AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (228)

•Diagnostic Errors (257)

•Identification Errors (145)

•Discontinuities, Gaps, and Hand-Off Problems (605)

•Fatigue and Sleep Deprivation (123)

•Medication Safety (1533)

•Medical Complications (666)

•Nonsurgical Procedural Complications (111)

•Surgical Complications (505)

•Transfusion Complications (30)

•Psychological and Social Complications (196)

Origin/Sponsor

•Africa (7)

•Asia (67)

•Australia and New Zealand (138)

•Central and South America (9)

•Europe (581)

•North America (4480)

Resource Types

•Clinical Guideline (9)

•Journal Article (3791)

•Legislation/Regulation (71)

•Meeting/Conference (45)

•Newsletter/Journal (14)

•Newspaper/Magazine Article (588)

•Press Release/Announcement (35)

•Special or Theme Issue (78)

•Tools/Toolkit (89)

•Web Resource (154)

•Grant (12)

Error Types

•Epidemiology of Errors and Adverse Events (1498)

•Active Errors (725)

•Latent Errors (327)

•Near Miss (85)

Approach to Improving Safety

•Quality Improvement Strategies (1356)

•Legal and Policy Approaches (629)

•Error Reporting and Analysis (1610)

•Communication Improvement (1209)

•Human Factors Engineering (601)

•Teamwork (383)

•Specialization of Care (373)

•Logistical Approaches (395)

•Culture of Safety (771)

•Technologic Approaches (941)

•Education and Training (975)

Clinical Areas

•Allied Health Services (14)

Target Audience

•Health Care Providers (3785)

•Health Care Executives and Administrators (4173)

•Non-Health Care Professionals (2006)

•Patients (471)

Setting of Care

•Hospitals (3565)

•Psychiatric Facilities (25)

•Residential Facilities (93)

•Ambulatory Care (536)

•Outpatient Surgery (53)

•Patient Transport (37)

1 - 20 of 5356

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STUDY

Saving lives by studying deaths: using standardized mortality reviews to improve inpatient safety.

Lau H, Litman KC. Jt Comm J Qual Patient Saf. 2011;37:400-408.

BOOK/REPORT

HealthGrades Sixth Annual Patient Safety in American Hospitals Study.

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

BOOK/REPORT

To Err Is Human—But Don't Expect to Get Paid For It.

ASQ Quarterly Quality Report. Milwaukee, WI: American Society of Quality; October 2008.

STUDY

'Global Trigger Tool' shows that adverse events in hospitals may be ten times greater than previously measured.

Classen DC, Resar R, Griffin F, et al. Health Aff (Millwood). 2011;30:581-589.

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.

STUDY

Temporal trends in rates of patient harm resulting from medical care.

Landrigan CP, Parry GJ, Bones CB, Hackbarth AD, Goldmann DA, Sharek PJ. N Engl J Med. 2010;363:2124-2134.

BOOK/REPORT

Meeting the Joint Commission's 2013 National Patient Safety Goals.

Oakbrook Terrace, IL: The Joint Commission; September 2012. ISBN: 9781599407555.

NEWSPAPER/MAGAZINE ARTICLE

Rounding to influence.

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

STUDY

Racial disparities in the frequency of patient safety events: results from the National Medicare Patient Safety Monitoring System.

Metersky ML, Hunt DR, Kliman R, et al. Med Care. 2011;49:504-510.

NEWSPAPER/MAGAZINE ARTICLE

As industry automates, adverse events continue to haunt caregivers.

Wetzel TG. Health Data Manage. 2011 Feb;19:86, 88, 90 passim.

STUDY

Integrating incident data from five reporting systems to assess patient safety: making sense of the elephant.

Levtzion-Korach O, Frankel A, Alcalai H, et al. Jt Comm J Qual Patient Saf. 2010;36:402-410.

BOOK/REPORT

HealthGrades Quality Study: Fourth Annual Patient Safety in American Hospitals Study.

Golden, CO: HealthGrades, Inc.; April 2007.

STUDY

Maintaining and sustaining the On the CUSP: Stop BSI model in Hawaii.

Lin DM, Weeks K, Holzmueller CG, Pronovost PJ, Pham JC. Jt Comm J Qual Patient Saf. 2013;39:51-60.

STUDY

Impact of a hospital-wide hand hygiene initiative on healthcare-associated infections: results of an interrupted time series.

Kirkland KB, Homa KA, Lasky RA, Ptak JA, Taylor EA, Splaine ME. BMJ Qual Saf. 2012;21:1019-1026.

AUDIOVISUAL

Battling hospital-acquired infections.

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

BOOK/REPORT

Hospital-acquired infections in Pennsylvania.

Harrisburg, PA: Pennsylvania Health Care Cost Containment Council; November 2006.

STUDY

Contemporary evidence about hospital strategies for reducing 30-day readmissions: a national study.

Bradley EH, Curry L, Horwitz LI, et al. J Am Coll Cardiol. 2012;60:607-614.

AUDIOVISUAL

How a simple checklist can dramatically reduce medical errors.

Pronovost PJ. On Call. IHI Open School for Health Professionals. November 3, 2008.

NEWSPAPER/MAGAZINE ARTICLE

10 things your hospital won't tell you.

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

COMMENTARY

Nosocomial infection, the Deficit Reduction Act, and incentives for hospitals.

Graves N, McGowan JE Jr. JAMA. 2008;300:1577-1579.

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