AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (56)

•Diagnostic Errors (72)

•Identification Errors (83)

•Discontinuities, Gaps, and Hand-Off Problems (137)

•Fatigue and Sleep Deprivation (35)

•Medication Safety (258)

•Medical Complications (148)

•Nonsurgical Procedural Complications (27)

•Surgical Complications (659)

•Transfusion Complications (3)

•Psychological and Social Complications (90)

Origin/Sponsor

•Africa (2)

•Asia (5)

•Australia and New Zealand (11)

•Central and South America (1)

•Europe (103)

•North America (1329)

Resource Types

•Audiovisual (70)

•Award (10)

•Book/Report (93)

•Clinical Guideline (3)

•Journal Article (720)

•Legislation/Regulation (16)

•Meeting/Conference (4)

•Newsletter/Journal (5)

•Newspaper/Magazine Article (415)

•Press Release/Announcement (4)

•Special or Theme Issue (16)

•Tools/Toolkit (37)

•Web Resource (60)

•Grant (1)

Error Types

•Epidemiology of Errors and Adverse Events (226)

•Active Errors (253)

•Latent Errors (81)

•Near Miss (19)

Approach to Improving Safety

•Quality Improvement Strategies (328)

•Legal and Policy Approaches (242)

•Error Reporting and Analysis (417)

•Communication Improvement (591)

•Human Factors Engineering (218)

•Teamwork (141)

•Specialization of Care (54)

•Logistical Approaches (88)

•Culture of Safety (149)

•Technologic Approaches (153)

•Education and Training (335)

Clinical Areas

•Allied Health Services (2)

Target Audience

•Health Care Providers (941)

•Health Care Executives and Administrators (805)

•Non-Health Care Professionals (412)

•Patients (622)

Setting of Care

•Hospitals (956)

•Psychiatric Facilities (3)

•Residential Facilities (10)

•Ambulatory Care (115)

•Outpatient Surgery (48)

•Patient Transport (4)

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FACT SHEET/FAQS

Tips for Safer Surgery.

Surgical Care Improvement Project.

BOOK/REPORT

Better: A Surgeon's Notes on Performance.

Gawande A. New York, NY: Metropolitan Books; 2007. ISBN: 0805082115.

FACT SHEET/FAQS

Ensuring Correct Surgery.

Ann Arbor, MI: VA National Center for Patient Safety; 2006.

MULTI-USE WEBSITE

Hydraulic Fluid Facts.

Duke University Health System.

MULTI-USE WEBSITE

Strong for Surgery.

CERTAIN. Rockville, MD: Agency for Healthcare Research and Quality. SCOAP. Seattle, WA: Foundation for Health Care Quality.

NEWSPAPER/MAGAZINE ARTICLE

Avoidable mistakes rise despite hospital efforts.

Colliver V. San Francisco Chronicle. June 2, 2010;A1.

NEWSPAPER/MAGAZINE ARTICLE

Family of woman who died after a medical error joins hospital's safety panel.

Shelton DL. Chicago Tribune. October 7, 2011.

NEWSPAPER/MAGAZINE ARTICLE

Seeking a safer surgery: some states crack down on doctors who perform unregulated outpatient procedures.

Landro L. Wall Street Journal. July 21, 2009:D1.

NEWSPAPER/MAGAZINE ARTICLE

Don't let a hospital make you sick.

Mishori R. Parade Magazine. February 8, 2009.

NEWSPAPER/MAGAZINE ARTICLE

Get me out alive.

Feldman R. The Washington Post. May 2, 2006:HE01.

COMMENTARY

Sleep deprivation, elective surgical procedures, and informed consent.

Nurok M, Czeisler CA, Lehmann LS. N Engl J Med. 2010;363:2577-2579.

NEWSPAPER/MAGAZINE ARTICLE

Doctor uses 'pre-flight' checklist.

Bernhard B. The Orange County Register. April 19, 2006.

STUDY

Parents' perceptions of pediatric day surgery risks: unforeseeable complications, or avoidable mistakes?

Sobo EJ. Soc Sci Med. 2005;60:2341-2350.

NEWSPAPER/MAGAZINE ARTICLE

Walk inside, have surgery. But is it safe?

Brooks A. New York Times. June 14, 2005:F5.

NEWSPAPER/MAGAZINE ARTICLE

Saving lives: hospitals have signed on to a six-part plan to avoid a multitude of unnecessary deaths.

Comarow A. US News & World Report. July 18, 2005;139:74,76,79.

FACT SHEET/FAQS

Having Surgery? What You Need to Know.

Rockville, MD: Agency for Healthcare Research and Quality; 2005. AHRQ Publication No. 05(06)-0074.

NEWSPAPER/MAGAZINE ARTICLE

A towel with a safety message.

Lerner M. Minneapolis Star Tribune. January 25, 2009:B1.

BOOK/REPORT classic

The Checklist Manifesto: How to Get Things Right.

Gawande A. New York, NY: Metropolitan Books; 2009. ISBN: 9780805091748.

COMMENTARY

Surgical site verification: A through Z.

Dunn D. J Perianesth Nurs. 2006;21:317-328.

NEWSPAPER/MAGAZINE ARTICLE

Organ donor's surgery death sparks questions.

Cohen E. CNN. April 9, 2012.

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