AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (68)

•Diagnostic Errors (56)

•Identification Errors (49)

•Discontinuities, Gaps, and Hand-Off Problems (267)

•Fatigue and Sleep Deprivation (39)

•Medication Safety (426)

•Medical Complications (269)

•Nonsurgical Procedural Complications (24)

•Surgical Complications (104)

•Transfusion Complications (9)

•Psychological and Social Complications (65)

Origin/Sponsor

•Africa (2)

•Asia (17)

•Australia and New Zealand (42)

•Europe (227)

•North America (1366)

Resource Types

•Audiovisual (46)

•Award (9)

•Book/Report (152)

•Clinical Guideline (1)

•Journal Article (1015)

•Legislation/Regulation (13)

•Meeting/Conference (6)

•Newsletter/Journal (1)

•Newspaper/Magazine Article (289)

•Press Release/Announcement (5)

•Special or Theme Issue (12)

•Tools/Toolkit (56)

•Web Resource (60)

•Grant (4)

Error Types

•Epidemiology of Errors and Adverse Events (366)

•Active Errors (220)

•Latent Errors (148)

•Near Miss (22)

Approach to Improving Safety

•Quality Improvement Strategies (460)

•Legal and Policy Approaches (226)

•Error Reporting and Analysis (456)

•Communication Improvement (490)

•Human Factors Engineering (177)

•Teamwork (92)

•Specialization of Care (123)

•Logistical Approaches (126)

•Culture of Safety (275)

•Technologic Approaches (263)

•Education and Training (393)

Clinical Areas

•Medicine (1463)

•Nursing (83)

•Pharmacy (173)

Target Audience

•Health Care Providers (911)

•Health Care Executives and Administrators (1208)

•Non-Health Care Professionals (626)

•Patients (382)

Setting of Care

•Hospitals (1524)

•Psychiatric Facilities (6)

•Residential Facilities (17)

•Ambulatory Care (115)

•Outpatient Surgery (13)

•Patient Transport (3)

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MULTI-USE WEBSITE

Getting Safer Care.

Agency for Healthcare Research and Quality.

COMMENTARY

Lethal Cap.

Schillinger D. AHRQ WebM&M [serial online]. March 2004.

STUDY

Effect of medication reconciliation with and without patient counseling on the number of pharmaceutical interventions among patients discharged from the hospital.

Karapinar-Çarkit F, Borgsteede SD, Zoer J, Smit HJ, Egberts ACG, van den Bemt PMLA. Ann Pharmacother. 2009;43:1001-1010.

NEWSPAPER/MAGAZINE ARTICLE

Patients, beware: 731 nurses reveal what to watch out for in the hospital.

Consumer Reports Health. September 2009.

NEWSPAPER/MAGAZINE ARTICLE

Small patients, big consequences in medical errors.

Tarkan L. New York Times. September 14, 2008;Health section:7.

ORGANIZATIONAL POLICY/GUIDELINES

Preventing errors relating to commonly used anticoagulants.

Sentinel Event Alert. September 24, 2008;(41):1-4.

MULTI-USE WEBSITE

SAFE CARE Patient Safety Education Program.

Mableton, GA: Safe Care Campaign.

AUDIOVISUAL

Notre Dame students design to save lives.

McFadden M. WNDU. February 21, 2012.

NEWSPAPER/MAGAZINE ARTICLE

Don't let a hospital make you sick.

Mishori R. Parade Magazine. February 8, 2009.

NEWSPAPER/MAGAZINE ARTICLE

Staying safe during a hospital stay.

Graham J. Los Angeles Times. May 11, 2011.

AUDIOVISUAL

Take Charge of Your Hospital Stay to Avoid Medical Mistakes.

Clarke S, Savard M. Good Morning America. ABC News. March 22, 2010.

COMMENTARY

Reengineering hospital discharge: a protocol to improve patient safety, reduce costs, and boost patient satisfaction.

Clancy CM. Am J Med Qual. 2009;24:344-346.

COMMENTARY

No Blood, Please.

Liang BA. AHRQ WebM&M [serial online]. May 2004.

NEWSPAPER/MAGAZINE ARTICLE

Don't come back, hospitals say.

Landro L. Wall Street Journal. June 7, 2011:D3.

STUDY

Effects of an educational patient safety campaign on patients' safety behaviours and adverse events.

Schwappach DLB, Frank O, Buschmann U, Babst R. J Eval Clin Pract. 2013;19:285-291.

BOOK/REPORT

Advancing Effective Communication, Cultural Competence, and Patient- and Family-Centered Care: A Roadmap for Hospitals.

Oakbrook Terrace, IL: The Joint Commission; 2010.

AUDIOVISUAL

Obama Administration introduces plan to reduce preventable medical errors.

PBS News Hour. April 12, 2011.

AUDIOVISUAL PRESENTATION

Drug shortages and how they affect your healthcare.

Faye J. NBC-17 News. November 10, 2011.

STUDY

Patients' attitudes towards patient involvement in safety interventions: results of two exploratory studies.

Davis RE, Sevdalis N, Pinto A, Darzi A, Vincent CA. Health Expect. 2011 Dec 12; [Epub ahead of print].

BOOK/REPORT

2009 National Healthcare Quality Report.

Rockville, MD: Agency for Healthcare Research and Quality; March 2010. AHRQ Publication No. 10-0003.

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