AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (96)

•Diagnostic Errors (96)

•Identification Errors (47)

•Discontinuities, Gaps, and Hand-Off Problems (255)

•Fatigue and Sleep Deprivation (48)

•Medication Safety (519)

•Medical Complications (309)

•Nonsurgical Procedural Complications (46)

•Surgical Complications (192)

•Transfusion Complications (14)

•Psychological and Social Complications (68)

Origin/Sponsor

•Africa (4)

•Asia (29)

•Australia and New Zealand (72)

•Central and South America (4)

•Europe (264)

•North America (1578)

Resource Types

•Audiovisual (20)

•Award (15)

•Book/Report (164)

•Clinical Guideline (2)

•Journal Article (1391)

•Legislation/Regulation (31)

•Meeting/Conference (10)

•Newspaper/Magazine Article (237)

•Press Release/Announcement (8)

•Special or Theme Issue (31)

•Tools/Toolkit (43)

•Web Resource (62)

•Grant (4)

Error Types

•Epidemiology of Errors and Adverse Events (478)

•Active Errors (303)

•Latent Errors (197)

•Near Miss (37)

Approach to Improving Safety

•Quality Improvement Strategies (650)

•Legal and Policy Approaches (249)

•Error Reporting and Analysis (704)

•Communication Improvement (463)

•Human Factors Engineering (239)

•Teamwork (148)

•Specialization of Care (166)

•Logistical Approaches (149)

•Culture of Safety (365)

•Technologic Approaches (310)

•Education and Training (368)

Clinical Areas

•Allied Health Services (3)

•Medicine (1492)

•Nursing (114)

•Pharmacy (190)

Target Audience

•Health Care Providers (1427)

•Health Care Executives and Administrators (1700)

•Non-Health Care Professionals (763)

•Patients (152)

Setting of Care
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Hospitals

•General Hospitals (348)

•Children’s Hospitals (52)

•Specialty Hospitals (20)

1 - 20 of 2018

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BOOK/REPORT classic

Making Health Care Safer: A Critical Analysis of Patient Safety Practices.

Shojania KG, Duncan BW, McDonald KM, Wachter RM, eds. Rockville, MD: Agency for Healthcare Research and Quality; 2001. AHRQ Publication No. 01-E058.

BOOK/REPORT classic

Advances in Patient Safety: New Directions and Alternative Approaches.

Rockville, MD: Agency for Healthcare Research and Quality; July 2008. AHRQ Publication Nos. 080034 (1-4).

BOOK/REPORT classic

Advances in Patient Safety: From Research to Implementation.

Rockville, MD: Agency for Healthcare Research and Quality; February 2005. AHRQ Publication Nos. 050021 (1-4).

MULTI-USE WEBSITE

Indiana Medical Error Reporting System.

Indiana State Department of Health.

MULTI-USE WEBSITE

Reducing Unnecessary Hospital Readmissions: The Role of the Patient Safety Organization (PSO).

Agency for Healthcare Quality and Research.

COMMENTARY

A leadership framework for culture change in health care.

Rose JS, Thomas CS, Tersigni A, Sexton JB, Pryor D. Jt Comm J Qual Patient Saf. 2006;32:433-442.

MULTI-USE WEBSITE

AHRQ Quality Indicators.

Agency for Healthcare Research and Quality.

STUDY

Measuring hospital-wide activity volume for patient safety and infection control: a multi-centre study in Japan.

Hayashida K, Imanaka Y, Fukuda H. BMC Health Serv Res. 2007;7:140.

NEWSPAPER/MAGAZINE ARTICLE

Survive your doctor.

Holt TE. Men's Health. November 3, 2006.

COMMENTARY

Understanding medication safety in healthcare settings: a critical review of conceptual models.

Liu W, Manias E, Gerdtz M. Nurs Inq. 2011;18:290-302.

TOOLKIT

Preventing Falls in Hospitals: A Toolkit for Improving Quality of Care.

Ganz DA, Huang C, Saliba D, et al. Rockville, MD: Agency for Healthcare Research and Quality; January 2013. AHRQ Publication No. 13-0015-EF.

COMMENTARY

The top patient safety strategies that can be encouraged for adoption now.

Shekelle PG, Pronovost PJ, Wachter RM, et al. Ann Intern Med. 2013;158(5 Pt 2):365-368.

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.

NEWSPAPER/MAGAZINE ARTICLE

Approved: 2010 National Patient Safety Goals.

Jt Comm Perspect. October 2009;29:1, 20-31.

NEWSPAPER/MAGAZINE ARTICLE

Studies on medical errors warrant a second opinion.

Bialik C. The Wall Street Journal Online. June 29, 2006.

BOOK/REPORT

Review of Patient Safety for Children and Young People.

London, UK: National Patient Safety Agency; 2009. ISBN: 978906624071.

NEWSPAPER/MAGAZINE ARTICLE

Hospitals' bid to heal selves saves thousands.

P-I Staff and News Services. Seattle Post-Intelligencer. June 15, 2006:A1.

TOOLKIT

AHRQ Quality Indicators Toolkit for Hospitals.

Rockville, MD: Agency for Healthcare Research and Quality; May 2012.

COMMENTARY

Staggered Sensitivity Results

Guglielmo BJ. AHRQ WebM&M [serial online]. March 2007.

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.

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