AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (83)

•Diagnostic Errors (115)

•Identification Errors (58)

•Discontinuities, Gaps, and Hand-Off Problems (219)

•Fatigue and Sleep Deprivation (97)

•Medication Safety (538)

•Medical Complications (192)

•Nonsurgical Procedural Complications (32)

•Surgical Complications (254)

•Transfusion Complications (8)

•Psychological and Social Complications (103)

Origin/Sponsor

•Australia and New Zealand (6)

•North America (2293)

Resource Types

•Audiovisual (26)

•Bibliography (2)

•Book/Report (167)

•Clinical Guideline (5)

•Journal Article (1544)

•Legislation/Regulation (34)

•Meeting/Conference (22)

•Newsletter/Journal (9)

•Newspaper/Magazine Article (354)

•Press Release/Announcement (11)

•Special or Theme Issue (40)

•Tools/Toolkit (35)

•Web Resource (63)

Error Types

•Epidemiology of Errors and Adverse Events (356)

•Active Errors (188)

•Latent Errors (109)

•Near Miss (28)

Approach to Improving Safety

•Quality Improvement Strategies (700)

•Legal and Policy Approaches (367)

•Error Reporting and Analysis (683)

•Communication Improvement (493)

•Human Factors Engineering (202)

•Teamwork (175)

•Specialization of Care (152)

•Logistical Approaches (180)

•Culture of Safety (427)

•Technologic Approaches (390)

•Education and Training (432)

Clinical Areas

•Allied Health Services (5)

•Dentistry (2)

•Medicine (1415)

•Nursing (79)

•Pharmacy (193)

Target Audience

•Health Care Providers (1728)

•Health Care Executives and Administrators (1933)

•Non-Health Care Professionals (949)

•Patients (197)

Setting of Care

•Hospitals (1304)

•Psychiatric Facilities (6)

•Residential Facilities (30)

•Ambulatory Care (171)

•Outpatient Surgery (23)

•Patient Transport (6)

1 - 20 of 2350

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COMMENTARY

Creating high reliability in health care organizations.

Pronovost PJ, Berenholtz SM, Goeschel CA, et al. Health Serv Res. 2006;41:1599-1617.

STUDY

Preliminary assessment of pediatric health care quality and patient safety in the United States using readily available administrative data.

McDonald KM, Davies SM, Haberland CA, et al. Pediatrics. 2008;122:e416-e425.

STUDY

Follow-up of outpatient test results: a survey of house-staff practices and perceptions.

Lin JJ, Dunn A, Moore C. Am J Med Qual. 2006;21:178-184.

STUDY

classic

A framework for engaging physicians in quality and safety.

Taitz JM, Lee TH, Sequist TD. BMJ Qual Saf. 2012;21:722-728.

NEWSPAPER/MAGAZINE ARTICLE

Practitioners agree on medication reconciliation value, but frustration and difficulties abound.

ISMP Medication Safety Alert! Acute Care Edition. July 13, 2006;11:1-2.

NEWSPAPER/MAGAZINE ARTICLE

Building a case for medication reconciliation.

Nurse Advise-ERR. April 2006;4:1-3.

STUDY

Adoption of patient-centered care practices by physicians: results from a national survey.

Audet AM, Davis K, Schoenbaum SC. Arch Intern Med. 2006;166:754-759.

BOOK/REPORT

HealthGrades Quality Study: Third Annual Patient Safety in American Hospitals Study.

Golden, CO: Health Grades, Inc.; April 2006.

SPECIAL OR THEME ISSUE

Improving Health Care Quality.

Wisc Med J. 2006:105;1-86.

BOOK/REPORT

HealthGrades Sixth Annual Patient Safety in American Hospitals Study.

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

STUDY

classic

Consequences of inadequate sign-out for patient care.

Horwitz LI, Moin T, Krumholz HM, Wang L, Bradley EH. Arch Intern Med. 2008;168:1755-1760.

STUDY

Weekend versus weekday admission and mortality from myocardial infarction.

Kostis WJ, Demissie K, Marcella SW, Shao YH, Wilson AC, Moreyra AE, for the Myocardial Infarction Data Acquisition System (MIDAS 10) Study Group. N Engl J Med. 2007;356:1099-1109.

STUDY

On the prospects for a blame-free medical culture.

Collins ME, Block SD, Arnold RM, Christakis NA. Soc Sci Med. 2009;69:1287-1290.

NEWSPAPER/MAGAZINE ARTICLE

New practices reduce childbirth risks.

Landro L. Wall Street Journal. July 12, 2006:D1. [Reprinted on Post-gazette.com].

NEWSPAPER/MAGAZINE ARTICLE

Who’s sorry now?

Weber DO. Physician Exec. 2006 Mar-Apr;32:6,11-14.

AWARD RECIPIENT

Nurturing Creativity: 2006 MacArthur Fellows.

The John D. and Catherine T. MacArthur Foundation.

STUDY

The Patient Safety Leadership Academy at the University of Pennsylvania: the first cohort's learning experience.

Wurster AB, Pearson K, Sonnad SS, Mullen JL, Kaiser LR. Qual Manag Health Care. 2007;16:166-173.

COMMENTARY

Medication bar coding: to scan or not to scan?

Galvin L, McBeth S, Hasdorff C, Tillson M, Thomas S. Comput Inform Nurs. 2007;25:86-92.

BOOK/REPORT

Mirror, Mirror on the Wall: An Update on the Quality of American Health Care Through the Patient's Lens.

Davis K, Schoen S, Schoenbaum SC, et al. New York, NY: The Commonwealth Fund; April 2006.

NEWSPAPER/MAGAZINE ARTICLE

Software for symptoms.

Borzo J. Wall Street Journal. May 23, 2005:R10.

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