AHRQ Patient Safety Network

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The Collection

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Safety Target

•Device-related Complications (75)

•Diagnostic Errors (111)

•Identification Errors (48)

•Discontinuities, Gaps, and Hand-Off Problems (282)

•Fatigue and Sleep Deprivation (60)

•Medication Safety (738)

•Medical Complications (296)

•Nonsurgical Procedural Complications (34)

•Surgical Complications (201)

•Transfusion Complications (11)

•Psychological and Social Complications (78)

Origin/Sponsor

•Africa (2)

•Asia (49)

•Australia and New Zealand (76)

•Central and South America (4)

•Europe (292)

•North America (1772)

Resource Types
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Study

Error Types

•Epidemiology of Errors and Adverse Events (1147)

•Active Errors (252)

•Latent Errors (86)

•Near Miss (54)

Approach to Improving Safety

•Quality Improvement Strategies (401)

•Legal and Policy Approaches (107)

•Error Reporting and Analysis (827)

•Communication Improvement (401)

•Human Factors Engineering (156)

•Teamwork (118)

•Specialization of Care (174)

•Logistical Approaches (198)

•Culture of Safety (228)

•Technologic Approaches (405)

•Education and Training (313)

Clinical Areas

•Allied Health Services (5)

•Medicine (1672)

•Nursing (193)

•Pharmacy (256)

Target Audience

•Health Care Providers (1420)

•Health Care Executives and Administrators (1761)

•Non-Health Care Professionals (764)

•Patients (21)

Setting of Care

•Hospitals (1647)

•Psychiatric Facilities (7)

•Residential Facilities (43)

•Ambulatory Care (256)

•Outpatient Surgery (13)

•Patient Transport (17)

1 - 20 of 2186

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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

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

Association of a clinical knowledge support system with improved patient safety, reduced complications and shorter length of stay among Medicare beneficiaries in acute care hospitals in the United States.

Bonis PA, Pickens GT, Rind DM, Foster DA. Int J Med Inform. 2008;77:745-753.

STUDY

Triangulating case-finding tools for patient safety surveillance: a cross-sectional case study of puncture/laceration.

Taylor JA, Gerwin D, Morlock L, Miller MR. Inj Prev. 2011;17:388-393.

STUDY

Impact of a statewide intensive care unit quality improvement initiative on hospital mortality and length of stay: retrospective comparative analysis.

Lipitz-Snyderman A, Steinwachs D, Needham DM, Colantuoni E, Morlock LL, Pronovost PJ. BMJ. 2011;342:d219.

STUDY

How do black-serving hospitals perform on patient safety indicators?: Implications for national public reporting and pay-for-performance.

Ly DP, Lopez L, Isaac T, Jha AK. Med Care. 2010;48:1133-1137.

STUDY

Using inpatient hospital discharge data to monitor patient safety events.

Taylor JA, Pandian RS, Mao L, Michael YL. J Healthc Risk Manag. 2013;32:26-33.

STUDY

Impact of attending physician workload on patient care: a survey of hospitalists.

Michtalik HJ, Yeh H, Pronovost PJ, Brotman DJ. JAMA Intern Med. 2013;173:375-377.

STUDY

Using the patient safety indicators to detect potential safety events among US veterans with psychotic disorders: clinical and research implications.

Smith EG, Zhao S, Rosen AK. Int J Qual Health Care. 2012;24:321-329.

STUDY

Is patient safety improving? National trends in patient safety indicators: 1998–2007.

Downey JR, Hernandez-Boussard T, Banka G, Morton JM. Health Serv Res. 2012;47:414-430.

STUDY

Tracking rates of patient safety indicators over time: lessons from the Veterans Administration.

Rosen AK, Zhao S, Rivard P, et al. Med Care. 2006;44:850-861.

STUDY

The association between night or weekend admission and hospitalization-relevant patient outcomes.

Khanna R, Wachsberg K, Marouni A, Feinglass J, Williams MV, Wayne DB. J Hosp Med. 2011;6:10-14.

STUDY

Economic measurement of medical errors using a hospital claims database.

David G, Gunnarsson CL, Waters HC, Horblyuk R, Kaplan HS. Value Health. 2013;16:305-310.

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

Contemporary evidence about hospital strategies for reducing 30-day readmissions: a national study.

Bradley EH, Curry L, Horwitz LI, et al. J Am Coll Cardiol. 2012;60:607-614.

STUDY

Medicaid markets and pediatric patient safety in hospitals.

Smith RB, Cheung R, Owens P, Wilson RM, Simpson L. Health Serv Res. 2007;42:1981-1998.

STUDY

Anticoagulation-associated adverse drug events.

Piazza G, Nguyen TN, Cios D, et al. Am J Med. 2011;124:1136-1142.

STUDY

Hospital performance trends on national quality measures and the association with Joint Commission accreditation.

Schmaltz SP, Williams SC, Chassin MR, Loeb JM, Wachter RM. J Hosp Med. 2011;6:458-465.

STUDY

Exploring relationships between patient safety culture and patients' assessments of hospital care.

Sorra J, Khanna K, Dyer N, Mardon R, Famolaro T. J Patient Saf. 2012;8:131-139.

STUDY

Relationship between medication event rates and the Leapfrog computerized physician order entry evaluation tool.

Leung AA, Keohane C, Lipsitz S, et al. J Am Med Inform Assoc. 2013 Apr 18; [Epub ahead of print].

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