AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (127)

•Diagnostic Errors (170)

•Identification Errors (46)

•Discontinuities, Gaps, and Hand-Off Problems (160)

•Fatigue and Sleep Deprivation (23)

•Medication Safety (696)

•Medical Complications (424)

•Nonsurgical Procedural Complications (45)

•Surgical Complications (471)

•Transfusion Complications (14)

•Psychological and Social Complications (60)

Origin/Sponsor

•Africa (6)

•Asia (34)

•Australia and New Zealand (69)

•Central and South America (10)

•Europe (579)

•North America (1490)

Resource Types

•Audiovisual (15)

•Award (7)

•Book/Report (156)

•Clinical Guideline (4)

•Journal Article (1689)

•Legislation/Regulation (24)

•Meeting/Conference (23)

•Newsletter/Journal (3)

•Newspaper/Magazine Article (135)

•Press Release/Announcement (14)

•Special or Theme Issue (60)

•Tools/Toolkit (22)

•Web Resource (60)

•Grant (11)

Error Types

•Epidemiology of Errors and Adverse Events (565)

•Active Errors (321)

•Latent Errors (137)

•Near Miss (33)

Approach to Improving Safety

•Quality Improvement Strategies (859)

•Legal and Policy Approaches (253)

•Error Reporting and Analysis (769)

•Communication Improvement (406)

•Human Factors Engineering (346)

•Teamwork (228)

•Specialization of Care (100)

•Logistical Approaches (118)

•Culture of Safety (635)

•Technologic Approaches (318)

•Education and Training (365)

Clinical Areas

•Allied Health Services (4)

•Complementary and Alternative Medicine (1)

Target Audience

•Health Care Providers (1301)

•Health Care Executives and Administrators (2020)

•Non-Health Care Professionals (1095)

•Patients (100)

Setting of Care

•Hospitals (1360)

•Psychiatric Facilities (8)

•Residential Facilities (45)

•Ambulatory Care (160)

•Outpatient Surgery (30)

•Patient Transport (13)

1 - 20 of 2223

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COMMENTARY

Organisational safety indicators: some conceptual considerations and a supplementary qualitative approach.

Kongsvik T, Almklov P, Fenstad J. Saf Sci. 2010;48:1402-1411.

MULTI-USE WEBSITE

1000 Lives Plus.

NHS Wales.

COMMENTARY

Breaking the mould in patient safety.

Degos L, Amalberti R, Bacou J, Carlet J, Bruneau C. BMJ. 2009;338:b2585.

BOOK/REPORT

IBEAS: A Pioneer Study on Patient Safety in Latin America: Towards Safer Hospital Care.

Geneva, Switzerland: World Health Organization; 2011.

NEWSPAPER/MAGAZINE ARTICLE

How hospital design saves lives.

Blum A. Business Week. August 15, 2006.

REVIEW

Patient safety in dermatology: a review of the literature.

Cao LY, Taylor JS, Vidimos A. Dermatol Online J. 2010;16:3.

REVIEW

Adverse events experienced by homecare patients: a scoping review of the literature.

Masotti P, McColl MA, Green M. Int J Qual Health Care. 2010;22:115-125.

REVIEW

Quality and safety indicators in anesthesia: a systematic review.

Haller G, Stoelwinder J, Myles PS, McNeil J. Anesthesiology. 2009;110:1158-1175.

STUDY

A comparison of hospital adverse events identified by three widely used detection methods.

Naessens JM, Campbell CR, Huddleston JM, et al. Int J Qual Health Care. 2009;21:301-307.

BOOK/REPORT

Focus on Patient Safety.

Fitzpatrick J, Stone P, Hinton-Walker P, eds. Annual Review of Nursing Research. New York, NY: Springer; 2006. ISBN: 0826141366.

BOOK/REPORT

National Healthcare Quality Reports.

Rockville, MD: Agency for Healthcare Research and Quality; May 2013. AHRQ Publication No. 13-0002.

BOOK/REPORT

Inspiring Ideas and Celebrating Successes: A Guidebook to Leading Patient Safety Practices in Ontario Hospitals.

OHA Patient Safety Support Service. Toronto, Ontario, Canada: Ontario Hospital Association; 2006.

STUDY

Racial disparities in the frequency of patient safety events: results from the National Medicare Patient Safety Monitoring System.

Metersky ML, Hunt DR, Kliman R, et al. Med Care. 2011;49:504-510.

STUDY

Patient safety in intensive care: results from the multinational Sentinel Events Evaluation (SEE) study.

Valentin A, Capuzzo M, Guidet B, et al. Intensive Care Med. 2006;32:1591-1598.

COMMENTARY

Unintended transplantation of three organs from an HIV-positive donor: report of the analysis of an adverse event in a regional health care service in Italy.

Bellandi T, Albolino S, Tartaglia R, Filipponi F. Transplant Proc. 2010;42:2187-2189.

BOOK/REPORT

Tennessee Center for Patient Safety Annual Report 2010.

Nashville, TN: Tennessee Center for Patient Safety; August 2011.

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.

BOOK/REPORT

Back to Basics.

Gima Z, Gosselar P, Levine A, Lincoln T, Ramirez A. Washington, DC: Public Citizen; August 6, 2009.

STUDY

Analysis of 23,364 patient-generated, physician-reviewed malpractice claims from a non-tort, blame-free, national patient insurance system: lessons learned from Sweden.

Pukk-Härenstam K, Ask J, Brommels M, Thor J, Penaloza RV, Gaffney FA. Qual Saf Health Care. 2008;17:259-263.

MULTI-USE WEBSITE

African Partnerships for Patient Safety.

Geneva, Switzerland: WHO Patient Safety, World Health Organization.

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