AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (146)

•Diagnostic Errors (137)

•Identification Errors (99)

•Discontinuities, Gaps, and Hand-Off Problems (424)

•Fatigue and Sleep Deprivation (83)

•Medication Safety (968)

•Medical Complications (437)

•Nonsurgical Procedural Complications (67)

•Surgical Complications (276)

•Transfusion Complications (19)

•Psychological and Social Complications (130)

Origin/Sponsor

•Africa (2)

•Asia (27)

•Australia and New Zealand (54)

•Europe (274)

•North America (3112)

Resource Types

•Clinical Guideline (4)

•Journal Article (2142)

•Legislation/Regulation (44)

•Meeting/Conference (30)

•Newsletter/Journal (6)

•Newspaper/Magazine Article (642)

•Press Release/Announcement (15)

•Special or Theme Issue (57)

•Tools/Toolkit (67)

•Web Resource (104)

•Grant (5)

Error Types

•Epidemiology of Errors and Adverse Events (648)

•Active Errors (472)

•Latent Errors (252)

•Near Miss (45)

Approach to Improving Safety

•Quality Improvement Strategies (1071)

•Legal and Policy Approaches (528)

•Error Reporting and Analysis (962)

•Communication Improvement (830)

•Human Factors Engineering (564)

•Teamwork (217)

•Specialization of Care (224)

•Logistical Approaches (281)

•Culture of Safety (508)

•Technologic Approaches (586)

•Education and Training (628)

Clinical Areas

•Allied Health Services (5)

Target Audience

•Health Care Providers (2048)

•Health Care Executives and Administrators (2488)

•Non-Health Care Professionals (1246)

•Patients (653)

Setting of Care

•Hospitals (2671)

•Psychiatric Facilities (13)

•Residential Facilities (40)

•Ambulatory Care (312)

•Outpatient Surgery (31)

•Patient Transport (10)

1 - 20 of 3476

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AUDIOVISUAL

Chasing Zero: Winning the War on Healthcare Harm.

Austin, TX: Texas Medical Institute for Technology and the Quaid Foundation; 2010.

AUDIOVISUAL

Hospital-acquired infections.

Moss-Coane M, O'Connell K, Fishman N. Radio Times. April 28, 2011.

NEWSPAPER/MAGAZINE ARTICLE

Never events: Utah hospitals saw nearly 60 serious errors in 2007.

May H. Salt Lake Tribune. August 18, 2008.

NEWSPAPER/MAGAZINE ARTICLE

Disruptive behavior affects hospital financial health.

Crane M. Medscape Medical News. December 11, 2010.

AUDIOVISUAL PRESENTATION

When things go wrong.

Institute for Healthcare Improvement. Campaign Live. August 18, 2008.

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.

MULTI-USE WEBSITE

California Hospital Patient Safety Organization.

1215 K Street, Suite 800, Sacramento, CA 95814.

NEWSPAPER/MAGAZINE ARTICLE

Little or no progress on medical mistakes in Florida.

Kestin S, LaMendola B. Sun Sentinel. July 29, 2011.

NEWSPAPER/MAGAZINE ARTICLE

Behind one hospital's fight against deadly infection.

Landro L. Wall Street Journal. June 5, 2012;D1.

NEWSPAPER/MAGAZINE ARTICLE

Fixing relationships, preventing errors.

McGinn P, Chabon R. HHN Magazine Online. November 25, 2008.

NEWSPAPER/MAGAZINE ARTICLE

10 years, 5 voices, 1 challenge.

Larkin H. Hosp Health Netw. October 21, 2009.

COMMENTARY

Developing process-support tools for patient safety: finding the balance between validity and feasibility.

Marsteller JA, Holzmueller CG, Makary M, et al. Jt Comm J Qual Patient Saf. 2008;34:604-607.

BOOK/REPORT

Safer Hospital Care: Strategies for Continuous Innovation.

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

NEWSPAPER/MAGAZINE ARTICLE

AHRQ presses on: no rule yet, but agency taps 10 safety organizations.

DerGurahain J. Mod Healthc. November 10, 2008;38:8.

NEWSPAPER/MAGAZINE ARTICLE

Hospitals tally their avoidable mistakes.

Rein L. Washington Post. July 21, 2009:E1.

NEWSPAPER/MAGAZINE ARTICLE

10 things your hospital won't tell you.

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

NEWSPAPER/MAGAZINE ARTICLE

Hospital bracelets face hurdles as they fix hazard.

Hartocollis A. New York Times. September 25, 2008; Metropolitan Desk section: A1.

AUDIOVISUAL

Obama Administration introduces plan to reduce preventable medical errors.

PBS News Hour. April 12, 2011.

BOOK/REPORT

Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2010.

Oakbrook Terrace, IL: The Joint Commission; September 2010.

STUDY

Hospital governance and the quality of care.

Jha AK, Epstein AM. Health Aff (Millwood). 2010;29:182-187.

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