AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (121)

•Diagnostic Errors (98)

•Identification Errors (76)

•Discontinuities, Gaps, and Hand-Off Problems (333)

•Fatigue and Sleep Deprivation (112)

•Medication Safety (689)

•Medical Complications (364)

•Nonsurgical Procedural Complications (67)

•Surgical Complications (296)

•Transfusion Complications (13)

•Psychological and Social Complications (125)

Origin/Sponsor

•Asia (14)

•Australia and New Zealand (28)

•Central and South America (2)

•Europe (123)

•North America (2822)

Resource Types

•Audiovisual (77)

•Award (30)

•Book/Report (195)

•Clinical Guideline (4)

•Journal Article (1811)

•Legislation/Regulation (37)

•Meeting/Conference (21)

•Newsletter/Journal (4)

•Newspaper/Magazine Article (607)

•Press Release/Announcement (10)

•Special or Theme Issue (50)

•Tools/Toolkit (54)

•Web Resource (92)

•Grant (7)

Error Types

•Epidemiology of Errors and Adverse Events (456)

•Active Errors (353)

•Latent Errors (194)

•Near Miss (33)

Approach to Improving Safety

•Quality Improvement Strategies (710)

•Legal and Policy Approaches (411)

•Error Reporting and Analysis (764)

•Communication Improvement (767)

•Human Factors Engineering (312)

•Teamwork (435)

•Specialization of Care (202)

•Logistical Approaches (278)

•Culture of Safety (807)

•Technologic Approaches (424)

•Education and Training (819)

Clinical Areas

•Allied Health Services (5)

Target Audience

•Health Care Providers (1800)

•Health Care Executives and Administrators (2089)

•Non-Health Care Professionals (1158)

•Patients (648)

Setting of Care

•Hospitals (2348)

•Psychiatric Facilities (10)

•Residential Facilities (47)

•Ambulatory Care (196)

•Outpatient Surgery (26)

•Patient Transport (13)

1 - 20 of 2999

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STUDY

A patient safety objective structured clinical examination.

Singh R, Singh A, Fish R, McLean D, Anderson DR, Singh G. J Patient Saf. 2009;5:55-60.

NEWSPAPER/MAGAZINE ARTICLE

To reduce risks, hospitals enlist 'proceduralists.'

Landro L. Wall Street Journal. July 11, 2007:D1.

BOOK/REPORT classic

Josie's Story.

King S. New York, NY: Atlantic Monthly Press; 2009. ISBN: 9780802119209.

STUDY

Patient safety, satisfaction, and quality of hospital care: cross sectional surveys of nurses and patients in 12 countries in Europe and the United States.

Aiken LH, Sermeus W, Van den Heede K, et al. BMJ. 2012;344:e1717.

STUDY

Use of multidisciplinary rounds to simultaneously improve quality outcomes, enhance resident education, and shorten length of stay.

O'Mahony S, Mazur E, Charney P, Wang Y, Fine J. J Gen Intern Med. 2007;22:1073-1079.

BOOK/REPORT

Recommendations for Safe Use of Insulin in Hospitals.

Bethesda, MD: American Society of Health-System Pharmacists; 2006.

NEWSPAPER/MAGAZINE ARTICLE

Patient safety front and center.

Terry K. Hosp Health Netw. July 2011;85:38-40, 42.

NEWSPAPER/MAGAZINE ARTICLE

The phantom menace of sleep-deprived doctors.

Sanghavi D. New York Times Magazine. August 5, 2011.

COMMENTARY

Have we gone too far in translating ideas from aviation to patient safety?

Rogers J, Gaba DM. BMJ. 2011;342:c7309-7310.

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.

COMMENTARY

A comprehensive collaborative patient safety residency curriculum to address the ACGME core competencies.

Singh R, Naughton B, Taylor JS, et al. Med Educ. 2005;39:1195-1204.

COMMENTARY classic

The new recommendations on duty hours from the ACGME Task Force.

Nasca TJ, Day SH, Amis ES Jr; for ACGME Duty Hours Task Force. N Engl J Med. 2010;363:e3.

TOOLKIT

Making Strides in Safety.

Chicago, IL: American Medical Association.

NEWSPAPER/MAGAZINE ARTICLE

Doctor uses 'pre-flight' checklist.

Bernhard B. The Orange County Register. April 19, 2006.

STUDY

Using an objective structured clinical examination to test adherence to Joint Commission National Patient Safety Goal–associated behaviors.

Pernar LIM, Shaw TJ, Pozner CN, et al. Jt Comm J Qual Patient Saf. 2012;38:414-418.

COMMENTARY

Integrating CUSP and TRIP to improve patient safety.

Romig M, Goeschel C, Pronovost P, Berenholtz SM. Hosp Pract (Minneap). 2010;38:114-121.

BOOK/REPORT

Committed to Safety: Ten Case Studies on Reducing Harm to Patients.

McCarthy D, Blumenthal D. New York, NY: The Commonwealth Fund; April 2006.

AWARD RECIPIENT

John M. Eisenberg Patient Safety Awards. System innovation: Concord Hospital.

Uhlig PN, Brown J, Nason AK, Camelio A, Kendall E. Jt Comm J Qual Improv. 2002;28:666-672.

STUDY

Multidisciplinary approaches to reducing error and risk in a patient care setting.

Connor M, Ponte PR, Conway J. Crit Care Nurs Clin N Am. 2002;14:359-367.

COMMENTARY

Using simulation to address hierarchy issues during medical crises.

Calhoun AW, Boone MC, Miller KH, Pian-Smith MC. Simul Healthc. 2013;8:13-19.

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