AHRQ Patient Safety Network

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The Collection

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Safety Target

•Device-related Complications (81)

•Diagnostic Errors (148)

•Identification Errors (62)

•Discontinuities, Gaps, and Hand-Off Problems (266)

•Fatigue and Sleep Deprivation (69)

•Medication Safety (762)

•Medical Complications (233)

•Nonsurgical Procedural Complications (48)

•Surgical Complications (297)

•Transfusion Complications (12)

•Psychological and Social Complications (72)

Origin/Sponsor

•Africa (1)

•Asia (52)

•Australia and New Zealand (68)

•Central and South America (6)

•Europe (303)

•North America (1775)

Resource Types
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Study

Error Types

•Epidemiology of Errors and Adverse Events (1172)

•Active Errors (338)

•Latent Errors (80)

•Near Miss (58)

Approach to Improving Safety

•Quality Improvement Strategies (425)

•Legal and Policy Approaches (95)

•Error Reporting and Analysis (778)

•Communication Improvement (418)

•Human Factors Engineering (203)

•Teamwork (141)

•Specialization of Care (144)

•Logistical Approaches (198)

•Culture of Safety (196)

•Technologic Approaches (420)

•Education and Training (395)

Clinical Areas

•Allied Health Services (4)

•Complementary and Alternative Medicine (1)

Target Audience

•Health Care Providers (1614)

•Health Care Executives and Administrators (1871)

•Non-Health Care Professionals (760)

•Patients (20)

Setting of Care

•Hospitals (1506)

•Psychiatric Facilities (9)

•Residential Facilities (56)

•Ambulatory Care (235)

•Outpatient Surgery (15)

•Patient Transport (21)

1 - 20 of 2214

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STUDY

An intervention to decrease catheter-related bloodstream infections in the ICU.

Pronovost P, Needham D, Berenholtz S, et al. N Engl J Med. 2006;355:2725-2732.

STUDY

Outcomes of care by hospitalists, general internists, and family physicians.

Lindenauer PK, Rothberg MB, Pekow PS, Kenwood C, Benjamin EM, Auerbach AD. N Engl J Med. 2007;357:2589-2600.

STUDY

The American College of Surgeons' closed claims study: new insights for improving care.

Griffen FD, Stephens LS, Alexander JB, et al. J Am Coll Surg. 2007;204:561-569.

STUDY

Wrong-side/wrong-site, wrong-procedure, and wrong-patient adverse events: are they preventable?

Seiden SC, Barach P. Arch Surg. 2006;141:931-939.

STUDY

The 80-hour work guidelines and resident survey perceptions of quality.

Biller CK, Antonacci AC, Pelletier S, et al. J Surg Res. 2006;135:275-281.

STUDY

Prescribers' responses to alerts during medication ordering in the long term care setting.

Judge J, Field TS, DeFlorio M, et al. J Am Med Inform Assoc. 2006;13:385-390.

STUDY

Medication error reporting in nursing homes: identifying targets for patient safety improvement.

Greene SB, Williams CE, Pierson S, Hansen RA, Carey TS. Qual Saf Health Care. 2010;19:218-222.

STUDY

Surgical specimen identification errors: a new measure of quality in surgical care.

Makary MA, Epstein J, Pronovost PJ, Millman EA, Hartmann EC, Freischlag JA. Surgery. 2007;141:450-455.

STUDY

Paramedic self-reported medication errors.

Vilke GM, Tornabene SV, Stepanski B, et al. Prehosp Emerg Care. 2006;10:457-462.

STUDY

Perceived impact of duty hours limits on the fragmentation of patient care: results from an academic health center.

Keating RJ, LaRusso NF, Kolars JC. Am J Med. 2005;118:788-793.

STUDY

The impact of the 80-hour resident workweek on surgical residents and attending surgeons.

Hutter MM, Kellogg KC, Ferguson CM, Abbott WM, Warshaw AL. Ann Surg. 2006;243:864-871; discussion 871-875.

STUDY

Pharmacist-supported medication review training for general practitioners: feasibility and acceptability.

Krska J, Gill D, Hansford D. Med Educ. 2006;40:1217-1225.

STUDY

Direct reporting of laboratory test results to patients by mail to enhance patient safety.

Sung S, Forman-Hoffman V, Wilson MC, Cram P. J Gen Intern Med. 2006;21:1075-78.

STUDY

Retained surgical items: a problem yet to be solved.

Stawicki SP, Moffatt-Bruce SD, Ahmed HM, et al. J Am Coll Surg. 2013;216:15-22.

STUDY

Impact of resident participation in surgical operations on postoperative outcomes: National Surgical Quality Improvement Program.

Kiran RP, Ahmed Ali U, Coffey JC, Vogel JD, Pokala N, Fazio VW. Ann Surg. 2012;256:469-475.

STUDY

The effect of a rapid response team on major clinical outcome measures in a community hospital.

Dacey MJ, Mirza ER, Wilcox V, et al. Crit Care Med. 2007;35:2076-2082.

STUDY

Patient perceptions of mistakes in ambulatory care.

Kistler CE, Walter LC, Mitchell CM, Sloane PD. Arch Intern Med. 2010;170:1480-1487.

STUDY

Operating room briefings and wrong-site surgery.

Makary MA, Mukherjee A, Sexton BJ, et al. J Am Coll Surg. 2007;204:236-243.

STUDY

Patient safety concerns arising from test results that return after hospital discharge.

Roy CL, Poon EG, Karson AS, et al. Ann Intern Med. 2005;143:121-128.

STUDY

Resident attitudes regarding the impact of the 80–duty-hours work standards.

Zonia SC, LaBaere RJ, Stommel M, Tomaszewski DD. J Am Osteopath Assoc. 2005;105:307-313.

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