AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (169)

•Diagnostic Errors (124)

•Identification Errors (101)

•Discontinuities, Gaps, and Hand-Off Problems (459)

•Fatigue and Sleep Deprivation (99)

•Medication Safety (988)

•Medical Complications (538)

•Nonsurgical Procedural Complications (84)

•Surgical Complications (442)

•Transfusion Complications (22)

•Psychological and Social Complications (117)

Origin/Sponsor

•Africa (3)

•Asia (64)

•Australia and New Zealand (107)

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•North America (2807)

Resource Types

•Audiovisual (35)

•Award (19)

•Book/Report (172)

•Clinical Guideline (5)

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•Newspaper/Magazine Article (418)

•Press Release/Announcement (10)

•Special or Theme Issue (30)

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Error Types

•Epidemiology of Errors and Adverse Events (1134)

•Active Errors (499)

•Latent Errors (226)

•Near Miss (65)

Approach to Improving Safety

•Quality Improvement Strategies (844)

•Legal and Policy Approaches (317)

•Error Reporting and Analysis (1071)

•Communication Improvement (763)

•Human Factors Engineering (437)

•Teamwork (273)

•Specialization of Care (315)

•Logistical Approaches (304)

•Culture of Safety (465)

•Technologic Approaches (572)

•Education and Training (629)

Clinical Areas

•Allied Health Services (5)

•Medicine (2639)

•Nursing (350)

•Pharmacy (372)

Target Audience

•Health Care Providers (2197)

•Health Care Executives and Administrators (2808)

•Non-Health Care Professionals (1178)

•Patients (272)

Setting of Care
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Hospitals

•General Hospitals (1082)

•Children’s Hospitals (121)

•Specialty Hospitals (73)

1 - 20 of 3467

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STUDY

Using the patient safety indicators to detect potential safety events among US veterans with psychotic disorders: clinical and research implications.

Smith EG, Zhao S, Rosen AK. Int J Qual Health Care. 2012;24:321-329.

STUDY

Costs and benefits of an early-alert surveillance system for hospital inpatients.

Marchetti A, Jacobs J, Young M, Martin J, Rossiter R. Curr Med Res Opin. 2007;23:9-16.

STUDY

Improving situation awareness to reduce unrecognized clinical deterioration and serious safety events.

Brady PW, Muething S, Kotagal U, et al. Pediatrics. 2013;131:e298-e308.

STUDY

Adverse drug events caused by serious medication administration errors.

Kale A, Keohane CA, Maviglia S, Gandhi TK, Poon EG. BMJ Qual Saf. 2012;21:933-938.

STUDY

The costs of adverse drug events in community hospitals.

Hug BL, Keohane C, Seger DL, Yoon C, Bates DW. Jt Comm J Qual Patient Saf. 2012;38:120-126.

STUDY

Venous thromboembolism after trauma: a never event?

Thorson CM, Ryan ML, Van Haren RM, et al. Crit Care Med. 2012;40:2967-2973.

NEWSPAPER/MAGAZINE ARTICLE

Results of ISMP survey on high-alert medications: differences between nursing, pharmacy, and risk/quality/safety perspectives.

ISMP Medication Safety Alert! Acute Care Edition. February 9, 2012;17:1-4.

REVIEW

Bar code technology and medication administration error.

Young J, Slebodnik M, Sands L. J Patient Saf. 2010;6;115-120.

STUDY

The impact of resident duty hour reform on hospital readmission rates among Medicare beneficiaries.

Press MJ, Silber JH, Rosen AK, et al. J Gen Intern Med. 2011;26:405-411.

STUDY

Challenges and opportunities to prevent transfusion errors: a Qualitative Evaluation for Safer Transfusion (QUEST).

Heddle NM, Fung M, Hervig T, et al; BEST Collaborative. Transfusion. 2012;52:1687-1695.

STUDY

Multiple patient safety events within a single hospitalization: a national profile in US hospitals.

Yu H, Greenberg MD, Haviland AM, Farley DO. Am J Med Qual. 2012;27:472-479.

STUDY

Adverse drug events among hospitalized Medicare patients: epidemiology and national estimates from a new approach to surveillance.

Classen DC, Jaser L, Budnitz DS. Jt Comm J Qual Patient Saf. 2010;36:12-21, AP1-AP9.

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.

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

Comprehensive stroke centers overcome the weekend versus weekday gap in stroke treatment and mortality.

McKinney JS, Deng Y, Kasner SE, Kostis JB; Myocardial Infarction Data Acquisition System (MIDAS 15) Study Group. Stroke. 2011;42:2403-2409.

BOOK/REPORT

HealthGrades Eighth Annual Patient Safety in American Hospitals Study.

Reed K, May R. Denver, CO: HealthGrades, Inc.; March 2011.

STUDY

Medication reconciliation for reducing drug-discrepancy adverse events.

Boockvar KS, Carlson Lacorte H, Giambanco V, Fridman B, Siu A. Am J Geriatr Pharmacother. 2006;4:236-243.

STUDY

Drug shortage-associated increase in catheter-related blood stream infection in children.

Ralls MW, Blackwood RA, Arnold MA, Partipilo ML, Dimond J, Teitelbaum DH. Pediatrics. 2012;130:e1369-e1373.

STUDY

Comparing two safety culture surveys: Safety Attitudes Questionnaire and Hospital Survey on Patient Safety.

Etchegaray JM, Thomas EJ. BMJ Qual Saf. 2012;21:490-498.

STUDY

Outcomes of care by hospitalists, general internists, and family physicians.

Lindenauer PK, Rothberg MB, Pekow PS, Kenwood C, Benjamin EM, Auerbach AD. N Engl J Med. 2007;357:2589-2600.

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