AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (171)

•Diagnostic Errors (119)

•Identification Errors (107)

•Discontinuities, Gaps, and Hand-Off Problems (442)

•Fatigue and Sleep Deprivation (118)

•Medication Safety (928)

•Medical Complications (466)

•Nonsurgical Procedural Complications (88)

•Surgical Complications (541)

•Transfusion Complications (18)

•Psychological and Social Complications (142)

Origin/Sponsor

•Africa (2)

•Asia (59)

•Australia and New Zealand (91)

•Central and South America (7)

•Europe (410)

•North America (2883)

Resource Types

•Audiovisual (36)

•Award (24)

•Book/Report (151)

•Clinical Guideline (6)

•Journal Article (2656)

•Legislation/Regulation (42)

•Meeting/Conference (12)

•Newspaper/Magazine Article (443)

•Press Release/Announcement (11)

•Special or Theme Issue (35)

•Tools/Toolkit (42)

•Web Resource (54)

•Grant (4)

Error Types

•Epidemiology of Errors and Adverse Events (842)

•Active Errors (508)

•Latent Errors (249)

•Near Miss (60)

Approach to Improving Safety

•Quality Improvement Strategies (922)

•Legal and Policy Approaches (327)

•Error Reporting and Analysis (992)

•Communication Improvement (850)

•Human Factors Engineering (471)

•Teamwork (387)

•Specialization of Care (280)

•Logistical Approaches (335)

•Culture of Safety (510)

•Technologic Approaches (576)

•Education and Training (698)

Clinical Areas

•Allied Health Services (6)

•Medicine (2622)

•Nursing (438)

•Pharmacy (328)

Target Audience

•Health Care Providers (2366)

•Health Care Executives and Administrators (2819)

•Non-Health Care Professionals (1224)

•Patients (280)

Setting of Care
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Hospitals

•General Hospitals (1229)

•Children’s Hospitals (125)

•Specialty Hospitals (55)

1 - 20 of 3516

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STUDY

Wrong-side/wrong-site, wrong-procedure, and wrong-patient adverse events: are they preventable?

Seiden SC, Barach P. Arch Surg. 2006;141:931-939.

TOOLKIT

Patient Safety Rounding Toolkit.

Dana-Farber Cancer Institute.

STUDY

Risk of medication errors at hospital discharge and barriers to problem resolution.

Enguidanos SM, Brumley RD. Home Health Care Serv Q. 2005;24:123-135.

SPECIAL OR THEME ISSUE

Patient Safety in Pediatric Emergency Medicine.

Frush KS, Hohenhaus SM, eds. Clin Ped Emerg Med. 2006;7:213-277.

NEWSPAPER/MAGAZINE ARTICLE

Dose of technology helps Shands at UF avoid drug errors.

Chun D. Gainsville Sun. August 21, 2006.

COMMENTARY

Right? Left? Neither!

Howell EA, Chassin MR. AHRQ WebM&M [serial online]. May 2006.

COMMENTARY

A plan for achieving significant improvement in patient safety.

Johnson K, Maultsby CC. J Nurs Care Qual. 2007;22:164-171.

SPECIAL OR THEME ISSUE

Nurses Transforming Care.

Am J Nurs. 2009;109(suppl 11):3-80, C3.

COMMENTARY

Making it easier to do the right thing: a modern communication QI agenda.

Wynia MK. Patient Educ Couns. 2012;88:364-366.

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.

STUDY

Creating safety culture on nursing units: human performance and organizational system factors that make a difference.

Moody RF, Pesut DJ, Harrington CF. J Patient Saf. 2006;2:198-206.

AUDIOVISUAL

Empowering Better Nursing Care.

Robert Wood Johnson Foundation.

COMMENTARY

System errors in intrapartum electronic fetal monitoring: a case review.

Miller LA. J Midwifery Womens Health. 2005;50:507-516.

STUDY

Potassium and phosphorus repletion in hospitalized patients: implications for clinical practice and the potential use of healthcare information technology to improve prescribing and patient safety.

Hemstreet BA, Stolpman N, Badesch DB, May SK, McCollum M. Curr Med Res Opin. 2006;22:2449-2455.

STUDY

What is the measure of a safe hospital? Medication errors missed by risk management, clinical staff, and surveyors.

Grasso BC, Rothschild JM, Jordan CW, Jayaram G. J Psychiatr Pract. 2005;11:268-273.

STUDY

Patient-reported service quality on a medicine unit.

Weingart SN, Pagovich O, Sands DZ, et al. Int J Qual Health Care. 2005;18:95-101.

STUDY

The effects of on-duty napping on intern sleep time and fatigue.

Arora V, Dunphy C, Chang VY, Ahmad F, Humphrey HJ, Meltzer D. Ann Intern Med. 2006;144:792-798.

STUDY

Attitudes and barriers to incident reporting: a collaborative hospital study.

Evans SM, Berry JG, Smith BJ, et al. Qual Saf Health Care. 2006;15:39-43.

STUDY

Organizational and cultural changes for providing safe patient care.

Odwazny R, Hasler S, Abrams R, McNutt R. Qual Manag Health Care. 2005;14:132-143.

STUDY

Operating room briefings and wrong-site surgery.

Makary MA, Mukherjee A, Sexton BJ, et al. J Am Coll Surg. 2007;204:236-243.

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