AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (167)

•Diagnostic Errors (180)

•Identification Errors (116)

•Discontinuities, Gaps, and Hand-Off Problems (475)

•Fatigue and Sleep Deprivation (94)

•Medication Safety (1089)

•Medical Complications (487)

•Nonsurgical Procedural Complications (99)

•Surgical Complications (372)

•Transfusion Complications (21)

•Psychological and Social Complications (138)

Origin/Sponsor

•Africa (4)

•Asia (19)

•Australia and New Zealand (75)

•Central and South America (3)

•Europe (186)

•North America (3594)

Resource Types

•Clinical Guideline (8)

•Journal Article (2498)

•Legislation/Regulation (60)

•Meeting/Conference (26)

•Newsletter/Journal (13)

•Newspaper/Magazine Article (638)

•Press Release/Announcement (32)

•Special or Theme Issue (47)

•Tools/Toolkit (78)

•Web Resource (146)

•Grant (7)

Error Types

•Epidemiology of Errors and Adverse Events (772)

•Active Errors (607)

•Latent Errors (264)

•Near Miss (60)

Approach to Improving Safety

•Quality Improvement Strategies (935)

•Legal and Policy Approaches (490)

•Error Reporting and Analysis (1030)

•Communication Improvement (997)

•Human Factors Engineering (449)

•Teamwork (285)

•Specialization of Care (354)

•Logistical Approaches (295)

•Culture of Safety (508)

•Technologic Approaches (628)

•Education and Training (768)

Clinical Areas

•Allied Health Services (10)

Target Audience

•Health Care Providers (2948)

•Health Care Executives and Administrators (2747)

•Non-Health Care Professionals (1301)

•Patients (715)

Setting of Care

•Hospitals (2825)

•Psychiatric Facilities (16)

•Residential Facilities (60)

•Ambulatory Care (361)

•Outpatient Surgery (41)

•Patient Transport (38)

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NEWSPAPER/MAGAZINE ARTICLE

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

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

COMMENTARY

Findings of the first consensus conference on medical emergency teams.

Devita MA, Bellomo R, Hillman K, et al. Crit Care Med. 2006;34;2463-2478.

NEWSPAPER/MAGAZINE ARTICLE

Rapid response team activation by patients can mitigate errors.

ISMP Medication Safety Alert! Acute Care Edition. June 1, 2006:1-2.

NEWSPAPER/MAGAZINE ARTICLE

Saving lives: hospitals have signed on to a six-part plan to avoid a multitude of unnecessary deaths.

Comarow A. US News & World Report. July 18, 2005;139:74,76,79.

STUDY

A 5-year analysis of rapid response system activation at an in-hospital haemodialysis unit.

Galhotra S, Devita MA, Dew MA, Simmons RL. Qual Saf Health Care. 2010;19:e38.

NEWSPAPER/MAGAZINE ARTICLE

Patients get power of fast response.

Landro L. Wall Street Journal. September 1, 2009:D2.

REVIEW

Rapid response teams: a systematic review and meta-analysis.

Chan PS, Jain R, Nallmothu BK, Berg RA, Sasson C. Arch Intern Med. 2010;170:18-26.

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.

NEWSPAPER/MAGAZINE ARTICLE

Hospitals try to break a deadly 'code.'

Kowalczyk L. The Boston Globe. November 27, 2005:A1.

NEWSPAPER/MAGAZINE ARTICLE

Empowering families in emergencies.

Spath PL. Hospital & Health Networks. February 20, 2007.

COMMENTARY

Rapid response systems: from implementation to evidence base.

Sarani B, Scott S. Jt Comm J Qual Patient Saf. 2010;36:514-517.

COMMENTARY

Evolution of a rapid response system from voluntary to mandatory activation.

Jones CM, Bleyer AJ, Petree B. Jt Comm J Qual Patient Saf. 2010;36:266-270.

COMMENTARY

Rethinking rapid response teams.

Litvak E, Pronovost PJ. JAMA. 2010;304:1375-1376.

NEWSPAPER/MAGAZINE ARTICLE

Beware of basal opioid infusions with PCA therapy.

ISMP Medication Safety Alert! Acute Care Edition. March 12, 2009;14:1-3.

COMMENTARY

Using an advanced practice nursing model for a rapid response team.

Benson L, Mitchell C, Link M, Carlson G, Fisher J. Jt Comm J Qual Patient Saf. 2008;34:743-747.

STUDY

Uncovering system errors using a rapid response team: cross-coverage caught in the crossfire.

Kaplan LJ, Maerz LL, Schuster K, et al. J Trauma. 2009;67:173-179.

COMMENTARY

Rolling out the rapid response team.

Gallagher-Ford L, Fineout-Overholt E, Melnyk BM, Stillwell SB. Am J Nurs. 2011;111:42-47.

REVIEW

Rapid-response teams.

Jones DA, DeVita MA, Bellomo R. N Engl J Med. 2011;365:139-146.

STUDY

Defining impact of a rapid response team: qualitative study with nurses, physicians and hospital administrators.

Benin AL, Borgstrom CP, Jenq GY, Roumanis SA, Horwitz LI. BMJ Qual Saf. 2012;21:391-398.

TOOLS/TOOLKIT

Condition Help.

Pittsburgh, PA: UPMC Shadyside Hospital; 2012.

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