AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (114)

•Diagnostic Errors (101)

•Identification Errors (72)

•Discontinuities, Gaps, and Hand-Off Problems (354)

•Fatigue and Sleep Deprivation (52)

•Medication Safety (705)

•Medical Complications (358)

•Nonsurgical Procedural Complications (46)

•Surgical Complications (196)

•Transfusion Complications (18)

•Psychological and Social Complications (102)

Origin/Sponsor

•Africa (4)

•Asia (37)

•Australia and New Zealand (79)

•Central and South America (2)

•Europe (591)

•North America (1842)

Resource Types

•Audiovisual (47)

•Award (19)

•Book/Report (210)

•Clinical Guideline (3)

•Journal Article (1669)

•Legislation/Regulation (34)

•Meeting/Conference (13)

•Newsletter/Journal (2)

•Newspaper/Magazine Article (376)

•Press Release/Announcement (28)

•Special or Theme Issue (26)

•Tools/Toolkit (57)

•Web Resource (107)

•Grant (4)

Error Types

•Epidemiology of Errors and Adverse Events (582)

•Active Errors (360)

•Latent Errors (196)

•Near Miss (45)

Approach to Improving Safety

•Quality Improvement Strategies (652)

•Legal and Policy Approaches (333)

•Error Reporting and Analysis (880)

•Communication Improvement (675)

•Human Factors Engineering (286)

•Teamwork (160)

•Specialization of Care (182)

•Logistical Approaches (171)

•Culture of Safety (416)

•Technologic Approaches (428)

•Education and Training (499)

Clinical Areas

•Allied Health Services (8)

•Complementary and Alternative Medicine (2)

Target Audience

•Health Care Providers (1825)

•Health Care Executives and Administrators (1937)

•Non-Health Care Professionals (975)

•Patients (495)

Setting of Care

•Hospitals (2101)

•Psychiatric Facilities (13)

•Residential Facilities (34)

•Ambulatory Care (256)

•Outpatient Surgery (23)

•Patient Transport (13)

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STUDY

Patients' attitudes towards patient involvement in safety interventions: results of two exploratory studies.

Davis RE, Sevdalis N, Pinto A, Darzi A, Vincent CA. Health Expect. 2011 Dec 12; [Epub ahead of print].

STUDY

Interpreting adverse drug reaction (ADR) reports as hospital patient safety incidents.

Davies EC, Green CF, Mottram DR, Pirmohamed M. Br J Clin Pharmacol. 2010;70:102-108.

REVIEW

An examination of opportunities for the active patient in improving patient safety.

Davis RE, Sevdalis N, Jacklin R, Vincent CA. J Patient Saf. 2012;8:36-43.

ORGANIZATIONAL POLICY/GUIDELINES

Standardising wristbands improves patient safety.

Safe Practice Notice 24. London, England: National Patient Safety Agency; July 3, 2007.

BOOK/REPORT

Patient Safety in Canada: An Update.

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

BOOK/REPORT

Safety First: Top of Your Board's Agenda: 100 Day Challenge Survey Report.

The Patients Association. Harrow, Middlesex, UK: The Patients Association; June 2009.

COMMENTARY

What is the NHS Safety Thermometer?

Power M, Stewart K, Brotherton A. Clin Risk. 2012;18:163-169.

NEWSPAPER/MAGAZINE ARTICLE

How safe is your hospital? Our new ratings find that some are riskier than others.

Consum Rep. 2012 Aug;77:20-28.

BOOK/REPORT

Hospital Reporting Program.

Portland, OR: Oregon Patient Safety Commission.

MULTI-USE WEBSITE

HAC Posting on Hospital Compare.

Centers for Medicare & Medicaid Services.

COMMENTARY

Why patients need leaders: introducing a ward safety checklist.

Amin Y, Grewcock D, Andrews S, Halligan A. J R Soc Med. 2012;105:377-383.

BOOK/REPORT

Patient Safety Authority Annual Reports.

Harrisburg, PA: Patient Safety Authority; April 2012.

NEWSPAPER/MAGAZINE ARTICLE

Perfect is possible.

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

NEWSPAPER/MAGAZINE ARTICLE

Hospitals leery of reporting serious errors.

Bernhard B, Kohler J. St. Louis Post-Dispatch. February 27, 2011:A1.

NEWSPAPER/MAGAZINE ARTICLE

Hospitals boost patients' power as advisers.

Landro L. Wall Street Journal. August 8, 2007:D1.

STUDY

Improving RCA performance: the Cornerstone Award and the power of positive reinforcement.

Bagian JP, King BJ, Mills PD, McKnight SD. BMJ Qual Saf. 2011;20:974-982.

COMMENTARY

Medication errors in family practice, in hospitals and after discharge from the hospital: an ethical analysis.

Clark PA. J Law Med Ethics. 2004;32:349-357.

BOOK/REPORT

Standing Up for Doctors, Speaking Out for Patients. Final Report.

London, UK: Health Policy & Economic Research Unit, British Medical Association Scotland; May 2010.

STUDY

Challenges and opportunities to prevent transfusion errors: a Qualitative Evaluation for Safer Transfusion (QUEST).

Heddle NM, Fung M, Hervig T, et al; BEST Collaborative. Transfusion. 2012;52:1687-1695.

STUDY

Staff perceptions of quality of care: an observational study of the NHS Staff Survey in hospitals in England.

Pinder RJ, Greaves FE, Aylin PP, Jarman B, Bottle A. BMJ Qual Saf. 2013 Feb 20; [Epub ahead of print].

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