AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (152)

•Diagnostic Errors (102)

•Identification Errors (90)

•Discontinuities, Gaps, and Hand-Off Problems (396)

•Fatigue and Sleep Deprivation (96)

•Medication Safety (796)

•Medical Complications (451)

•Nonsurgical Procedural Complications (72)

•Surgical Complications (357)

•Transfusion Complications (19)

•Psychological and Social Complications (105)

Origin/Sponsor

•Africa (4)

•Asia (27)

•Australia and New Zealand (67)

•Central and South America (3)

•Europe (250)

•North America (2656)

Resource Types

•Audiovisual (37)

•Award (23)

•Book/Report (173)

•Clinical Guideline (6)

•Journal Article (2170)

•Legislation/Regulation (42)

•Meeting/Conference (12)

•Newspaper/Magazine Article (433)

•Press Release/Announcement (10)

•Special or Theme Issue (35)

•Tools/Toolkit (47)

•Web Resource (72)

•Grant (3)

Error Types

•Epidemiology of Errors and Adverse Events (695)

•Active Errors (429)

•Latent Errors (242)

•Near Miss (47)

Approach to Improving Safety

•Quality Improvement Strategies (779)

•Legal and Policy Approaches (338)

•Error Reporting and Analysis (832)

•Communication Improvement (723)

•Human Factors Engineering (382)

•Teamwork (271)

•Specialization of Care (285)

•Logistical Approaches (275)

•Culture of Safety (579)

•Technologic Approaches (520)

•Education and Training (613)

Clinical Areas

•Allied Health Services (3)

•Medicine (2264)

•Nursing (267)

•Pharmacy (311)

Target Audience

•Health Care Providers (2088)

•Health Care Executives and Administrators (2441)

•Non-Health Care Professionals (1101)

•Patients (296)

Setting of Care
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Hospitals

•General Hospitals (760)

•Children’s Hospitals (102)

•Specialty Hospitals (44)

1 - 20 of 3063

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NEWSPAPER/MAGAZINE ARTICLE

The health factory.

Spear SJ. New York Times. August 29, 2005;Editorials/Op-Ed section:15.

STUDY

National Quality Forum 30 safe practices: priority and progress in Iowa hospitals.

Ward MM, Evans TC, Spies AJ, Roberts LL, Wakefield DS. Am J Med Qual. 2006;21:101-108.

NEWSPAPER/MAGAZINE ARTICLE

Pediatric safety.

Runy LA. Hosp Health Netw. May 2009.

AWARD RECIPIENT

Improving patient safety using interactive, evidence-based decision support tools.

Quinn MM, Mannion J. Jt Comm J Qual Patient Saf. 2005;31:678-683.

STUDY

The importance of leadership in preventing healthcare–associated infection: results of a multisite qualitative study.

Saint S, Kowalski CP, Banaszak-Holl J, Forman J, Damschroder L, Krein SL. Infect Control Hosp Epidemiol. 2010;31:901-907.

STUDY

Analysis of staff safety concerns.

Davidson J, Lamontagne G, Burnell L, et al. J Nurs Care Qual. 2013;28:147-152.

BOOK/REPORT

Patient-Centered Care Improvement Guide.

Frampton S, Guastello S, Brady C, et al. Derby, CT: Planetree; Camden, ME: Picker Institute; 2008.

SPECIAL OR THEME ISSUE

Front-Line Ownership: Generating a Cure Mindset for Patient Safety.

Kitts J, ed. Healthcare Papers. 2013;13:1-82.

STUDY

Improving safety culture on adult medical units through multidisciplinary teamwork and communication interventions: the TOPS Project.

Blegen MA, Sehgal NL, Alldredge BK, Gearhart S, Auerbach AD, Wachter RM. Qual Saf Health Care. 2010;19:346-350.

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.

NEWSPAPER/MAGAZINE ARTICLE

How we cut drug errors.

Nicol N, Huminski L. Mod Healthc. August 28, 2006;36:38.

STUDY

Organizational culture, critical success factors, and the reduction of hospital errors.

Stock GN, McFadden KL, Gowen III, CR. Int J Prod Econ. 2007;106:368–392.

BOOK/REPORT

A Randomized Field Study of a Leadership WalkRounds-Based Intervention.

Tucker AL, Singer SJ. Cambridge, MA: Harvard Business School; June 25, 2012. HBS Working Paper No. 12-113.

NEWSPAPER/MAGAZINE ARTICLE

Saving lives: hospitals have signed on to a six-part plan to avoid a multitude of unnecessary deaths.

Comarow A. US News & World Report. July 18, 2005;139:74,76,79.

NEWSPAPER/MAGAZINE ARTICLE

Plan aims to cut hospital deaths.

Appleby J. USA Today. June 6, 2005.

STUDY

Health care workers as second victims of medical errors.

Edrees HH, Paine LA, Feroli ER, Wu AW. Pol Arch Med Wewn. 2011;121:101-108.

AWARD RECIPIENT

2005 Quest for Quality Prize.

Runy LA. Hosp Health Netw. September 2005;79:67-75.

NEWSPAPER/MAGAZINE ARTICLE

Get me out alive.

Feldman R. The Washington Post. May 2, 2006:HE01.

BOOK/REPORT

Tennessee Center for Patient Safety Annual Report 2010.

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

COMMENTARY

Learning accountability for patient outcomes.

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

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