AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (153)

•Diagnostic Errors (131)

•Identification Errors (69)

•Discontinuities, Gaps, and Hand-Off Problems (356)

•Fatigue and Sleep Deprivation (54)

•Medication Safety (754)

•Medical Complications (486)

•Nonsurgical Procedural Complications (51)

•Surgical Complications (212)

•Transfusion Complications (17)

•Psychological and Social Complications (101)

Origin/Sponsor

•Africa (7)

•Asia (45)

•Australia and New Zealand (89)

•Central and South America (8)

•Europe (537)

•North America (1909)

Resource Types

•Audiovisual (29)

•Award (19)

•Book/Report (185)

•Clinical Guideline (5)

•Journal Article (1822)

•Legislation/Regulation (36)

•Meeting/Conference (25)

•Newsletter/Journal (1)

•Newspaper/Magazine Article (309)

•Press Release/Announcement (24)

•Special or Theme Issue (47)

•Tools/Toolkit (44)

•Web Resource (80)

•Grant (5)

Error Types

•Epidemiology of Errors and Adverse Events (650)

•Active Errors (447)

•Latent Errors (216)

•Near Miss (41)

Approach to Improving Safety

•Quality Improvement Strategies (708)

•Legal and Policy Approaches (301)

•Error Reporting and Analysis (740)

•Communication Improvement (667)

•Human Factors Engineering (509)

•Teamwork (195)

•Specialization of Care (182)

•Logistical Approaches (202)

•Culture of Safety (422)

•Technologic Approaches (442)

•Education and Training (673)

Clinical Areas

•Allied Health Services (6)

•Complementary and Alternative Medicine (1)

Target Audience

•Health Care Providers (1869)

•Health Care Executives and Administrators (2062)

•Non-Health Care Professionals (986)

•Patients (231)

Setting of Care

•Hospitals (2202)

•Psychiatric Facilities (13)

•Residential Facilities (42)

•Ambulatory Care (250)

•Outpatient Surgery (25)

•Patient Transport (11)

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MULTI-USE WEBSITE

African Partnerships for Patient Safety.

Geneva, Switzerland: WHO Patient Safety, World Health Organization.

BOOK/REPORT

Patient Safety Authority Annual Reports.

Harrisburg, PA: Patient Safety Authority; April 2013.

TOOLKIT

Partnering to Heal: Teaming-Up Against Healthcare-Associated Infections.

Washington, DC: US Department of Health and Human Services; May 2011.

BOOK/REPORT

Hand Hygiene Project: Best Practices from Hospitals Participating in the Joint Commission Center for Transforming Healthcare Project.

Health Research and Educational Trust. Chicago, IL: American Hospital Association; 2010.

STUDY

Practically speaking: rethinking hand hygiene improvement programs in health care settings.

Son C, Chuck T, Childers T, et al. Am J Infect Control. 2011;39:716-724.

STUDY

Universal screening for methicillin-resistant Staphylococcus aureus at hospital admission and nosocomial infection in surgical patients.

Harbarth S, Fankhauser C, Schrenzel J, et al. JAMA. 2008;299:1149-1157.

STUDY

Nursing and physician attire as possible source of nosocomial infections.

Wiener-Well Y, Galuty M, Rudensky B, Schlesinger Y, Attias D, Yinnon AM. Am J Infect Control. 2011;39:555-559.

STUDY

Reduction in pediatric identification band errors: a quality collaborative.

Phillips SC, Saysana M, Worley S, Hain PD. Pediatrics. 2012;129:e1587-e1593.

COMMENTARY

Reducing methicillin-resistant Staphylococcus aureus (MRSA) infections.

Griffin FA. Jt Comm J Qual Patient Saf. 2007;33:726-731.

COMMENTARY

Preparing your hospital for compliance with The Joint Commission's National Patient Safety Goals.

Murdaugh L, Jordin R. Hosp Pharm. 2008;43:728-733.

BOOK/REPORT

To Err Is Human—But Don't Expect to Get Paid For It.

ASQ Quarterly Quality Report. Milwaukee, WI: American Society of Quality; October 2008.

NEWSPAPER/MAGAZINE ARTICLE

Anticoagulant safety practices call for pharmacist supervision.

Scott A. Drug Topics (Health-System Edition). November 10, 2008.

GRANT RECIPIENT

AHRQ Projects to Prevent Healthcare-Associated Infections, Fiscal Year 2011.

Rockville, MD: Agency for Healthcare Research and Quality; October 2011. AHRQ Publication No. 09-P013-4-E.

STUDY

Patient safety begins with proper planning: a quantitative method to improve hospital design.

Birnbach DJ, Nevo I, Scheinman SR, Fitzpatrick M, Shekhter I, Lombard JL. Qual Saf Health Care. 2010;19:462-465.

BOOK/REPORT

2011 National and State Healthcare–Associated Infections Standardized Infection Ratio Report.

Malpiedi PJ, Peterson KD, Soe MM, et al. Atlanta, GA: Centers for Disease Control and Prevention; February 11, 2013.

ORGANIZATIONAL POLICY/GUIDELINES classic

A Compendium of Strategies to Prevent Healthcare-Associated Infections in Acute Care Hospitals.

Yokoe DS, Mermel LA, Anderson DJ, et al. Infect Control Hosp Epidemiol. 2008;29:901-994.

BOOK/REPORT

National Healthcare Quality Reports.

Rockville, MD: Agency for Healthcare Research and Quality; May 2013. AHRQ Publication No. 13-0002.

STUDY

A multidisciplinary approach to reduce central line–associated bloodstream infections.

McMullan C, Propper G, Schuhmacher C, et al. Jt Comm J Qual Patient Saf. 2013;39:61-69.

MULTI-USE WEBSITE

On the CUSP: Stop HAI.

Health Research & Educational Trust, MHA Keystone Center.

NEWSPAPER/MAGAZINE ARTICLE

Rounding to influence.

Reinertsen JL, Johnson KM. Healthc Exec. Sept/Oct 2010;25:72-75.

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