AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (263)

•Diagnostic Errors (298)

•Identification Errors (171)

•Discontinuities, Gaps, and Hand-Off Problems (619)

•Fatigue and Sleep Deprivation (142)

•Medication Safety (1625)

•Medical Complications (661)

•Nonsurgical Procedural Complications (147)

•Surgical Complications (733)

•Transfusion Complications (26)

•Psychological and Social Complications (221)

Origin/Sponsor

•Africa (5)

•Asia (64)

•Australia and New Zealand (119)

•Central and South America (10)

•Europe (605)

•North America (4826)

Resource Types

•Clinical Guideline (10)

•Journal Article (3859)

•Legislation/Regulation (86)

•Meeting/Conference (44)

•Newsletter/Journal (15)

•Newspaper/Magazine Article (774)

•Press Release/Announcement (41)

•Special or Theme Issue (94)

•Tools/Toolkit (108)

•Web Resource (181)

•Grant (15)

Error Types

•Epidemiology of Errors and Adverse Events (1069)

•Active Errors (951)

•Latent Errors (465)

•Near Miss (92)

Approach to Improving Safety

•Quality Improvement Strategies (1534)

•Legal and Policy Approaches (784)

•Error Reporting and Analysis (1608)

•Communication Improvement (1322)

•Human Factors Engineering (825)

•Teamwork (447)

•Specialization of Care (342)

•Logistical Approaches (429)

•Culture of Safety (1001)

•Technologic Approaches (937)

•Education and Training (1248)

Clinical Areas

•Allied Health Services (15)

Target Audience

•Health Care Providers (3823)

•Health Care Executives and Administrators (4076)

•Non-Health Care Professionals (2160)

•Patients (723)

Setting of Care

•Hospitals (3678)

•Psychiatric Facilities (21)

•Residential Facilities (82)

•Ambulatory Care (525)

•Outpatient Surgery (67)

•Patient Transport (26)

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NEWSPAPER/MAGAZINE ARTICLE

Hospitals tally their avoidable mistakes.

Rein L. Washington Post. July 21, 2009:E1.

BOOK/REPORT

Improving America's Hospitals: The Joint Commission's Report on Quality and Safety 2008.

Oakbrook Terrace, IL: The Joint Commission; November 2008.

NEWSPAPER/MAGAZINE ARTICLE

Medicare says it won't cover hospital errors.

Pear R. New York Times. August 19, 2007.

AWARD RECIPIENT

Announcing 2009 Leapfrog top hospitals.

Washington, DC: Leapfrog Group; December 4, 2009.

BOOK/REPORT

IBEAS: A Pioneer Study on Patient Safety in Latin America: Towards Safer Hospital Care.

Geneva, Switzerland: World Health Organization; 2011.

NEWSPAPER/MAGAZINE ARTICLE

Get me out alive.

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

BOOK/REPORT

Tennessee Center for Patient Safety Annual Report 2010.

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

NEWSPAPER/MAGAZINE ARTICLE

Program encourages reporting accidents waiting to happen: the Good Catch Awards.

McCook A. Anesthesiology News. Sept 2011;37:9.

COMMENTARY

Minnesota Hospital Association Statewide Project: SAFE from FALLS.

Apold J, Quigley PA. J Nurs Care Qual. 2012;27:299-306.

BOOK/REPORT

Patient Safety Authority Annual Reports.

Harrisburg, PA: Patient Safety Authority; April 2013.

NEWSPAPER/MAGAZINE ARTICLE

Medical errors harm huge number of patients. What will it take to make America's hospitals safer?

Sternberg S. US News & World Report. August 28, 2012.

NEWSPAPER/MAGAZINE ARTICLE

Fixing relationships, preventing errors.

McGinn P, Chabon R. HHN Magazine Online. November 25, 2008.

NEWSPAPER/MAGAZINE ARTICLE

Baby has jaundice: is that a problem?

Zimmerman R. Wall Street Journal. February 6, 2007:A1.

STUDY

Hospital governance and the quality of care.

Jha AK, Epstein AM. Health Aff (Millwood). 2010;29:182-187.

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.

NEWSPAPER/MAGAZINE ARTICLE

Pressing for better quality across healthcare.

Levey NN. Los Angeles Times. October 4, 2011.

NEWSPAPER/MAGAZINE ARTICLE

Medical errors leave devastating impact on families, professionals.

Bernhard B. St. Louis Post-Dispatch. May 5, 2013:A10.

NEWSPAPER/MAGAZINE ARTICLE

Never events: Utah hospitals saw nearly 60 serious errors in 2007.

May H. Salt Lake Tribune. August 18, 2008.

NEWSPAPER/MAGAZINE ARTICLE

Many Mass. hospitals will pay for errors.

Kowalczyk L. Boston Globe. September 17, 2007;Metro section:1A.

REVIEW

Negligence, genuine error, and litigation.

Sohn DH. Int J Gen Med. 2013;6:49-56.

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