AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (107)

•Diagnostic Errors (140)

•Identification Errors (60)

•Discontinuities, Gaps, and Hand-Off Problems (337)

•Fatigue and Sleep Deprivation (108)

•Medication Safety (767)

•Medical Complications (282)

•Nonsurgical Procedural Complications (47)

•Surgical Complications (239)

•Transfusion Complications (16)

•Psychological and Social Complications (107)

Origin/Sponsor

•Asia (14)

•Australia and New Zealand (13)

•Central and South America (2)

•Europe (60)

•North America (2596)

Resource Types

•Audiovisual (41)

•Award (20)

•Book/Report (140)

•Clinical Guideline (7)

•Journal Article (1822)

•Legislation/Regulation (41)

•Meeting/Conference (17)

•Newsletter/Journal (4)

•Newspaper/Magazine Article (468)

•Press Release/Announcement (8)

•Special or Theme Issue (31)

•Tools/Toolkit (43)

•Web Resource (51)

•Grant (2)

Error Types

•Epidemiology of Errors and Adverse Events (491)

•Active Errors (313)

•Latent Errors (152)

•Near Miss (35)

Approach to Improving Safety

•Quality Improvement Strategies (619)

•Legal and Policy Approaches (326)

•Error Reporting and Analysis (721)

•Communication Improvement (653)

•Human Factors Engineering (290)

•Teamwork (155)

•Specialization of Care (187)

•Logistical Approaches (252)

•Culture of Safety (337)

•Technologic Approaches (599)

•Education and Training (538)

Clinical Areas

•Allied Health Services (4)

Target Audience

•Health Care Providers (1932)

•Health Care Executives and Administrators (1830)

•Non-Health Care Professionals (917)

•Patients (300)

Setting of Care

•Hospitals (2063)

•Psychiatric Facilities (5)

•Residential Facilities (30)

•Ambulatory Care (227)

•Outpatient Surgery (24)

•Patient Transport (5)

1 - 20 of 2695

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NEWSPAPER/MAGAZINE ARTICLE

Doctors' smartphones and iPads may be distracting.

Gold J. Kaiser Health News and National Public Radio. March 26, 2012.

BOOK/REPORT classic

Improving Patient Safety Through Informed Consent for Patients with Limited Health Literacy.

Wu HW, Nishimi RY, Page-Lopez CM, Kizer KW. Washington, DC: National Quality Forum; 2005.

COMMENTARY

Appropriate prescribing of medications: an eight-step approach.

Pollock M, Bazaldua OV, Dobbie AE. Am Fam Physician. 2007;75:231-236, 239-240.

STUDY

Health literacy and medication understanding among hospitalized adults.

Marvanova M, Roumie CL, Eden SK, Cawthon C, Schnipper JL, Kripalani S. J Hosp Med. 2011;6:488-493.

STUDY

Increasing vigilance on the medical/surgical floor to improve patient safety.

Jacobs JL, Apatov N, Glei M. J Adv Nurs. 2007;57:472-481.

COMMENTARY

In Conversation with...Dean Schillinger, MD

AHRQ WebM&M [serial online]. February/March 2009.

SPECIAL OR THEME ISSUE

Health Literacy Research: Current Status and Future Directions.

Paasche-Orlow MK, Wilson EAH, McCormack L, eds. J Health Comm. 2010;15(suppl 2):1-225.

STUDY

Design and implementation of an automated email notification system for results of tests pending at discharge.

Dalal AK, Schnipper JL, Poon EG, et al. J Am Med Inform Assoc. 2012;19:523-538.

NEWSPAPER/MAGAZINE ARTICLE

Safe practice environment chapter proposed by USP.

ISMP Medication Safety Alert! Acute Care Edition. December 4, 2008;13:1-3.

NEWSPAPER/MAGAZINE ARTICLE

Patients taking their own medications while in the hospital.

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

MULTI-USE WEBSITE

Quality & Safety Research Group.

Johns Hopkins University, Department of Anesthesiology & Critical Care Medicine.

COMMENTARY

Time to sign off on signout.

Stein DM, Stetson PD. Acad Med. 2011;86:804-806.

COMMENTARY

Sleep deprivation, physician performance, and patient safety.

Olson EJ, Drage LA, Auger RR. Chest. 2009;136:1389-1396.

STUDY

Medication-prescribing errors in a teaching hospital: a 9-year experience.

Lesar TS, Lomaestro BM, Pohl H. Arch Intern Med. 1997;157:1569-1576.

STUDY

Change in intern calls at night after a work hour restriction process change.

Spellberg B, Sue D, Chang D, Witt M. JAMA Intern Med. 2013;173:707-709.

NEWSPAPER/MAGAZINE ARTICLE

"Near injury" alters procedures at Virginia Mason.

Ostrom CM. The Seattle Times. May 21, 2005.

COMMENTARY classic

Epidemiology of medical error.

Weingart SN, Wilson RM, Gibberd RW, Harrison B. BMJ. 2000;320:774-777.

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

Apology for errors: whose responsibility?

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

NEWSPAPER/MAGAZINE ARTICLE

Are you a great diagnostician?

Yasgur BS. Medscape Business of Medicine. March 27, 2013.

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