AHRQ Patient Safety Network

The Collection > Hospitals

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Safety Target

•Device-related Complications (136)

•Diagnostic Errors (117)

•Identification Errors (83)

•Discontinuities, Gaps, and Hand-Off Problems (529)

•Fatigue and Sleep Deprivation (83)

•Medication Safety (792)

•Medical Complications (425)

•Nonsurgical Procedural Complications (49)

•Surgical Complications (299)

•Transfusion Complications (18)

•Psychological and Social Complications (96)

Origin/Sponsor

•Africa (6)

•Asia (47)

•Australia and New Zealand (156)

•Central and South America (6)

•Europe (428)

•North America (2152)

Resource Types

•Audiovisual (28)

•Award (17)

•Book/Report (181)

•Clinical Guideline (2)

•Journal Article (2122)

•Legislation/Regulation (31)

•Meeting/Conference (11)

•Newspaper/Magazine Article (334)

•Press Release/Announcement (9)

•Special or Theme Issue (28)

•Tools/Toolkit (41)

•Web Resource (67)

•Grant (2)

Error Types

•Epidemiology of Errors and Adverse Events (974)

•Active Errors (439)

•Latent Errors (237)

•Near Miss (52)

Approach to Improving Safety

•Quality Improvement Strategies (723)

•Legal and Policy Approaches (305)

•Error Reporting and Analysis (860)

•Communication Improvement (779)

•Human Factors Engineering (332)

•Teamwork (188)

•Specialization of Care (259)

•Logistical Approaches (242)

•Culture of Safety (408)

•Technologic Approaches (472)

•Education and Training (520)

Clinical Areas

•Allied Health Services (3)

•Medicine (2287)

•Nursing (188)

•Pharmacy (295)

Target Audience

•Health Care Providers (1916)

•Health Care Executives and Administrators (2326)

•Non-Health Care Professionals (1020)

•Patients (251)

Setting of Care
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Hospitals

•General Hospitals (733)

•Children’s Hospitals (79)

•Specialty Hospitals (57)

1 - 20 of 2873

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COMMENTARY

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

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

STUDY

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.

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.

STUDY

Adverse event rates as measures of hospital performance.

Hauck K, Zhao X, Jackson T. Health Policy. 2012;104:146-154.

REVIEW

Medication safety in acute care in Australia: where are we now? Part 1: a review of the extent and causes of medication problems 2002-2008.

Roughead EE, Semple SJ. Aust New Zealand Health Policy. 2009;6:18.

COMMENTARY

Quality improvement through implementation of discharge order reconciliation.

Lu Y, Clifford P, Bjorneby A, et al. Am J Health Syst Pharm. 2013;70:815-820.

STUDY

Effects of two commercial electronic prescribing systems on prescribing error rates in hospital in-patients: a before and after study.

Westbrook JI, Reckmann M, Li L, et al. PLoS Med. 2012;9:e1001164.

STUDY

What stops hospital clinical staff from following protocols? An analysis of the incidence and factors behind the failure of bedside clinical staff to activate the rapid response system in a multi-campus Australian metropolitan healthcare service.

Shearer B, Marshall S, Buist MD, et al. BMJ Qual Saf. 2012;21:569-575.

COMMENTARY

Improving heparin safety: a multidisciplinary invited conference.

Peterson C, Ham CW, Vanderveen T. Hosp Pharm. 2008;43:491-497.

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.

REVIEW

The efficacy of computer-enabled discharge communication interventions: a systematic review.

Motamedi SM, Posadas-Calleja J, Straus S, et al. BMJ Qual Saf. 2011;20:403-415.

STUDY

The effect of medication reconciliation in elderly patients at hospital discharge.

Midlöv P, Bahrani L, Seyfali M, Höglund P, Rickhag E, Eriksson T. Int J Clin Pharm. 2012;34:113-119.

STUDY

Do medical inpatients who report poor service quality experience more adverse events and medical errors?

Taylor BB, Marcantonio ER, Pagovich O, et al. Med Care. 2008;46:224-228.

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

A reengineered hospital discharge program to decrease rehospitalization: a randomized trial.

Jack BW, Chetty VK, Anthony D, et al. Ann Intern Med. 2009;150:178-187.

STUDY

Language barriers and understanding of hospital discharge instructions.

Karliner LS, Auerbach A, Nápoles A, Schillinger D, Nickleach D, Pérez-Stable EJ. Med Care. 2012;50:283-289.

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

Inpatient fall prevention: use of in-room Webcams.

Hardin SR, Dienemann J, Rudisill P, Mills KK. J Patient Saf. 2013;9:29-35.

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.

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