AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (242)

•Diagnostic Errors (230)

•Identification Errors (160)

•Discontinuities, Gaps, and Hand-Off Problems (603)

•Fatigue and Sleep Deprivation (129)

•Medication Safety (1621)

•Medical Complications (689)

•Nonsurgical Procedural Complications (127)

•Surgical Complications (822)

•Transfusion Complications (27)

•Psychological and Social Complications (218)

Origin/Sponsor

•Africa (10)

•Asia (54)

•Australia and New Zealand (148)

•Central and South America (9)

•Europe (572)

•North America (4923)

Resource Types

•Clinical Guideline (12)

•Journal Article (3837)

•Legislation/Regulation (85)

•Meeting/Conference (50)

•Newsletter/Journal (19)

•Newspaper/Magazine Article (772)

•Press Release/Announcement (52)

•Special or Theme Issue (103)

•Tools/Toolkit (123)

•Web Resource (206)

•Grant (18)

Error Types

•Epidemiology of Errors and Adverse Events (1115)

•Active Errors (788)

•Latent Errors (369)

•Near Miss (87)

Approach to Improving Safety

•Quality Improvement Strategies (1436)

•Legal and Policy Approaches (712)

•Error Reporting and Analysis (1584)

•Communication Improvement (1402)

•Human Factors Engineering (731)

•Teamwork (509)

•Specialization of Care (412)

•Logistical Approaches (401)

•Culture of Safety (1016)

•Technologic Approaches (933)

•Education and Training (1150)

Clinical Areas

•Allied Health Services (18)

Target Audience

•Health Care Providers (4070)

•Health Care Executives and Administrators (4275)

•Non-Health Care Professionals (2089)

•Patients (750)

Setting of Care

•Hospitals (3740)

•Psychiatric Facilities (20)

•Residential Facilities (98)

•Ambulatory Care (482)

•Outpatient Surgery (68)

•Patient Transport (34)

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NEWSPAPER/MAGAZINE ARTICLE

Get me out alive.

Feldman R. The Washington Post. May 2, 2006:HE01.

NEWSPAPER/MAGAZINE ARTICLE

Can high tech save your life?

Fischman J. US News and World Report. August 1, 2005;139:45,49-50,52.

SPECIAL OR THEME ISSUE

Quality of Anesthesia Care.

Neuman MD, Martinez EA, eds. Anesthesiol Clin. 2011;29:1-178.

NEWSPAPER/MAGAZINE ARTICLE

Settlement to be used for hospital training in labeling medicines.

Ostrom CM. Seattle Times. September 13, 2005;Local News:B3

STUDY

Four years' experience with a hospitalist-led medical emergency team: an interrupted time series.

Rothberg MB, Belforti R, Fitzgerald J, Friderici J, Keyes M. J Hosp Med. 2012;7:98-103.

BOOK/REPORT

MHA Keystone Center for Patient Safety & Quality 2010 Annual Report.

Lansing, MI: Michigan Health & Hospital Association; October 2010.

COMMENTARY

The Role of the Patient in Improving Patient Safety

Gibson R. AHRQ WebM&M [serial online]. March 2007.

BOOK/REPORT

2009 National Healthcare Quality Report.

Rockville, MD: Agency for Healthcare Research and Quality; March 2010. AHRQ Publication No. 10-0003.

STUDY

Developing and evaluating a trigger response system.

Cherry K, Martinek J, Esleck S, Ivory A, Logan R, Ward J. Jt Comm J Qual Patient Saf. 2009;35:331-338.

REVIEW

A review of current and emerging approaches to address failure-to-rescue.

Taenzer AH, Pyke JB, McGrath SP. Anesthesiology. 2011;115:421-431.

STUDY

Nurse decision making in the prearrest period.

Gazarian PK, Henneman EA, Chandler GE. Clin Nurs Res. 2010;19:21-37.

BOOK/REPORT

Tennessee Center for Patient Safety Annual Report 2010.

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

NEWSPAPER/MAGAZINE ARTICLE

Have you M.E.T. the future of better patient safety?

Larson L. Trustee. September 2005;58:6-10.

BOOK/REPORT

Patient Safety in Canada: An Update.

Ottawa, ON, Canada: Canadian Institute for Health Information; August 14, 2007.

NEWSPAPER/MAGAZINE ARTICLE

Perfect is possible.

Berwick DM, Leape LL. Newsweek. October 16, 2006:70-71.

NEWSPAPER/MAGAZINE ARTICLE

Doctor uses 'pre-flight' checklist.

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

AUDIOVISUAL

Chasing Zero: Winning the War on Healthcare Harm.

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

NEWSPAPER/MAGAZINE ARTICLE

Fixing America's hospitals.

Newsweek. October 16, 2006:44-68, 72.

BOOK/REPORT classic

Safe Practices for Better Healthcare—2010 Update.

National Quality Forum. Washington, DC: National Quality Forum; 2010.

STUDY

Retrospective review of emergency response activations during a 13-year period at a tertiary care children's hospital.

Wang GS, Erwin N, Zuk J, Henry DB, Dobyns EL. J Hosp Med. 2011;6:131-135.

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