AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (156)

•Diagnostic Errors (98)

•Identification Errors (92)

•Discontinuities, Gaps, and Hand-Off Problems (423)

•Fatigue and Sleep Deprivation (88)

•Medication Safety (863)

•Medical Complications (465)

•Nonsurgical Procedural Complications (73)

•Surgical Complications (343)

•Transfusion Complications (19)

•Psychological and Social Complications (110)

Origin/Sponsor

•Africa (3)

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•North America (2650)

Resource Types

•Audiovisual (36)

•Award (21)

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•Clinical Guideline (5)

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•Newspaper/Magazine Article (427)

•Press Release/Announcement (8)

•Special or Theme Issue (32)

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Error Types

•Epidemiology of Errors and Adverse Events (784)

•Active Errors (433)

•Latent Errors (231)

•Near Miss (49)

Approach to Improving Safety

•Quality Improvement Strategies (855)

•Legal and Policy Approaches (335)

•Error Reporting and Analysis (935)

•Communication Improvement (702)

•Human Factors Engineering (394)

•Teamwork (245)

•Specialization of Care (262)

•Logistical Approaches (278)

•Culture of Safety (466)

•Technologic Approaches (533)

•Education and Training (590)

Clinical Areas

•Allied Health Services (3)

•Medicine (2348)

•Nursing (321)

•Pharmacy (326)

Target Audience

•Health Care Providers (1930)

•Health Care Executives and Administrators (2536)

•Non-Health Care Professionals (1108)

•Patients (273)

Setting of Care
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Hospitals

•General Hospitals (806)

•Children’s Hospitals (83)

•Specialty Hospitals (50)

1 - 20 of 3109

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AUDIOVISUAL

Hospital-acquired infections.

Moss-Coane M, O'Connell K, Fishman N. Radio Times. April 28, 2011.

REVIEW

Implementing patient safety interventions in your hospital: what to try and what to avoid.

Ranji SR, Shojania KG. Med Clin North Am. 2008;92:275-293.

NEWSPAPER/MAGAZINE ARTICLE

As industry automates, adverse events continue to haunt caregivers.

Wetzel TG. Health Data Manage. 2011 Feb;19:86, 88, 90 passim.

STUDY

Adoption of National Quality Forum safe practices by magnet hospitals.

Jayawardhana J, Welton JM, Lindrooth R. J Nurs Adm. 2011;41:350-356.

MULTI-USE WEBSITE classic

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

Oakbrook Terrace, IL: Joint Commission.

COMMENTARY

A performance improvement plan to increase nurse adherence to use of medication safety software.

Gavriloff C. J Pediatr Nurs. 2012;27:375-382.

AUDIOVISUAL PRESENTATION

When things go wrong.

Institute for Healthcare Improvement. Campaign Live. August 18, 2008.

NEWSPAPER/MAGAZINE ARTICLE

Your high-alert medication list—relatively useless without associated risk-reduction strategies.

ISMP Medication Safety Alert! Acute Care Edition. April 4, 2013;18:1-5.

COMMENTARY

Financial incentives to promote health care quality: the hospital acquired conditions nonpayment policy.

Kavanagh KT. Soc Work Public Health. 2011;26:524-541.

COMMENTARY

Infusing fun into quality and safety initiatives.

Foulk KC, Tocydlowski P, Snow TM, et al. Nursing. 2012;42:14-16.

NEWSPAPER/MAGAZINE ARTICLE

10 years, 5 voices, 1 challenge.

Larkin H. Hosp Health Netw. October 21, 2009.

COMMENTARY

Developing process-support tools for patient safety: finding the balance between validity and feasibility.

Marsteller JA, Holzmueller CG, Makary M, et al. Jt Comm J Qual Patient Saf. 2008;34:604-607.

BOOK/REPORT

Improving America's Hospitals: The Joint Commission's Report on Quality and Safety 2008.

Oakbrook Terrace, IL: The Joint Commission; November 2008.

NEWSPAPER/MAGAZINE ARTICLE

Pressing for better quality across healthcare.

Levey NN. Los Angeles Times. October 4, 2011.

NEWSPAPER/MAGAZINE ARTICLE

AHRQ presses on: no rule yet, but agency taps 10 safety organizations.

DerGurahain J. Mod Healthc. November 10, 2008;38:8.

STUDY

Can we rely on patients' reports of adverse events?

Zhu J, Stuver SO, Epstein AM, Schneider EC, Weissman JS, Weingart SN. Med Care. 2011;49:948-955.

BOOK/REPORT

Inspiring Ideas and Celebrating Successes: A Guidebook to Leading Patient Safety Practices in Ontario Hospitals.

OHA Patient Safety Support Service. Toronto, Ontario, Canada: Ontario Hospital Association; 2006.

STUDY

Hospital computerized provider order entry adoption and quality: an examination of the United States.

Swanson Kazley A, Diana ML. Health Care Manage Rev. 2011;36:86-94.

STUDY

Impact of a hospital-wide hand hygiene initiative on healthcare-associated infections: results of an interrupted time series.

Kirkland KB, Homa KA, Lasky RA, Ptak JA, Taylor EA, Splaine ME. BMJ Qual Saf. 2012;21:1019-1026.

NEWSPAPER/MAGAZINE ARTICLE

Fixing relationships, preventing errors.

McGinn P, Chabon R. HHN Magazine Online. November 25, 2008.

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