013;39:61-69.

STUDY

Multidisciplinary approach to inpatient medication reconciliation in an academic setting.

Varkey P, Cunningham J, O'Meara J, Bonacci R, Desai N, Sheeler R. Am J Health Syst Pharm. 2007;64:850-854.

STUDY

Medical reconciliation in patients discharged from the emergency department.

Sharma AN, Dvorkin R, Tucker V, Margulies J, Yens D, Rosalia A Jr. J Emerg Med. 2012;43:366-373.

STUDY

The Safety Organizing Scale: development and validation of a behavioral measure of safety culture in hospital nursing units.

Vogus TJ, Sutcliffe KM. Med Care. 2007;45:46-54.

STUDY

Clinical and economic outcomes attributable to health care–associated sepsis and pneumonia.

Eber MR, Laxminarayan R, Perencevich EN, Malani A. Arch Intern Med. 2010;170:347-353.

STUDY

Role of medical students in preventing patient harm and enhancing patient safety.

Seiden SC, Galvan C, Lamm R. Qual Saf Health Care. 2006;15:272-276.

STUDY

Effectiveness of a pharmacist–nurse intervention on resolving medication discrepancies for patients transitioning from hospital to home health care.

Setter SM, Corbett CF, Neumiller JJ, Gates BJ, Sclar DA, Sonnett TE. Am J Health Syst Pharm. 2009;66:2027-2031.

STUDY

Variations in surgical outcomes associated with hospital compliance with safety practices.

Brooke BS, Dominici F, Pronovost PJ, Makary MA, Schneider E, Pawlik TM. Surgery. 2012;151:651-659.

STUDY

Practically speaking: rethinking hand hygiene improvement programs in health care settings.

Son C, Chuck T, Childers T, et al. Am J Infect Control. 2011;39:716-724.

STUDY

Evaluation of an inpatient computerized medication reconciliation system.

Turchin A, Hamann C, Schnipper JL, et al. J Am Med Inform Assoc. 2008;15:449-452.

STUDY

The nature and causes of unintended events reported at 10 internal medicine departments.

Lubberding S, Zwaan L, Timmermans DR, Wagner C. J Patient Saf. 2011;7:224-231.

STUDY

Implementation of an electronic system for medication reconciliation.

Kramer JS, Hopkins PJ, Rosendale JC, et al. Am J Health Syst Pharm. 2007;64:404-422.

STUDY

Using the ISMP Medication Safety Self-Assessment to improve medication use processes.

Lesar T, Mattis A, Anderson E, et al. Jt Comm J Qual Saf. 2003;29:211-226.

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