AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (208)

•Diagnostic Errors (161)

•Identification Errors (120)

•Discontinuities, Gaps, and Hand-Off Problems (499)

•Fatigue and Sleep Deprivation (100)

•Medication Safety (1252)

•Medical Complications (602)

•Nonsurgical Procedural Complications (74)

•Surgical Complications (723)

•Transfusion Complications (22)

•Psychological and Social Complications (170)

Origin/Sponsor

•Africa (9)

•Asia (62)

•Australia and New Zealand (137)

•Central and South America (7)

•Europe (648)

•North America (3507)

Resource Types

•Clinical Guideline (7)

•Journal Article (2931)

•Legislation/Regulation (63)

•Meeting/Conference (38)

•Newsletter/Journal (12)

•Newspaper/Magazine Article (569)

•Press Release/Announcement (49)

•Special or Theme Issue (77)

•Tools/Toolkit (102)

•Web Resource (180)

•Grant (18)

Error Types

•Epidemiology of Errors and Adverse Events (946)

•Active Errors (623)

•Latent Errors (329)

•Near Miss (71)

Approach to Improving Safety

•Quality Improvement Strategies (1178)

•Legal and Policy Approaches (571)

•Error Reporting and Analysis (1314)

•Communication Improvement (1124)

•Human Factors Engineering (570)

•Teamwork (398)

•Specialization of Care (285)

•Logistical Approaches (303)

•Culture of Safety (886)

•Technologic Approaches (709)

•Education and Training (869)

Clinical Areas

•Allied Health Services (14)

Target Audience

•Health Care Providers (3117)

•Health Care Executives and Administrators (3478)

•Non-Health Care Professionals (1691)

•Patients (615)

Setting of Care

•Hospitals (3224)

•Psychiatric Facilities (20)

•Residential Facilities (74)

•Ambulatory Care (406)

•Outpatient Surgery (61)

•Patient Transport (21)

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BOOK/REPORT

Tennessee Center for Patient Safety Annual Report 2010.

Nashville, TN: Tennessee Center for Patient Safety; August 2011.

BOOK/REPORT

Eliminating CLABSI: A National Patient Safety Imperative.

Rockville, MD: Agency for Healthcare Research and Quality; September 2011. AHRQ Publication No. 11-0037-1-EF.

BOOK/REPORT

Patient Safety Authority Annual Reports.

Harrisburg, PA: Patient Safety Authority; April 2013.

BOOK/REPORT

Patient Safety in Canada: An Update.

Ottawa, ON, Canada: Canadian Institute for Health Information; August 14, 2007.

STUDY

A multidisciplinary approach to reduce central line–associated bloodstream infections.

McMullan C, Propper G, Schuhmacher C, et al. Jt Comm J Qual Patient Saf. 2013;39:61-69.

NEWSPAPER/MAGAZINE ARTICLE

Rounding to influence.

Reinertsen JL, Johnson KM. Healthc Exec. Sept/Oct 2010;25:72-75.

BOOK/REPORT

First, Do Less Harm: Confronting the Inconvenient Problems of Patient Safety.

Koppel R, Gordon S, ed. Ithaca, NY: Cornell University Press; 2012. ISBN: 9780801450778.

AUDIOVISUAL

Battling hospital-acquired infections.

Gross T. "Fresh Air." National Public Radio. January 9, 2008.

BOOK/REPORT

Hospital Performance Report.

Trenton, NJ: New Jersey Department of Health and Senior Services; March 2012.

MULTI-USE WEBSITE

HAC Posting on Hospital Compare.

Centers for Medicare & Medicaid Services.

BOOK/REPORT

HealthGrades Sixth Annual Patient Safety in American Hospitals Study.

Golden, CO: HealthGrades, Inc.; April 2009.

COMMENTARY

Learning accountability for patient outcomes.

Pronovost PJ. JAMA. 2010;304:204-205.

NEWSPAPER/MAGAZINE ARTICLE

Don't let a hospital make you sick.

Mishori R. Parade Magazine. February 8, 2009.

NEWSPAPER/MAGAZINE ARTICLE

Get me out alive.

Feldman R. The Washington Post. May 2, 2006:HE01.

STUDY

Effect of nonpayment for hospital-acquired, catheter–associated urinary tract infection: a statewide analysis.

Meddings JA, Reichert H, Rogers MA, Saint S, Stephansky J, McMahon LF. Ann Intern Med. 2012;157:305-312.

NEWSPAPER/MAGAZINE ARTICLE

Saving lives: hospitals have signed on to a six-part plan to avoid a multitude of unnecessary deaths.

Comarow A. US News & World Report. July 18, 2005;139:74,76,79.

NEWSPAPER/MAGAZINE ARTICLE

Empowered to improve.

Gardner E. Mod Healthc. May 18, 2009;39:28-31.

NEWSPAPER/MAGAZINE ARTICLE

Health for life. Keys to safer hospitals.

Berwick DM. Newsweek. December 12, 2005;46:75-78.

STUDY

The impact of medical errors on ninety-day costs and outcomes: an examination of surgical patients.

Encinosa WE, Hellinger FJ. Health Serv Res. 2008;43:2067-2085.

MULTI-USE WEBSITE

African Partnerships for Patient Safety.

Geneva, Switzerland: WHO Patient Safety, World Health Organization.

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