AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (182)

•Diagnostic Errors (132)

•Identification Errors (107)

•Discontinuities, Gaps, and Hand-Off Problems (465)

•Fatigue and Sleep Deprivation (104)

•Medication Safety (1067)

•Medical Complications (510)

•Nonsurgical Procedural Complications (85)

•Surgical Complications (440)

•Transfusion Complications (22)

•Psychological and Social Complications (119)

Origin/Sponsor

•Africa (5)

•Asia (58)

•Australia and New Zealand (107)

•Central and South America (10)

•Europe (431)

•North America (2928)

Resource Types

•Audiovisual (41)

•Award (22)

•Book/Report (193)

•Clinical Guideline (6)

•Journal Article (2683)

•Legislation/Regulation (42)

•Meeting/Conference (11)

•Newspaper/Magazine Article (439)

•Press Release/Announcement (10)

•Special or Theme Issue (37)

•Tools/Toolkit (49)

•Web Resource (70)

•Grant (3)

Error Types

•Epidemiology of Errors and Adverse Events (1111)

•Active Errors (541)

•Latent Errors (253)

•Near Miss (62)

Approach to Improving Safety

•Quality Improvement Strategies (884)

•Legal and Policy Approaches (365)

•Error Reporting and Analysis (1094)

•Communication Improvement (812)

•Human Factors Engineering (450)

•Teamwork (280)

•Specialization of Care (330)

•Logistical Approaches (319)

•Culture of Safety (505)

•Technologic Approaches (623)

•Education and Training (662)

Clinical Areas

•Allied Health Services (3)

•Medicine (2739)

•Nursing (323)

•Pharmacy (396)

Target Audience

•Health Care Providers (2389)

•Health Care Executives and Administrators (2856)

•Non-Health Care Professionals (1256)

•Patients (312)

Setting of Care
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Hospitals

•General Hospitals (1120)

•Children’s Hospitals (136)

•Specialty Hospitals (78)

1 - 20 of 3606

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NEWSPAPER/MAGAZINE ARTICLE

Medication errors: when pharmacy is closed.

PA-PSRS Patient Saf Advis. March 2012;9:11-17.

STUDY

Impact of attending physician workload on patient care: a survey of hospitalists.

Michtalik HJ, Yeh H, Pronovost PJ, Brotman DJ. JAMA Intern Med. 2013;173:375-377.

COMMENTARY

Improving heparin safety: a multidisciplinary invited conference.

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

STUDY

Medication administration quality and health information technology: a national study of US hospitals.

Appari A, Carian EK, Johnson ME, Anthony DL. J Am Med Inform Assoc. 2012;19:360-367.

STUDY

Using Lean to improve medication administration safety: in search of the "perfect dose."

Ching JM, Long C, Williams BL, Blackmore CC. Jt Comm J Qual Patient Saf. 2013;39:195-204.

STUDY

Smartphone use during inpatient attending rounds: prevalence, patterns and potential for distraction.

Katz-Sidlow RJ, Ludwig A, Miller S, Sidlow R. J Hosp Med. 2012;7:595-599.

NEWSPAPER/MAGAZINE ARTICLE

Events associated with the prescribing, dispensing, and administering of medication loading doses.

Carson SL, Gaunt MJ. PA-PSRS Patient Saf Advis. 2012;9:82-88.

STUDY

Contemporary evidence about hospital strategies for reducing 30-day readmissions: a national study.

Bradley EH, Curry L, Horwitz LI, et al. J Am Coll Cardiol. 2012;60:607-614.

NEWSPAPER/MAGAZINE ARTICLE

Anticoagulant safety practices call for pharmacist supervision.

Scott A. Drug Topics (Health-System Edition). November 10, 2008.

NEWSPAPER/MAGAZINE ARTICLE

Proper positioning of pharmacy label on Hospira PCA vials will avoid interference with scanning.

ISMP Medication Safety Alert! Acute Care Edition. August 14, 2008;13:1-3.

BOOK/REPORT

HealthGrades Quality Study: Fourth Annual Patient Safety in American Hospitals Study.

Golden, CO: HealthGrades, Inc.; April 2007.

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

Factors contributing to all-cause 30-day readmissions: a structured case series across 18 hospitals.

Feigenbaum P, Neuwirth E, Trowbridge L, et al. Med Care. 2012;50:599-605.

STUDY

Economic measurement of medical errors using a hospital claims database.

David G, Gunnarsson CL, Waters HC, Horblyuk R, Kaplan HS. Value Health. 2013;16:305-310.

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.

STUDY

Hospital performance trends on national quality measures and the association with Joint Commission accreditation.

Schmaltz SP, Williams SC, Chassin MR, Loeb JM, Wachter RM. J Hosp Med. 2011;6:458-465.

STUDY

Variations in surgical outcomes associated with hospital compliance with safety practices.

Brooke BS, Dominici F, Pronovost PJ, Makary MA, Schneider E, Pawlik TM. Surgery. 2012;151:651-659.

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.

STUDY

Improvement in the detection of adverse drug events by the use of electronic health and prescription records: an evaluation of two trigger tools.

Nwulu U, Nirantharakumar K, Odesanya R, McDowell SE, Coleman JJ. Eur J Clin Pharmacol. 2013;69:255-259.

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