AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (114)

•Diagnostic Errors (111)

•Identification Errors (95)

•Discontinuities, Gaps, and Hand-Off Problems (263)

•Fatigue and Sleep Deprivation (49)

•Medication Safety (729)

•Medical Complications (290)

•Nonsurgical Procedural Complications (67)

•Surgical Complications (315)

•Transfusion Complications (12)

•Psychological and Social Complications (96)

Origin/Sponsor

•Asia (2)

•Australia and New Zealand (10)

•Central and South America (1)

•Europe (39)

•North America (2458)

Resource Types

•Clinical Guideline (5)

•Journal Article (1372)

•Legislation/Regulation (43)

•Meeting/Conference (21)

•Newsletter/Journal (13)

•Newspaper/Magazine Article (491)

•Press Release/Announcement (30)

•Special or Theme Issue (36)

•Tools/Toolkit (71)

•Web Resource (132)

•Grant (5)

Error Types

•Epidemiology of Errors and Adverse Events (437)

•Active Errors (419)

•Latent Errors (146)

•Near Miss (37)

Approach to Improving Safety

•Quality Improvement Strategies (588)

•Legal and Policy Approaches (359)

•Error Reporting and Analysis (613)

•Communication Improvement (760)

•Human Factors Engineering (317)

•Teamwork (181)

•Specialization of Care (144)

•Logistical Approaches (142)

•Culture of Safety (292)

•Technologic Approaches (385)

•Education and Training (555)

Clinical Areas

•Allied Health Services (8)

Target Audience

•Health Care Providers (2142)

•Health Care Executives and Administrators (1631)

•Non-Health Care Professionals (826)

•Patients (727)

Setting of Care

•Hospitals (1384)

•Psychiatric Facilities (12)

•Residential Facilities (47)

•Ambulatory Care (298)

•Outpatient Surgery (35)

•Patient Transport (18)

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NEWSPAPER/MAGAZINE ARTICLE

Health literacy—a quality and patient safety imperative.

Foubister V. Quality Matters. November/December 2006.

COMMENTARY

Prevent medication errors: a New Year's resolution: teaching patients about their medications.

Polzien G. Home Healthc Nurse. 2007;25:59-62.

NEWSPAPER/MAGAZINE ARTICLE

10 things your hospital won't tell you.

Kapadia R. Smart Money. October 2006;15:112-114.

FACT SHEET/FAQS

Pharmacy Safety and Service—What You Should Expect.

Chicago, IL: National Patient Safety Foundation; 2003.

NEWSPAPER/MAGAZINE ARTICLE

Q: What scares doctors? A: Being the patient.

Gibbs N, Bower A. Time Magazine. May 1, 2006.

TOOLKIT

Partnering with Patients and Families to Enhance Safety and Quality: A Mini Toolkit.

Bethesda, MD: Institute for Patient- and Family-Centered Care; 2011.

NEWSPAPER/MAGAZINE ARTICLE

Library-hospital pairing empowers patients, improves safety.

Briefings on Patient Safety. June 2005;6:1-3.

MULTI-USE WEBSITE

Empowered Patient Coalition.

Email: info@EmpoweredPatientCoalition.org.

STUDY

"Sign right here and you're good to go": a content analysis of audiotaped emergency department discharge instructions.

Vashi A, Rhodes KV. Ann Emerg Med. 2011;57:315-322.e1.

STUDY

Major congenital malformations after first-trimester exposure to ACE inhibitors.

Cooper WO, Hernandez-Diaz S, Arbogast PG, et al. N Engl J Med. 2006;354:2443-2451.

STUDY

Can patients be part of the solution? Views on their role in preventing medical errors.

Hibbard JH, Peters E, Slovic P, Tusler M. Med Care Res Rev. 2005;62:601-616.

STUDY

Communication discrepancies between physicians and hospitalized patients.

Olson DP, Windish DM. Arch Intern Med. 2010;170:1302-1307.

NEWSPAPER/MAGAZINE ARTICLE

Patient, protect thyself.

Szabo L. USA Today. February 5, 2007.

STUDY

Patients' attitudes towards patient involvement in safety interventions: results of two exploratory studies.

Davis RE, Sevdalis N, Pinto A, Darzi A, Vincent CA. Health Expect. 2011 Dec 12; [Epub ahead of print].

STUDY

Out-of-hospital medication errors: a 6-year analysis of the national poison data system.

Shah K, Barker KA. Pharmacoepidemiol Drug Saf. 2009;18:1080-1085.

STUDY

Hospitalized patients' attitudes about and participation in error prevention.

Waterman AD, Gallagher TH, Garbutt J, Waterman BM, Fraser V, Burroughs TE. J Gen Intern Med. 2006;21:367-370.

BOOK/REPORT

The Patient's Guide to Preventing Medical Errors.

Berntsen KJ. Westport, CT: Praeger; 2004. ISBN: 0275982300.

STUDY

Randomized controlled trial of a pictogram-based intervention to reduce liquid medication dosing errors and improve adherence among caregivers of young children.

Yin HS, Dreyer BP, van Schaick L, et al. Arch Pediatr Adolesc Med. 2008;162:814-822.

BOOK/REPORT

2006 Update on Consumers' Views of Patient Safety and Quality Information.

Kaiser Family Foundation, Agency for Healthcare Research and Quality; September 2006.

NEWSPAPER/MAGAZINE ARTICLE

Buying the wrong medicine overseas.

Chase M. Wall Street Journal. August 16, 2005:D1.

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