AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (141)

•Diagnostic Errors (129)

•Identification Errors (84)

•Discontinuities, Gaps, and Hand-Off Problems (372)

•Fatigue and Sleep Deprivation (68)

•Medication Safety (788)

•Medical Complications (374)

•Nonsurgical Procedural Complications (57)

•Surgical Complications (279)

•Transfusion Complications (18)

•Psychological and Social Complications (125)

Origin/Sponsor

•Africa (6)

•Asia (44)

•Australia and New Zealand (115)

•Central and South America (6)

•Europe (422)

•North America (2283)

Resource Types

•Clinical Guideline (4)

•Journal Article (1920)

•Legislation/Regulation (54)

•Meeting/Conference (35)

•Newsletter/Journal (8)

•Newspaper/Magazine Article (361)

•Press Release/Announcement (37)

•Special or Theme Issue (67)

•Tools/Toolkit (53)

•Web Resource (110)

•Grant (12)

Error Types

•Epidemiology of Errors and Adverse Events (539)

•Active Errors (450)

•Latent Errors (413)

•Near Miss (56)

Approach to Improving Safety

•Quality Improvement Strategies (796)

•Legal and Policy Approaches (405)

•Error Reporting and Analysis (881)

•Communication Improvement (868)

•Human Factors Engineering (559)

•Teamwork (286)

•Specialization of Care (193)

•Logistical Approaches (312)

•Culture of Safety (532)

•Technologic Approaches (496)

•Education and Training (600)

Clinical Areas

•Allied Health Services (12)

•Medicine (1899)

•Nursing (185)

•Pharmacy (292)

Target Audience

•Health Care Providers (2310)

•Health Care Executives and Administrators (2563)

•Non-Health Care Professionals (1233)

•Patients (257)

Setting of Care

•Hospitals (2142)

•Psychiatric Facilities (17)

•Residential Facilities (53)

•Ambulatory Care (233)

•Outpatient Surgery (32)

•Patient Transport (20)

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COMMENTARY

Failure to Report

Spath PL. AHRQ WebM&M [serial online]. March 2007.

BOOK/REPORT

External Inquiry into the adverse incident that occurred at Queen's Medical Centre, Nottingham, 4th January 2001.

Toft B. London, England: Department of Health; 2001.

COMMENTARY

Elopement

Gerardi D. AHRQ WebM&M [serial online]. December 2007.

COMMENTARY

In Conversation with...Sorrel King

AHRQ WebM&M [serial online]. March 2007.

NEWSPAPER/MAGAZINE ARTICLE

No hidden patient: a safety design model.

Hardy J. Trustee. February 2007;60:32-33.

BOOK/REPORT

Through the Eyes of the Workforce: Creating Joy, Meaning, and Safer Health Care.

Roundtable on Joy and Meaning in Work and Workforce Safety, The Lucian Leape Institute. Boston, MA: National Patient Safety Foundation; 2013.

COMMENTARY

In Conversation with...Steven J. Spear, DBA, MS, MS

AHRQ WebM&M [serial online]. August 2009.

NEWSPAPER/MAGAZINE ARTICLE

Raising the index of suspicion: red flags that represent credible threats to patient safety.

ISMP Medication Safety Alert! Acute Care Edition. July 26, 2012;17:1-3.

NEWSPAPER/MAGAZINE ARTICLE

Hospitals target risks of color wristbands.

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

AUDIOVISUAL

Eye to eye: Donald Berwick.

"Eye to Eye with Katie Couric." CBS News Video. February 6, 2007.

COMMENTARY

Do Not Disturb!

Duffy FD, Cassel CK. AHRQ WebM&M [serial online]. October 2007.

BOOK/REPORT

The Measurement and Monitoring of Safety.

Vincent C, Burnett S, Carthey J. London, UK: Health Foundation; April 2013. ISBN: 9781906461447.

MULTI-USE WEBSITE

Standardization Projects.

Washington State Hospital Association.

NEWSPAPER/MAGAZINE ARTICLE

Anticoagulant safety practices call for pharmacist supervision.

Scott A. Drug Topics (Health-System Edition). November 10, 2008.

COMMENTARY

Back to Basics

Hellman R. AHRQ WebM&M [serial online]. March 2007.

COMMENTARY

Staggered Sensitivity Results

Guglielmo BJ. AHRQ WebM&M [serial online]. March 2007.

COMMENTARY

Preparing your hospital for compliance with The Joint Commission's National Patient Safety Goals.

Murdaugh L, Jordin R. Hosp Pharm. 2008;43:728-733.

COMMENTARY

Code Blue—Where To?

Adams BD. AHRQ WebM&M [serial online]. October 2007.

TOOLKIT

Wristband Standardization Initiative.

Austin, TX: Texas Hospital Association; October 2008.

COMMENTARY

In Conversation with…Eric G. Poon, MD, MPH

AHRQ WebM&M [serial online]. September 2008.

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