AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (151)

•Diagnostic Errors (326)

•Identification Errors (122)

•Discontinuities, Gaps, and Hand-Off Problems (452)

•Fatigue and Sleep Deprivation (101)

•Medication Safety (992)

•Medical Complications (386)

•Nonsurgical Procedural Complications (87)

•Surgical Complications (385)

•Transfusion Complications (13)

•Psychological and Social Complications (164)

Origin/Sponsor

•Africa (3)

•Asia (32)

•Australia and New Zealand (56)

•Central and South America (1)

•Europe (322)

•North America (3233)

Resource Types

•Clinical Guideline (7)

•Journal Article (2396)

•Legislation/Regulation (52)

•Meeting/Conference (25)

•Newsletter/Journal (7)

•Newspaper/Magazine Article (625)

•Press Release/Announcement (17)

•Special or Theme Issue (42)

•Tools/Toolkit (67)

•Web Resource (96)

•Grant (6)

Error Types

•Epidemiology of Errors and Adverse Events (745)

•Active Errors (790)

•Latent Errors (254)

•Near Miss (63)

Approach to Improving Safety

•Quality Improvement Strategies (881)

•Legal and Policy Approaches (629)

•Error Reporting and Analysis (1083)

•Communication Improvement (1012)

•Human Factors Engineering (374)

•Teamwork (221)

•Specialization of Care (180)

•Logistical Approaches (271)

•Culture of Safety (456)

•Technologic Approaches (604)

•Education and Training (722)

Clinical Areas

•Allied Health Services (8)

Target Audience

•Health Care Providers (2528)

•Health Care Executives and Administrators (2480)

•Non-Health Care Professionals (1380)

•Patients (678)

Setting of Care

•Hospitals (2322)

•Psychiatric Facilities (12)

•Residential Facilities (32)

•Ambulatory Care (359)

•Outpatient Surgery (38)

•Patient Transport (14)

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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.

NEWSPAPER/MAGAZINE ARTICLE

Hospitals tally their avoidable mistakes.

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

REVIEW

Negligence, genuine error, and litigation.

Sohn DH. Int J Gen Med. 2013;6:49-56.

NEWSPAPER/MAGAZINE ARTICLE

Medicare says it won't cover hospital errors.

Pear R. New York Times. August 19, 2007.

NEWSPAPER/MAGAZINE ARTICLE

Minnesota hospitals are testing ways to reduce return trips.

Lerner M. Star Tribune. October 11, 2012.

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.

AUDIOVISUAL

Hospital-acquired infections.

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

NEWSPAPER/MAGAZINE ARTICLE

Checking the right boxes, but failing the patient.

Rifkin D. New York Times. November 16, 2009;Science Desk:5.

COMMENTARY

Apology for errors: whose responsibility?

Leape LL. Front Health Serv Manage. 2012;28:3-12.

NEWSPAPER/MAGAZINE ARTICLE

Don't let a hospital make you sick.

Mishori R. Parade Magazine. February 8, 2009.

COMMENTARY

As she lay dying: how I fought to stop medical errors from killing my mom.

Welch JR. Health Aff (Millwood). 2012;31:2817-2820.

BOOK/REPORT classic

Adverse Events in Hospitals: National Incidence Among Medicare Beneficiaries.

Levinson DR. Washington, DC: US Department of Health and Human Services, Office of the Inspector General; November 2010. Report No. OEI-06-09-00090.

NEWSPAPER/MAGAZINE ARTICLE

Officials investigate infants' heparin OD at Texas hospital.

Vonfremd M, Ibanga I. ABC News.com. July 10, 2008.

NEWSPAPER/MAGAZINE ARTICLE

The impossible workload for doctors in training.

Chen PW. New York Times. April 18, 2013.

AUDIOVISUAL

Take Charge of Your Hospital Stay to Avoid Medical Mistakes.

Clarke S, Savard M. Good Morning America. ABC News. March 22, 2010.

BOOK/REPORT

HealthGrades Sixth Annual Patient Safety in American Hospitals Study.

Golden, CO: HealthGrades, Inc.; April 2009.

NEWSPAPER/MAGAZINE ARTICLE

Medical malpractice: why is it so hard for doctors to apologize?

Sanghavi D. Boston Globe Magazine. January 27, 2013.

REVIEW

Duty-hour limits and patient care and resident outcomes: can high-quality studies offer insight into complex relationships?

Philibert I, Nasca T, Brigham T, Shapiro J. Annu Rev Med. 2013;64:467-483.

MULTI-USE WEBSITE

The Assertive Patient.

Health Care For All. 30 Winter Street, 10th floor, Boston, MA 02108.

NEWSPAPER/MAGAZINE ARTICLE

Patients taking their own medications while in the hospital.

PA-PSRS Patient Saf Advis. June 2012;9:50-57.

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