AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (59)

•Diagnostic Errors (284)

•Identification Errors (52)

•Discontinuities, Gaps, and Hand-Off Problems (509)

•Fatigue and Sleep Deprivation (68)

•Medication Safety (392)

•Medical Complications (105)

•Nonsurgical Procedural Complications (45)

•Surgical Complications (170)

•Transfusion Complications (8)

•Psychological and Social Complications (43)

Origin/Sponsor

•Africa (2)

•Asia (26)

•Australia and New Zealand (60)

•Central and South America (3)

•Europe (222)

•North America (1233)

Resource Types

•Audiovisual (8)

•Book/Report (40)

•Clinical Guideline (2)

•Journal Article (1372)

•Legislation/Regulation (19)

•Meeting/Conference (6)

•Newsletter/Journal (2)

•Newspaper/Magazine Article (101)

•Press Release/Announcement (7)

•Special or Theme Issue (18)

•Tools/Toolkit (17)

•Web Resource (21)

•Grant (2)

Error Types

•Epidemiology of Errors and Adverse Events (410)

•Active Errors (336)

•Latent Errors (128)

•Near Miss (35)

Approach to Improving Safety

•Quality Improvement Strategies (386)

•Legal and Policy Approaches (105)

•Error Reporting and Analysis (515)

•Communication Improvement (501)

•Human Factors Engineering (190)

•Teamwork (123)

•Specialization of Care (98)

•Logistical Approaches (164)

•Culture of Safety (157)

•Technologic Approaches (266)

•Education and Training (325)

Clinical Areas

•Allied Health Services (5)

•Complementary and Alternative Medicine (1)

•Medicine (1212)

•Nursing (96)

•Pharmacy (94)

Target Audience

•Health Care Providers (1269)

•Health Care Executives and Administrators (1398)

•Non-Health Care Professionals (513)

•Patients (49)

Setting of Care

•Hospitals (1003)

•Psychiatric Facilities (5)

•Residential Facilities (30)

•Ambulatory Care (157)

•Outpatient Surgery (15)

•Patient Transport (24)

1 - 20 of 1615

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STUDY

Healthcare provider complaints to the emergency department: a preliminary report on a new quality improvement instrument.

Griffey RT, Bohan JS. Qual Saf Health Care. 2006;15:344-346.

COMMENTARY

Right? Left? Neither!

Howell EA, Chassin MR. AHRQ WebM&M [serial online]. May 2006.

STUDY

Missed and delayed diagnoses in the emergency department: a study of closed malpractice claims from 4 liability insurers.

Kachalia A, Gandhi TK, Puopolo AL, et al. Ann Emerg Med. Ann Emerg Med. 2007;49:196-205.

COMMENTARY

Patient safety and diagnostic error: tips for your next shift.

Sinclair D, Croskerry P. Can Fam Physician. 2010;56:28-30.

STUDY

Using a preprinted order sheet to reduce prescription errors in a pediatric emergency department: a randomized, controlled trial.

Kozer E, Scolnik D, MacPherson A, Rauchwerger D, Koren G. Pediatrics. 2005;116:1299-1302.

REVIEW

Missed breast cancers at US-guided core needle biopsy: how to reduce them.

Youk JH, Kim EK, Kim MJ, Lee JY, Oh KK. Radiographics. 2007;27:79-94.

COMMENTARY classic

Graduate medical education and patient safety: a busy--and occasionally hazardous--intersection.

Shojania KG, Fletcher KE, Saint S. Ann Intern Med. 2006;145:592-598.

STUDY

Medical error identification, disclosure, and reporting: do emergency medicine provider groups differ?

Hobgood C, Weiner B, Tamayo-Sarver JH. Acad Emerg Med. 2006;13:443-451.

STUDY

Risk of medication errors at hospital discharge and barriers to problem resolution.

Enguidanos SM, Brumley RD. Home Health Care Serv Q. 2005;24:123-135.

SPECIAL OR THEME ISSUE

Safety in EMS.

Brice JH, Patterson PD, eds. Prehosp Emerg Care. 2012;16:1-108.

STUDY

Comparison and interpretation of urinalysis performed by a nephrologist versus a hospital-based clinical laboratory.

Tsai JJ, Yeun JY, Kumar VA, Don BR. Am J Kidney Dis. 2005;46:820-829.

COMMENTARY

Physical Diagnosis: A Lost Art?

Thompson GR, Verghese A. AHRQ WebM&M [serial online]. August 2006.

STUDY

ED handoffs: observed practices and communication errors.

Maughan BC, Lei L, Cydulka RK. Am J Emerg Med. 2011;29:502-511.

STUDY

Patterns of communication breakdowns resulting in injury to surgical patients.

Greenberg CC, Regenbogen SE, Studdert DM, et al. J Am Coll Surg. 2007;204:533-540.

COMMENTARY

Radiological error: analysis, standard setting, targeted instruction and teamworking.

FitzGerald R. Eur Radiol. 2005;15:1760-1767.

STUDY

Medical emergency team calls in the radiology department: patient characteristics and outcomes.

Ott LK, Pinsky MR, Hoffman LA, et al. BMJ Qual Saf. 2012 Mar 2; [Epup ahead of print].

STUDY

Waiting for urgent procedures on the weekend among emergently hospitalized patients.

Bell CM, Redelmeier DA. Am J Med. 2004;117:175-181.

STUDY

Pediatric rapid response teams in the academic medical center.

Mistry KP, Turi J, Hueckel R, Mericle JM, Meliones JN. Clin Ped Emerg Med. 2006;7:241-247.

STUDY

A randomized, controlled trial evaluating the impact of a computerized rounding and sign-out system on continuity of care and resident work hours.

Van Eaton EG, Horvath KD, Lober WB, Rossini AJ, Pellegrini CA. J Am Coll Surg. 2005;200:538-545.

COMMENTARY

Critical diagnoses (critical values) in anatomic pathology.

Association of Directors of Anatomic and Surgical Pathology. Hum Pathol. 2006;37:982-984.

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