AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (125)

•Diagnostic Errors (155)

•Identification Errors (90)

•Discontinuities, Gaps, and Hand-Off Problems (433)

•Fatigue and Sleep Deprivation (88)

•Medication Safety (823)

•Medical Complications (427)

•Nonsurgical Procedural Complications (53)

•Surgical Complications (648)

•Transfusion Complications (18)

•Psychological and Social Complications (131)

Origin/Sponsor

•Africa (6)

•Asia (61)

•Australia and New Zealand (112)

•Central and South America (8)

•Europe (564)

•North America (2558)

Resource Types

•Clinical Guideline (1)

•Journal Article (2439)

•Legislation/Regulation (41)

•Meeting/Conference (24)

•Newsletter/Journal (4)

•Newspaper/Magazine Article (356)

•Press Release/Announcement (14)

•Special or Theme Issue (38)

•Tools/Toolkit (50)

•Web Resource (87)

•Grant (12)

Error Types

•Epidemiology of Errors and Adverse Events (1160)

•Active Errors (399)

•Latent Errors (239)

•Near Miss (64)

Approach to Improving Safety

•Quality Improvement Strategies (820)

•Legal and Policy Approaches (486)

•Error Reporting and Analysis (1302)

•Communication Improvement (765)

•Human Factors Engineering (386)

•Teamwork (266)

•Specialization of Care (213)

•Logistical Approaches (257)

•Culture of Safety (505)

•Technologic Approaches (536)

•Education and Training (595)

Clinical Areas

•Allied Health Services (7)

Target Audience

•Health Care Providers (2084)

•Health Care Executives and Administrators (2732)

•Non-Health Care Professionals (1371)

•Patients (295)

Setting of Care

•Hospitals (2715)

•Psychiatric Facilities (16)

•Residential Facilities (53)

•Ambulatory Care (271)

•Outpatient Surgery (51)

•Patient Transport (11)

1 - 20 of 3372

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BOOK/REPORT

Patient Safety Authority Annual Reports.

Harrisburg, PA: Patient Safety Authority; April 2012.

BOOK/REPORT

Patient Safety in Canada: An Update.

Ottawa, ON, Canada: Canadian Institute for Health Information; August 14, 2007.

BOOK/REPORT

Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2009.

Oakbrook Terrace, IL: The Joint Commission; January 2010.

BOOK/REPORT

HealthGrades Sixth Annual Patient Safety in American Hospitals Study.

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

BOOK/REPORT

IBEAS: A Pioneer Study on Patient Safety in Latin America: Towards Safer Hospital Care.

Geneva, Switzerland: World Health Organization; 2011.

BOOK/REPORT

Tennessee Center for Patient Safety Annual Report 2010.

Nashville, TN: Tennessee Center for Patient Safety; August 2011.

BOOK/REPORT

2009 National Healthcare Quality Report.

Rockville, MD: Agency for Healthcare Research and Quality; March 2010. AHRQ Publication No. 10-0003.

REVIEW

The economic burden of patient safety targets in acute care: a systematic review.

Mittmann N, Koo M, Daneman N, et al. Drug Healthc Patient Saf. 2012;4:141-165.

BOOK/REPORT

Adverse Events in Hospitals: Care Study of Incidence Among Medicare Beneficiaries in Two Selected Counties.

Levinson DR. Washington, DC: US Department of Health and Human Services, Office of the Inspector General; December 2008. Report No. OEI-06-08-00220.

STUDY

Economic measurement of medical errors using a hospital claims database.

David G, Gunnarsson CL, Waters HC, Horblyuk R, Kaplan HS. Value Health. 2013;16:305-310.

REVIEW

Inpatient fall prevention programs as a patient safety strategy: a systematic review.

Miake-Lye IM, Hempel S, Ganz DA, Shekelle PG. Ann Intern Med. 2013;158(5 Pt 2):390-396.

REVIEW

Improving patient safety through the systematic evaluation of patient outcomes.

Forster AJ, Dervin G, Martin C, Papp S. Can J Surg. 2012;55:418-425.

BOOK/REPORT

Eliminating CLABSI: A National Patient Safety Imperative.

Rockville, MD: Agency for Healthcare Research and Quality; September 2011. AHRQ Publication No. 11-0037-1-EF.

STUDY

Effect of nonpayment for hospital-acquired, catheter–associated urinary tract infection: a statewide analysis.

Meddings JA, Reichert H, Rogers MA, Saint S, Stephansky J, McMahon LF. Ann Intern Med. 2012;157:305-312.

STUDY

Health information technology and its effects on hospital costs, outcomes, and patient safety.

Encinosa WE, Bae J. Inquiry. Winter 2011/2012;48:288-303.

STUDY

Exploring the causes of adverse events in hospitals and potential prevention strategies.

Smits M, Zegers M, Groenewegen PP, et al. Qual Saf Health Care. 2010;19:e5.

BOOK/REPORT

Assessing Patient Safety Practices and Outcomes in the U.S. Health Care System.

Farley DO, Ridgely MS, Mendel P, et al. Santa Monica, CA: RAND Corporation; 2009. ISBN: 9780833047748.

COMMENTARY

Deaths due to medical error: jumbo jets or just small propeller planes?

Shojania KG. BMJ Qual Saf. 2012;21:709-712.

STUDY

Anticoagulation-associated adverse drug events.

Piazza G, Nguyen TN, Cios D, et al. Am J Med. 2011;124:1136-1142.

STUDY

Variations in surgical outcomes associated with hospital compliance with safety practices.

Brooke BS, Dominici F, Pronovost PJ, Makary MA, Schneider E, Pawlik TM. Surgery. 2012;151:651-659.

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