AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (112)

•Diagnostic Errors (120)

•Identification Errors (99)

•Discontinuities, Gaps, and Hand-Off Problems (255)

•Fatigue and Sleep Deprivation (51)

•Medication Safety (679)

•Medical Complications (283)

•Nonsurgical Procedural Complications (70)

•Surgical Complications (316)

•Transfusion Complications (13)

•Psychological and Social Complications (94)

Origin/Sponsor

•Asia (1)

•Australia and New Zealand (8)

•Europe (39)

•North America (2425)

Resource Types

•Clinical Guideline (5)

•Journal Article (1355)

•Legislation/Regulation (42)

•Meeting/Conference (21)

•Newsletter/Journal (15)

•Newspaper/Magazine Article (488)

•Press Release/Announcement (29)

•Special or Theme Issue (37)

•Tools/Toolkit (57)

•Web Resource (124)

•Grant (6)

Error Types

•Epidemiology of Errors and Adverse Events (433)

•Active Errors (439)

•Latent Errors (159)

•Near Miss (40)

Approach to Improving Safety

•Quality Improvement Strategies (576)

•Legal and Policy Approaches (362)

•Error Reporting and Analysis (627)

•Communication Improvement (689)

•Human Factors Engineering (313)

•Teamwork (183)

•Specialization of Care (141)

•Logistical Approaches (147)

•Culture of Safety (304)

•Technologic Approaches (379)

•Education and Training (484)

Clinical Areas

•Allied Health Services (8)

Target Audience

•Health Care Providers (2145)

•Health Care Executives and Administrators (1609)

•Non-Health Care Professionals (865)

•Patients (692)

Setting of Care

•Hospitals (1382)

•Psychiatric Facilities (12)

•Residential Facilities (47)

•Ambulatory Care (272)

•Outpatient Surgery (35)

•Patient Transport (18)

1 - 20 of 2474

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MULTI-USE WEBSITE

The Josie King Foundation.

Tony and Sorrel King.

NEWSPAPER/MAGAZINE ARTICLE

Maternity ward at Highland under fire from patients.

Vesely R. Inside Bay Area. December 28, 2006.

MULTI-USE WEBSITE

The Patient Safety Group.

Boston, MA.

NEWSPAPER/MAGAZINE ARTICLE

Scathing report on Kaiser kidney program. Transplant delays assailed -- Medicare threatens to end coverage.

Russell S. San Francisco Chronicle. June 24, 2006.

MULTI-USE WEBSITE

PreventInfection.org.

Association for Professionals in Infection Control and Epidemiology.

COMMENTARY

Safe use of cellular telephones in hospitals: fundamental principles and case studies.

Cohen T, Ellis WS, Morrissey JJ, Bakuzonis C, David Y, Paperman WD. J Healthc Inf Manag. Fall 2005;19:38-48.

NEWSPAPER/MAGAZINE ARTICLE

The revolutionary.

Swidey N. Boston Globe. January 4, 2004.

BOOK/REPORT classic

Human Error.

Reason JT. New York, NY: Cambridge University Press; 1990.

BOOK/REPORT

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

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

AUDIOVISUAL

Eye to eye: Donald Berwick.

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

NEWSPAPER/MAGAZINE ARTICLE

Hospitals move to cut dangerous lab errors.

Landro L. Wall Street Journal (Eastern edition). June 14, 2006:D1. [Reprinted on Post-gazette.com].

NEWSPAPER/MAGAZINE ARTICLE

The best medical care in the U.S.

Arnst C. Business Week. July 17, 2006.

NEWSPAPER/MAGAZINE ARTICLE

Health literacy—a quality and patient safety imperative.

Foubister V. Quality Matters. November/December 2006.

AWARD RECIPIENT

22 California hospitals earn top status for outstanding patient safety & health care quality.

San Francisco, CA: The Leapfrog Group; May 2, 2006.

COMMENTARY

Development of an expert system for classification of medical errors.

Kopec D, Levy K, Kabir M, Reinharth D, Shagas G. Stud Health Technol Inform. 2005;114:110-116.

NEWSPAPER/MAGAZINE ARTICLE

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

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

MULTI-USE WEBSITE

Joint Commission International Center for Patient Safety.

The Joint Commission, Joint Commission Resources.

FACT SHEET/FAQS

Pharmacy Safety and Service—What You Should Expect.

Chicago, IL: National Patient Safety Foundation; 2003.

NEWSPAPER/MAGAZINE ARTICLE

10 things your hospital won't tell you.

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

COMMENTARY

Our story.

King S. Pediatr Radiol. 2006;36:284-286.

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