AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (59)

•Diagnostic Errors (102)

•Identification Errors (38)

•Discontinuities, Gaps, and Hand-Off Problems (222)

•Fatigue and Sleep Deprivation (14)

•Medication Safety (595)

•Medical Complications (113)

•Nonsurgical Procedural Complications (19)

•Surgical Complications (144)

•Transfusion Complications (6)

•Psychological and Social Complications (40)

Origin/Sponsor

•Africa (1)

•Asia (21)

•Australia and New Zealand (46)

•Central and South America (2)

Resource Types

•Clinical Guideline (8)

•Journal Article (994)

•Legislation/Regulation (14)

•Meeting/Conference (4)

•Newsletter/Journal (2)

•Newspaper/Magazine Article (116)

•Press Release/Announcement (12)

•Special or Theme Issue (11)

•Tools/Toolkit (27)

•Web Resource (22)

•Grant (2)

Error Types

•Epidemiology of Errors and Adverse Events (288)

•Active Errors (250)

•Latent Errors (100)

•Near Miss (32)

Approach to Improving Safety

•Quality Improvement Strategies (319)

•Legal and Policy Approaches (62)

•Error Reporting and Analysis (289)

•Communication Improvement (494)

•Human Factors Engineering (216)

•Teamwork (151)

•Specialization of Care (123)

•Logistical Approaches (100)

•Culture of Safety (128)

•Technologic Approaches (220)

•Education and Training (266)

Clinical Areas

•Allied Health Services (5)

Target Audience

•Health Care Providers (1131)

•Health Care Executives and Administrators (862)

•Non-Health Care Professionals (304)

•Patients (61)

Setting of Care

•Hospitals (819)

•Psychiatric Facilities (4)

•Residential Facilities (57)

•Ambulatory Care (117)

•Outpatient Surgery (8)

•Patient Transport (20)

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COMMENTARY

Pregnant with Danger.

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

COMMENTARY

Novel Drug Misuse.

Angus DC, Milbrandt EB. AHRQ WebM&M [serial online]. July 2004.

STUDY

Profiles in patient safety: medication errors in the emergency department.

Croskerry P, Shapiro M, Campbell S, et al. Acad Emerg Med. 2004;11:289-299.

STUDY

Emergency department visits for outpatient adverse drug events: demonstration for a national surveillance system.

Budnitz DS, Pollock DA, Mendelsohn AB, Weidenbach KN, McDonald AK, Annest JL. Ann Emerg Med. 2005;45:197-206.

STUDY

Building a simulation-based crisis resource management course for emergency medicine, phase 1: results from an interdisciplinary needs assessment survey.

Hicks CM, Bandiera GW, Denny CJ. Acad Emerg Med. 2008 2008 Nov 1; 15: 1136-1143.

COMMENTARY

Another Fall.

Bogardus ST Jr. AHRQ WebM&M [serial online]. April 2003.

COMMENTARY

Around the Block.

Minichiello T. AHRQ WebM&M [serial online]. March 2005.

GRANT RECIPIENT

AHRQ Risk-informed Intervention Development and Implementation of Safe Practices in Ambulatory Care.

Rockville, MD: Agency for Healthcare Research and Quality; October 2008.

STUDY

Potentially inappropriate medications and adverse drug effects in elders in the ED.

Nixdorff N, Hustey FM, Brady AK, Vaji K, Leonard M, Messinger-Rapport BJ. Am J Emerg Med. 2008;26:697-700.

STUDY

Medical error identification, disclosure, and reporting: do emergency medicine provider groups differ?

Hobgood C, Weiner B, Tamayo-Sarver JH. Acad Emerg Med. 2006;13:443-451.

STUDY

Interruptions in a level one trauma center: a case study.

Brixey JJ, Tang Z, Robinson DJ, et al. Int J Med Inform. 2008;77:235-241.

COMMENTARY

Recurrent Hypoglycemia: A Care Transition Failure?

Eytan T. AHRQ WebM&M [serial online]. October 2008.

SPECIAL OR THEME ISSUE

The Science of Simulation in Healthcare: Defining and Developing Clinical Expertise.

Kaji AH, Cone DC, eds. Acad Emerg Med. 2008;15:971-1222.

COMMENTARY

The Dropped Lung.

Heffner JE. AHRQ WebM&M [serial online]. May 2003.

COMMENTARY

Code Status Confusion.

Lo B, Tulsky JA. AHRQ WebM&M [serial online]. July 2003.

COMMENTARY

The Worst Headache.

Edlow JA. AHRQ WebM&M [serial online]. July 2004.

MULTI-USE WEBSITE

Emergency Medicine Patient Safety Foundation.

11760 Atwood Road, Suite 5, Auburn, CA 95603.

STUDY

The effect of clinical history on accuracy of electrocardiograph interpretation among doctors working in emergency departments.

Cruz MF, Edwards J, Dinh DM, Barnes EH. Med J Aust. 2012;197:161-165.

COMMENTARY

A framework for classifying factors that contribute to error in the emergency department.

Cosby KS. Ann Emerg Med. 2003;42:815-823.

COMMENTARY

X-ray Flip.

Shapiro MJ. AHRQ WebM&M [serial online]. February 2004.

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