AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (120)

•Diagnostic Errors (145)

•Identification Errors (50)

•Discontinuities, Gaps, and Hand-Off Problems (209)

•Fatigue and Sleep Deprivation (24)

•Medication Safety (817)

•Medical Complications (320)

•Nonsurgical Procedural Complications (44)

•Surgical Complications (195)

•Transfusion Complications (7)

•Psychological and Social Complications (36)

Origin/Sponsor

•Africa (4)

•Asia (31)

•Australia and New Zealand (65)

•Central and South America (10)

•Europe (237)

•North America (1326)

Resource Types

•Audiovisual (23)

•Award (4)

•Book/Report (50)

•Clinical Guideline (9)

•Journal Article (1320)

•Legislation/Regulation (27)

•Meeting/Conference (7)

•Newsletter/Journal (3)

•Newspaper/Magazine Article (173)

•Press Release/Announcement (22)

•Special or Theme Issue (26)

•Tools/Toolkit (32)

•Web Resource (31)

•Grant (11)

Error Types

•Epidemiology of Errors and Adverse Events (396)

•Active Errors (373)

•Latent Errors (124)

•Near Miss (34)

Approach to Improving Safety

•Quality Improvement Strategies (546)

•Legal and Policy Approaches (106)

•Error Reporting and Analysis (427)

•Communication Improvement (412)

•Human Factors Engineering (317)

•Teamwork (157)

•Specialization of Care (212)

•Logistical Approaches (133)

•Culture of Safety (186)

•Technologic Approaches (318)

•Education and Training (459)

Clinical Areas

•Allied Health Services (6)

Target Audience

•Health Care Providers (1524)

•Health Care Executives and Administrators (1193)

•Non-Health Care Professionals (433)

•Patients (104)

Setting of Care

•Hospitals (1147)

•Psychiatric Facilities (6)

•Residential Facilities (22)

•Ambulatory Care (159)

•Outpatient Surgery (7)

•Patient Transport (11)

1 - 20 of 1738

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REVIEW

Adverse events associated with sedatives, analgesics, and other drugs that provide patient comfort in the intensive care unit.

Riker RR, Fraser GL. Pharmacotherapy. 2005;25:8S-18S.

STUDY

Airway carts: a systems-based approach to airway safety.

Kane BG, Bond WF, Worrilow CC, Richardson DM, on behalf of the Lehigh Valley Hospital Airway Task Force. J Patient Saf. 2006;2:154-161.

STUDY

Implementing and validating a comprehensive unit-based safety program.

Pronovost P, Weast B, Rosenstein B. J Patient Saf. 2005;1:33-40.

STUDY

The attitudes and beliefs of healthcare professionals on the causes and reporting of medication errors in a UK intensive care unit.

Sanghera IS, Franklin BD, Dhillon S. Anaesthesia. 2007;62:53-61.

COMMENTARY

Hold the tPA.

Fagan SC. AHRQ WebM&M [serial online]. April 2005.

FACT SHEET/FAQS

Medication safety issue brief. Counterfeit drug prevention and identification.

American Hospital Association, American Society of Health-System Pharmacists, Hospitals and Health Networks. Hosp Health Netw. August 2005;79.29-30.

COMMENTARY

Getting to the Root of the Matter

Flanders SA, Saint S. AHRQ WebM&M [serial online]. June 2005.

COMMENTARY

Improving safety throughout the medication use process in a neonatal intensive care unit.

Asdigha MN. Hosp Pharm. 2006;41:1067-1075.

STUDY

Intensive care unit safety incidents for medical versus surgical patients: a prospective multicenter study.

Sinopoli DJ, Needham DM, Thompson DA, et al. J Crit Care. 2007;22:177-183.

COMMENTARY

Safe medication prescribing and monitoring in the outpatient setting.

Shojania KG. CMAJ. 2006;174:1257-1258.

STUDY

Measurable outcomes of quality improvement in the trauma intensive care unit: the impact of a daily quality rounding checklist.

DuBose JJ, Inaba K, Shiflett A, et al. J Trauma. 2008;64:22-29.

COMMENTARY

Doctor, Don't Treat Thyself.

Rosvold EO. AHRQ WebM&M [serial online]. September 2004.

FACT SHEET/FAQS

Medication safety issue brief. Bar code implementation strategies.

American Hospital Association, American Society of Health-System Pharmacists, Hospitals and Health Networks. Hosp Health Netw. July 2005;79:65-66.

STUDY

Development of the ICU safety reporting system.

Wu AW, Holzmueller CG, Lubomski LH, et al. J Patient Saf. 2005;1:23-32.

STUDY

Pediatric safety incidents from an intensive care reporting system.

Skapik JL, Pronovost PJ, Miller MR, Thompson DA, Wu AW. J Patient Saf. 2009;5:95-101.

COMMENTARY

Where’s the Feeding Tube?

Metheny MA., Meert KL, AHRQ WebM&M [serial online]. September 2008.

COMMENTARY

Citrate Mix-Up

Weber RJ. AHRQ WebM&M [serial online]. May 2006.

COMMENTARY

Pregnant with Danger.

Pearlman MD, Desmond JS. WebM&M [serial online]. May 2005.

COMMENTARY

Crushing Chest Pain: A Missed Opportunity.

Graber M. AHRQ WebM&M [serial online]. January 2004.

COMMENTARY

Preventing vincristine administration errors: does evidence support minibag infusions?

Schulmeister L. Clin J Oncol Nurs. 2006;10:271-273.

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