AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (196)

•Diagnostic Errors (200)

•Identification Errors (135)

•Discontinuities, Gaps, and Hand-Off Problems (584)

•Fatigue and Sleep Deprivation (121)

•Medication Safety (1325)

•Medical Complications (595)

•Nonsurgical Procedural Complications (102)

•Surgical Complications (495)

•Transfusion Complications (25)

•Psychological and Social Complications (238)

Origin/Sponsor

•Africa (7)

•Asia (57)

•Australia and New Zealand (133)

•Central and South America (6)

•Europe (566)

•North America (4397)

Resource Types

•Clinical Guideline (10)

•Journal Article (3635)

•Legislation/Regulation (73)

•Meeting/Conference (47)

•Newsletter/Journal (14)

•Newspaper/Magazine Article (590)

•Press Release/Announcement (32)

•Special or Theme Issue (94)

•Tools/Toolkit (95)

•Web Resource (162)

•Grant (16)

Error Types

•Epidemiology of Errors and Adverse Events (993)

•Active Errors (649)

•Latent Errors (330)

•Near Miss (81)

Approach to Improving Safety

•Quality Improvement Strategies (1333)

•Legal and Policy Approaches (629)

•Error Reporting and Analysis (1487)

•Communication Improvement (1285)

•Human Factors Engineering (601)

•Teamwork (563)

•Specialization of Care (354)

•Logistical Approaches (386)

•Culture of Safety (1037)

•Technologic Approaches (871)

•Education and Training (1015)

Clinical Areas

•Allied Health Services (16)

Target Audience

•Health Care Providers (3660)

•Health Care Executives and Administrators (4120)

•Non-Health Care Professionals (2180)

•Patients (462)

Setting of Care

•Hospitals (3422)

•Psychiatric Facilities (21)

•Residential Facilities (90)

•Ambulatory Care (474)

•Outpatient Surgery (47)

•Patient Transport (32)

1 - 20 of 5252

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BOOK/REPORT

Tennessee Center for Patient Safety Annual Report 2010.

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

BOOK/REPORT

Achieving an Exceptional Patient and Family Experience of Inpatient Hospital Care.

Balik B, Conway J, Zipperer L, Watson J. Cambridge, MA: Institute for Healthcare Improvement; 2011.

COMMENTARY

Learning accountability for patient outcomes.

Pronovost PJ. JAMA. 2010;304:204-205.

SPECIAL OR THEME ISSUE

Front-Line Ownership: Generating a Cure Mindset for Patient Safety.

Kitts J, ed. Healthcare Papers. 2013;13:1-82.

STUDY

Improving safety culture on adult medical units through multidisciplinary teamwork and communication interventions: the TOPS Project.

Blegen MA, Sehgal NL, Alldredge BK, Gearhart S, Auerbach AD, Wachter RM. Qual Saf Health Care. 2010;19:346-350.

STUDY

The importance of leadership in preventing healthcare–associated infection: results of a multisite qualitative study.

Saint S, Kowalski CP, Banaszak-Holl J, Forman J, Damschroder L, Krein SL. Infect Control Hosp Epidemiol. 2010;31:901-907.

STUDY

Analysis of staff safety concerns.

Davidson J, Lamontagne G, Burnell L, et al. J Nurs Care Qual. 2013;28:147-152.

STUDY

Health care workers as second victims of medical errors.

Edrees HH, Paine LA, Feroli ER, Wu AW. Pol Arch Med Wewn. 2011;121:101-108.

MULTI-USE WEBSITE

BOOSTing Care Transitions Resource Room.

Project BOOST (Better Outcomes for Older adults through Safe Transitions), Society of Hospital Medicine.

BOOK/REPORT

Safer Hospital Care: Strategies for Continuous Innovation.

Raheja D. New York, NY: Productivity Press; 2011. ISBN: 9781439821022.

NEWSPAPER/MAGAZINE ARTICLE

Raising the index of suspicion: red flags that represent credible threats to patient safety.

ISMP Medication Safety Alert! Acute Care Edition. July 26, 2012;17:1-3.

BOOK/REPORT classic

Safe Patients, Smart Hospitals: How One Doctor's Checklist Can Help Us Change Health Care from the Inside Out.

Pronovost P, Vohr E. New York, NY: Hudson Street Press; 2010. ISBN: 9781594630644.

BOOK/REPORT

First, Do Less Harm: Confronting the Inconvenient Problems of Patient Safety.

Koppel R, Gordon S, ed. Ithaca, NY: Cornell University Press; 2012. ISBN: 9780801450778.

STUDY

Evaluation of organizational culture among different levels of healthcare staff participating in the Institute for Healthcare Improvement's 100,000 Lives Campaign.

Sinkowitz-Cochran RL, Garcia-Williams A, Hackbarth AD, et al. Infect Control Hosp Epidemiol. 2012;33:135-143.

STUDY

Safety leadership: a meta-analytic review of transformational and transactional leadership styles as antecedents of safety behaviours.

Clarke S. J Occup Organ Psychol. 2013;86:22-49.

STUDY

Professionalism: a necessary ingredient in a culture of safety.

DuPree E, Anderson R, McEvoy MD, Brodman M. Jt Comm J Qual Patient Saf. 2011;37:447-455.

NEWSPAPER/MAGAZINE ARTICLE

5 sure-fire methods: complying with NPSG.03.04.01.

Joint Commission: The Source. January 2012;10:5-6.

BOOK/REPORT

Patient-Centered Care Improvement Guide.

Frampton S, Guastello S, Brady C, et al. Derby, CT: Planetree; Camden, ME: Picker Institute; 2008.

ORGANIZATIONAL POLICY/GUIDELINES

Transitions of Care Consensus Policy Statement American College of Physicians-Society of General Internal Medicine-Society of Hospital Medicine-American Geriatrics Society-American College of Emergency Physicians-Society of Academic Emergency Medicine.

Snow V, Beck D, Budnitz T, et al. J Gen Intern Med. 2009;24:971-976.

REVIEW

Promoting a culture of safety as a patient safety strategy: a systematic review.

Weaver SJ, Lubomski LH, Wilson RF, Pfoh ER, Martinez KA, Dy SM. Ann Intern Med. 2013;158(5 Pt 2):369-374.

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