AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (193)

•Diagnostic Errors (232)

•Identification Errors (136)

•Discontinuities, Gaps, and Hand-Off Problems (760)

•Fatigue and Sleep Deprivation (120)

•Medication Safety (1393)

•Medical Complications (578)

•Nonsurgical Procedural Complications (98)

•Surgical Complications (431)

•Transfusion Complications (25)

•Psychological and Social Complications (205)

Origin/Sponsor

•Australia and New Zealand (131)

•Central and South America (5)

•Europe (486)

•North America (4301)

Resource Types

•Audiovisual (71)

•Bibliography (4)

•Book/Report (353)

•Clinical Guideline (9)

•Journal Article (3461)

•Legislation/Regulation (71)

•Meeting/Conference (44)

•Newsletter/Journal (15)

•Newspaper/Magazine Article (608)

•Press Release/Announcement (32)

•Special or Theme Issue (77)

•Tools/Toolkit (104)

•Web Resource (158)

Error Types

•Epidemiology of Errors and Adverse Events (1001)

•Active Errors (671)

•Latent Errors (331)

•Near Miss (78)

Approach to Improving Safety

•Quality Improvement Strategies (1278)

•Legal and Policy Approaches (614)

•Error Reporting and Analysis (1407)

•Communication Improvement (1432)

•Human Factors Engineering (568)

•Teamwork (386)

•Specialization of Care (369)

•Logistical Approaches (385)

•Culture of Safety (751)

•Technologic Approaches (888)

•Education and Training (1001)

Clinical Areas

•Allied Health Services (13)

•Dentistry (2)

•Medicine (3242)

•Nursing (330)

•Pharmacy (547)

Target Audience

•Health Care Providers (3623)

•Health Care Executives and Administrators (3907)

•Non-Health Care Professionals (1903)

•Patients (522)

Setting of Care

•Hospitals (3331)

•Psychiatric Facilities (21)

•Residential Facilities (84)

•Ambulatory Care (503)

•Outpatient Surgery (47)

•Patient Transport (36)

1 - 20 of 5068

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COMMENTARY

Reengineering hospital discharge: a protocol to improve patient safety, reduce costs, and boost patient satisfaction.

Clancy CM. Am J Med Qual. 2009;24:344-346.

STUDY

Hospital discharge documentation and risk of rehospitalisation.

Hansen LO, Strater A, Smith L, et al. BMJ Qual Saf. 2011;20:773-778.

MULTI-USE WEBSITE

Project Red (Re-Engineered Discharge).

Boston, MA: Boston University Medical Center.

STUDY

Hospitalized patients' understanding of their plan of care.

O'Leary KJ, Kulkarni N, Landler MP, et al. Mayo Clin Proc. 2010;85:47-52.

ORGANIZATIONAL POLICY/GUIDELINES

Preventing errors relating to commonly used anticoagulants.

Sentinel Event Alert. September 24, 2008;(41):1-4.

BOOK/REPORT

Managing Patients' Medicines after Discharge from Hospital.

London, UK: Care Quality Commission; October 2009. CQC-039-500-ESP-102009. ISBN: 9781845622442.

STUDY

Improving the discharge process by embedding a discharge facilitator in a resident team.

Finn KM, Heffner R, Chang Y, et al. J Hosp Med. 2011;6:494-500.

NEWSPAPER/MAGAZINE ARTICLE

Survey results: community liaison programs to decrease hospital readmissions.

ISMP Medication Safey Alert! Acute Care Edition. March 7, 2013;18:1-3.

STUDY

classic

The care transitions intervention: translating from efficacy to effectiveness.

Voss R, Gardner R, Baier R, Butterfield K, Lehrman S, Gravenstein S. Arch Intern Med. 2011;171:1232-1237.

BOOK/REPORT

Patient-Centered Care Improvement Guide.

Frampton S, Guastello S, Brady C, et al. Derby, CT: Planetree; Camden, ME: Picker Institute; 2008.

ORGANIZATIONAL POLICY/GUIDELINES

Transitions of Care Consensus Policy Statement American College of Physicians-Society of General Internal Medicine-Society of Hospital Medicine-American Geriatrics Society-American College of Emergency Physicians-Society of Academic Emergency Medicine.

Snow V, Beck D, Budnitz T, et al. J Gen Intern Med. 2009;24:971-976.

BOOK/REPORT

Health Care Leader Action Guide to Reduce Avoidable Readmissions.

Osei-Anto A, Joshi M, Audet AJ, Berman A, Jencks SF. New York, NY: The Commonwealth Fund, The John Hartford Foundation, Health Research and Educational Trust; January 25, 2010.

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.

COMMENTARY

Making inpatient medication reconciliation patient centered, clinically relevant and implementable: a consensus statement on key principles and necessary first steps.

Greenwald JL, Halasyamani L, Greene J, et al. J Hosp Med. 2010;5:477-485.

REVIEW

Hospital-initiated transitional care interventions as a patient safety strategy: a systematic review.

Rennke S, Nguyen OK, Shoeb MH, Magan Y, Wachter RM, Ranji SR. Ann Intern Med. 2013;158(5 Pt 2):433-440.

NEWSPAPER/MAGAZINE ARTICLE

10 things your hospital won't tell you.

Kapadia R. Smart Money. October 2006;15:112-114.

COMMENTARY

Complementary telephone strategies to improve postdischarge communication.

Rennke S, Kesh S, Neeman N, Sehgal NL. Am J Med. 2012;125:28-30.

NEWSPAPER/MAGAZINE ARTICLE

Empowering families in emergencies.

Spath PL. Hospital & Health Networks. February 20, 2007.

COMMENTARY

Culture, language, and patient safety: making the link.

Johnstone MJ, Kanitsaki O. Int J Qual Health Care. 2006;18:383-8.

NEWSPAPER/MAGAZINE ARTICLE

Nurse-to-physician communications: connecting for safety.

Shannon DW, Myers LA. Patient Saf Qual Healthc. Sep/Oct 2012;9:20-22,24-26.

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