AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (138)

•Diagnostic Errors (149)

•Identification Errors (89)

•Discontinuities, Gaps, and Hand-Off Problems (407)

•Fatigue and Sleep Deprivation (81)

•Medication Safety (784)

•Medical Complications (403)

•Nonsurgical Procedural Complications (77)

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Error Types

•Epidemiology of Errors and Adverse Events (620)

•Active Errors (542)

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Approach to Improving Safety

•Quality Improvement Strategies (716)

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•Education and Training (579)

Clinical Areas

•Allied Health Services (5)

Target Audience

•Health Care Providers (2047)

•Health Care Executives and Administrators (2127)

•Non-Health Care Professionals (987)

•Patients (297)

Setting of Care
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Hospitals

•General Hospitals (642)

•Children’s Hospitals (82)

•Specialty Hospitals (40)

1 - 20 of 2826

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NEWSPAPER/MAGAZINE ARTICLE

We know what they did wrong, but not why: the case for 'frame-based' feedback.

Rudolph J, Raemer D, Shapiro J. Clin Teach. 2013;10:186-189.

COMMENTARY

Missed it.

Green MJ, Rieck R. Ann Intern Med. 2013;158(5 Pt 1):357-361.

COMMENTARY

Inappropriate Antibiotic Use.

Babcock HM, Fraser VJ. AHRQ WebM&M [serial online]. June 2003.

COMMENTARY

Glucose Roller Coaster.

Sharpe BA. AHRQ WebM&M [serial online]. July 2004.

COMMENTARY

Poor Prognosis.

Lamont EB. AHRQ WebM&M [serial online]. September 2004.

NEWSPAPER/MAGAZINE ARTICLE

Are you a great diagnostician?

Yasgur BS. Medscape Business of Medicine. March 27, 2013.

STUDY

Reducing warfarin medication interactions: an interrupted time series evaluation.

Feldstein AC, Smith DH, Perrin N, et al. Arch Intern Med. 2006;166:1009-1015.

COMMENTARY

Automated electronic reminders to prevent miscommunication among primary medical, surgical and anaesthesia providers: a root cause analysis.

Freundlich RE, Grondin L, Tremper KK, Saran KA, Kheterpal S. BMJ Qual Saf. 2012;21:850-854.

COMMENTARY

Crossing the Line.

Feldman JP, Gould MK. AHRQ WebM&M [serial online]. March 2004.

BOOK/REPORT

Through the Eyes of the Workforce: Creating Joy, Meaning, and Safer Health Care.

Roundtable on Joy and Meaning in Work and Workforce Safety, The Lucian Leape Institute. Boston, MA: National Patient Safety Foundation; 2013.

COMMENTARY

Human cognition and the dynamics of failure to rescue: the Lewis Blackman case.

Acquaviva K, Haskell H, Johnson J. J Prof Nurs. 2013;29:95-101.

NEWSPAPER/MAGAZINE ARTICLE

Making it right.

Wright M, Nemeth K. Hosp Health Netw. December 13, 2005.

COMMENTARY

Bleeding Risk.

Crowther MA. AHRQ WebM&M [serial online]. July 2003.

NEWSPAPER/MAGAZINE ARTICLE

Wrong-patient medication errors: an analysis of event reports in Pennsylvania and strategies for prevention.

Yang A, Grissinger M. PA-PSRS Patient Saf Advis. 2013;10:41-49.

COMMENTARY

Patient Mix-Up.

Shojania KG. AHRQ WebM&M [serial online]. February 2003.

COMMENTARY

Premature or Overdue?

Thomas J, Hannah M. AHRQ WebM&M [serial online]. April 2003.

REVIEW

Accountability for medical error: moving beyond blame to advocacy.

Bell SK, Delbanco T, Anderson-Shaw L, McDonald TB, Gallagher TH. Chest. 2011;140:519-526.

COMMENTARY classic

Fixing healthcare from the inside, today.

Spear SJ. Harv Bus Rev. September 2005;83:78-91.

COMMENTARY

Do Not Disturb!

Duffy FD, Cassel CK. AHRQ WebM&M [serial online]. October 2007.

COMMENTARY

Not a Miscarriage.

Learman LA. AHRQ WebM&M [serial online]. June 2003.

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