AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (174)

•Diagnostic Errors (128)

•Identification Errors (114)

•Discontinuities, Gaps, and Hand-Off Problems (502)

•Fatigue and Sleep Deprivation (102)

•Medication Safety (947)

•Medical Complications (534)

•Nonsurgical Procedural Complications (91)

•Surgical Complications (465)

•Transfusion Complications (24)

•Psychological and Social Complications (118)

Origin/Sponsor

•Africa (4)

•Asia (41)

•Australia and New Zealand (90)

•Central and South America (4)

•Europe (396)

•North America (2909)

Resource Types

•Audiovisual (43)

•Award (22)

•Book/Report (193)

•Clinical Guideline (6)

•Journal Article (2553)

•Legislation/Regulation (49)

•Meeting/Conference (11)

•Newspaper/Magazine Article (454)

•Press Release/Announcement (11)

•Special or Theme Issue (45)

•Tools/Toolkit (48)

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Error Types

•Epidemiology of Errors and Adverse Events (817)

•Active Errors (517)

•Latent Errors (266)

•Near Miss (57)

Approach to Improving Safety

•Quality Improvement Strategies (919)

•Legal and Policy Approaches (368)

•Error Reporting and Analysis (944)

•Communication Improvement (942)

•Human Factors Engineering (496)

•Teamwork (328)

•Specialization of Care (319)

•Logistical Approaches (316)

•Culture of Safety (526)

•Technologic Approaches (608)

•Education and Training (676)

Clinical Areas

•Allied Health Services (3)

•Medicine (2687)

•Nursing (309)

•Pharmacy (368)

Target Audience

•Health Care Providers (2341)

•Health Care Executives and Administrators (2759)

•Non-Health Care Professionals (1255)

•Patients (326)

Setting of Care
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Hospitals

•General Hospitals (1091)

•Children’s Hospitals (114)

•Specialty Hospitals (64)

1 - 20 of 3514

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AUDIOVISUAL

How a simple checklist can dramatically reduce medical errors.

Pronovost PJ. On Call. IHI Open School for Health Professionals. November 3, 2008.

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.

AWARD RECIPIENT

2006 Quest for Quality Prize.

Runy LA. Hosp Health Netw. September 2006.

COMMENTARY

Learning accountability for patient outcomes.

Pronovost PJ. JAMA. 2010;304:204-205.

BOOK/REPORT

Tennessee Center for Patient Safety Annual Report 2010.

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

AWARD RECIPIENT

Announcing 2009 Leapfrog top hospitals.

Washington, DC: Leapfrog Group; December 4, 2009.

COMMENTARY

2009 National Patient Safety Goals.

Saufl NM. J Perianesth Nurs. 2009;24:114-118.

NEWSPAPER/MAGAZINE ARTICLE

Perfect is possible.

Berwick DM, Leape LL. Newsweek. October 16, 2006:70-71.

BOOK/REPORT

Patient Safety Authority Annual Reports.

Harrisburg, PA: Patient Safety Authority; April 2013.

STUDY

Impact of a statewide intensive care unit quality improvement initiative on hospital mortality and length of stay: retrospective comparative analysis.

Lipitz-Snyderman A, Steinwachs D, Needham DM, Colantuoni E, Morlock LL, Pronovost PJ. BMJ. 2011;342:d219.

BOOK/REPORT

To Err Is Human—But Don't Expect to Get Paid For It.

ASQ Quarterly Quality Report. Milwaukee, WI: American Society of Quality; October 2008.

BOOK/REPORT

HealthGrades Sixth Annual Patient Safety in American Hospitals Study.

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

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

Ten years after the IOM report: engaging residents in quality and patient safety by creating a house staff quality council.

Fleischut PM, Evans AS, Nugent WC, et al. Am J Med Qual. 2011;26:89-94.

NEWSPAPER/MAGAZINE ARTICLE

10 things your hospital won't tell you.

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

STUDY

Racial disparities in the frequency of patient safety events: results from the National Medicare Patient Safety Monitoring System.

Metersky ML, Hunt DR, Kliman R, et al. Med Care. 2011;49:504-510.

STUDY

National estimates of adverse events during nonpsychiatric hospitalizations for persons with schizophrenia.

Khaykin E, Ford DE, Pronovost PJ, Dixon L, Daumit GL. Gen Hosp Psychiatry. 2010;32:419-425.

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.

NEWSPAPER/MAGAZINE ARTICLE

Cause for concern: drug shortages disrupt operations, tax hospitalists' treatment patterns.

Collins TR. The Hospitalist. July 2011.

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.

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