AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (102)

•Diagnostic Errors (99)

•Identification Errors (69)

•Discontinuities, Gaps, and Hand-Off Problems (605)

•Fatigue and Sleep Deprivation (82)

•Medication Safety (731)

•Medical Complications (308)

•Nonsurgical Procedural Complications (41)

•Surgical Complications (194)

•Transfusion Complications (13)

•Psychological and Social Complications (89)

Origin/Sponsor

•Asia (6)

•Australia and New Zealand (16)

•Central and South America (1)

•Europe (61)

•North America (2396)

Resource Types

•Audiovisual (78)

•Award (23)

•Book/Report (158)

•Clinical Guideline (3)

•Journal Article (1426)

•Legislation/Regulation (34)

•Meeting/Conference (14)

•Newsletter/Journal (4)

•Newspaper/Magazine Article (576)

•Press Release/Announcement (10)

•Special or Theme Issue (24)

•Tools/Toolkit (58)

•Web Resource (82)

•Grant (3)

Error Types

•Epidemiology of Errors and Adverse Events (440)

•Active Errors (346)

•Latent Errors (178)

•Near Miss (22)

Approach to Improving Safety

•Quality Improvement Strategies (551)

•Legal and Policy Approaches (351)

•Error Reporting and Analysis (613)

•Communication Improvement (807)

•Human Factors Engineering (262)

•Teamwork (145)

•Specialization of Care (190)

•Logistical Approaches (229)

•Culture of Safety (307)

•Technologic Approaches (413)

•Education and Training (504)

Clinical Areas

•Allied Health Services (5)

Target Audience

•Health Care Providers (1492)

•Health Care Executives and Administrators (1646)

•Non-Health Care Professionals (784)

•Patients (668)

Setting of Care

•Hospitals (2045)

•Psychiatric Facilities (8)

•Residential Facilities (38)

•Ambulatory Care (248)

•Outpatient Surgery (23)

•Patient Transport (11)

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NEWSPAPER/MAGAZINE ARTICLE

Don't come back, hospitals say.

Landro L. Wall Street Journal. June 7, 2011:D3.

NEWSPAPER/MAGAZINE ARTICLE

Minnesota hospitals are testing ways to reduce return trips.

Lerner M. Star Tribune. October 11, 2012.

NEWSPAPER/MAGAZINE ARTICLE

Patients, beware: 731 nurses reveal what to watch out for in the hospital.

Consumer Reports Health. September 2009.

NEWSPAPER/MAGAZINE ARTICLE

Aftercare tips for patients checking out of the hospital.

Alderman L. New York Times. June 18, 2010;B6.

NEWSPAPER/MAGAZINE ARTICLE

VA takes the lead in paperless care.

Brown D. Washington Post. April 10, 2007:HE01.

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.

NEWSPAPER/MAGAZINE ARTICLE

Noah's story: please listen.

Lord T. Patient Saf Qual Healthc. March/April 2012;9:38-41,44.

NEWSPAPER/MAGAZINE ARTICLE

Rapid response team activation by patients can mitigate errors.

ISMP Medication Safety Alert! Acute Care Edition. June 1, 2006:1-2.

MULTI-USE WEBSITE

Transitions of Care (TOC) Portal.

The Joint Commission.

NEWSPAPER/MAGAZINE ARTICLE

Checking the right boxes, but failing the patient.

Rifkin D. New York Times. November 16, 2009;Science Desk:5.

NEWSPAPER/MAGAZINE ARTICLE

Discharge missteps can send seniors back to hospital.

Korc B, Landers SJ. American Medical News. February 15, 2010.

NEWSPAPER/MAGAZINE ARTICLE

Can high tech save your life?

Fischman J. US News and World Report. August 1, 2005;139:45,49-50,52.

NEWSPAPER/MAGAZINE ARTICLE

Five hospitals release data on inspections.

Kowalczyk L. Boston Globe. April 21, 2007:B1.

NEWSPAPER/MAGAZINE ARTICLE

Hospital bracelets face hurdles as they fix hazard.

Hartocollis A. New York Times. September 25, 2008; Metropolitan Desk section: A1.

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.

NEWSPAPER/MAGAZINE ARTICLE

Night shift nightmare.

Alexander M. Reader's Digest. June 2007.

NEWSPAPER/MAGAZINE ARTICLE

Doctors could learn something about medical handoffs from the Navy.

Parikh R. Los Angeles Times. April 18, 2011.

NEWSPAPER/MAGAZINE ARTICLE

Hospitals target risks of color wristbands.

Landro L. Wall Street Journal. April 4, 2007:D5.

AUDIOVISUAL

How to Make Your Hospital Stay Safer and Cheaper: A Checklist.

Kane J. PBS NewsHour. October 23, 2012.

NEWSPAPER/MAGAZINE ARTICLE

Hospitals move to reduce risk of night shift.

Landro L. Wall Street Journal. May 28, 2008:D1.

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