AHRQ Patient Safety Network

The Collection > Hospitals

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Safety Target

•Device-related Complications (178)

•Diagnostic Errors (132)

•Identification Errors (105)

•Discontinuities, Gaps, and Hand-Off Problems (461)

•Fatigue and Sleep Deprivation (104)

•Medication Safety (1000)

•Medical Complications (514)

•Nonsurgical Procedural Complications (83)

•Surgical Complications (430)

•Transfusion Complications (22)

•Psychological and Social Complications (117)

Origin/Sponsor

•Africa (5)

•Asia (47)

•Australia and New Zealand (101)

•Central and South America (6)

•Europe (412)

•North America (2899)

Resource Types

•Audiovisual (38)

•Award (22)

•Book/Report (193)

•Clinical Guideline (6)

•Journal Article (2619)

•Legislation/Regulation (41)

•Meeting/Conference (11)

•Newspaper/Magazine Article (432)

•Press Release/Announcement (10)

•Special or Theme Issue (38)

•Tools/Toolkit (48)

•Web Resource (70)

•Grant (5)

Error Types

•Epidemiology of Errors and Adverse Events (1079)

•Active Errors (514)

•Latent Errors (255)

•Near Miss (59)

Approach to Improving Safety

•Quality Improvement Strategies (866)

•Legal and Policy Approaches (362)

•Error Reporting and Analysis (1038)

•Communication Improvement (805)

•Human Factors Engineering (447)

•Teamwork (279)

•Specialization of Care (327)

•Logistical Approaches (312)

•Culture of Safety (506)

•Technologic Approaches (605)

•Education and Training (653)

Clinical Areas

•Allied Health Services (3)

•Medicine (2684)

•Nursing (301)

•Pharmacy (379)

Target Audience

•Health Care Providers (2340)

•Health Care Executives and Administrators (2807)

•Non-Health Care Professionals (1270)

•Patients (302)

Setting of Care
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Hospitals

•General Hospitals (1064)

•Children’s Hospitals (124)

•Specialty Hospitals (74)

1 - 20 of 3533

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BOOK/REPORT

Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2012.

Oakbrook Terrace, IL: The Joint Commission; September 2012.

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.

BOOK/REPORT

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

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

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

'Global Trigger Tool' shows that adverse events in hospitals may be ten times greater than previously measured.

Classen DC, Resar R, Griffin F, et al. Health Aff (Millwood). 2011;30:581-589.

BOOK/REPORT

Patient Safety in Canada: An Update.

Ottawa, ON, Canada: Canadian Institute for Health Information; August 14, 2007.

MULTI-USE WEBSITE

HAC Posting on Hospital Compare.

Centers for Medicare & Medicaid Services.

BOOK/REPORT

Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2009.

Oakbrook Terrace, IL: The Joint Commission; January 2010.

BOOK/REPORT

Hospital Reporting Program.

Portland, OR: Oregon Patient Safety Commission.

STUDY

The relationship between patients' perception of care and measures of hospital quality and safety.

Isaac T, Zaslavsky AM, Cleary PD, Landon BE. Health Serv Res. 2010;45:1024-1040.

STUDY

Examining the impact of the AHRQ Patient Safety Indicators (PSIs) on the Veterans Health Administration: the case of readmissions.

Rosen AK, Loveland S, Shin M, et al. Med Care. 2013;51:37-44.

STUDY

How do black-serving hospitals perform on patient safety indicators?: Implications for national public reporting and pay-for-performance.

Ly DP, Lopez L, Isaac T, Jha AK. Med Care. 2010;48:1133-1137.

STUDY

Thirty-day, all-cause readmissions for elderly patients who have an injury-related inpatient stay.

Spector WD, Mutter R, Owens P, Limcangco R. Med Care. 2012;50:863-869.

STUDY

Association of a clinical knowledge support system with improved patient safety, reduced complications and shorter length of stay among Medicare beneficiaries in acute care hospitals in the United States.

Bonis PA, Pickens GT, Rind DM, Foster DA. Int J Med Inform. 2008;77:745-753.

BOOK/REPORT

HealthGrades Seventh Annual Patient Safety in American Hospitals Study.

Golden, CO: HealthGrades, Inc.; March 2010.

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.

COMMENTARY

A new frontier in patient safety.

McCannon J, Berwick DM. JAMA. 2011;305:2221-2222.

BOOK/REPORT

HealthGrades Sixth Annual Patient Safety in American Hospitals Study.

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

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

Anticoagulation-associated adverse drug events.

Piazza G, Nguyen TN, Cios D, et al. Am J Med. 2011;124:1136-1142.

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