AHRQ Patient Safety Network

The Collection > Hospitals

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Safety Target

•Device-related Complications (186)

•Diagnostic Errors (134)

•Identification Errors (138)

•Discontinuities, Gaps, and Hand-Off Problems (453)

•Fatigue and Sleep Deprivation (107)

•Medication Safety (1004)

•Medical Complications (524)

•Nonsurgical Procedural Complications (90)

•Surgical Complications (502)

•Transfusion Complications (22)

•Psychological and Social Complications (118)

Origin/Sponsor

•Africa (5)

•Asia (46)

•Australia and New Zealand (97)

•Central and South America (7)

•Europe (365)

•North America (2995)

Resource Types

•Audiovisual (47)

•Award (23)

•Book/Report (195)

•Clinical Guideline (6)

•Journal Article (2556)

•Legislation/Regulation (45)

•Meeting/Conference (14)

•Newspaper/Magazine Article (513)

•Press Release/Announcement (11)

•Special or Theme Issue (39)

•Tools/Toolkit (52)

•Web Resource (75)

•Grant (3)

Error Types

•Epidemiology of Errors and Adverse Events (1082)

•Active Errors (570)

•Latent Errors (278)

•Near Miss (64)

Approach to Improving Safety

•Quality Improvement Strategies (880)

•Legal and Policy Approaches (394)

•Error Reporting and Analysis (1052)

•Communication Improvement (831)

•Human Factors Engineering (454)

•Teamwork (283)

•Specialization of Care (320)

•Logistical Approaches (317)

•Culture of Safety (503)

•Technologic Approaches (604)

•Education and Training (684)

Clinical Areas

•Allied Health Services (4)

Target Audience

•Health Care Providers (2386)

•Health Care Executives and Administrators (2775)

•Non-Health Care Professionals (1230)

•Patients (397)

Setting of Care
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Hospitals

•General Hospitals (1110)

•Children’s Hospitals (130)

•Specialty Hospitals (67)

1 - 20 of 3579

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NEWSPAPER/MAGAZINE ARTICLE

Approved: no new National Patient Safety Goals, only minor revisions for 2011.

Jt Comm Perspect. August 2010;30:6-7.

BOOK/REPORT

Consumer Guide to Adverse Health Events.

St. Paul, MN: Minnesota Department of Health; January 2009.

NEWSPAPER/MAGAZINE ARTICLE

USP initiatives for the safe use of medical gases.

Zaidi K, Curry PD Jr, Becker SC. Pharmaceutical Technology. November 2, 2005;29:102-103.

NEWSPAPER/MAGAZINE ARTICLE

Preventing fatal errors.

Bailey B, Sevrens Lyons J. The Mercury News. November 27, 2005.

NEWSPAPER/MAGAZINE ARTICLE

Sarasota Memorial Hospital reviewed after restrained patient dies.

Gulliver D. Sarasota Herald Tribune. November 7, 2006:BS1.

AUDIOVISUAL

Avoiding medical error.

Colvin G. "The Colvin Interview." CNN. February 5, 2007.

MULTI-USE WEBSITE

Organisation Patient Safety Incident Reports.

National Patient Safety Agency.

NEWSPAPER/MAGAZINE ARTICLE

Approved: 2010 National Patient Safety Goals.

Jt Comm Perspect. October 2009;29:1, 20-31.

STUDY

Hospitalized patients' attitudes about and participation in error prevention.

Waterman AD, Gallagher TH, Garbutt J, Waterman BM, Fraser V, Burroughs TE. J Gen Intern Med. 2006;21:367-370.

BOOK/REPORT

Improving Communication During Transitions of Care.

Oakbrook Terrace, IL: Joint Commission Resources; 2010. ISBN: 9781599404097.

PRESS RELEASE/ANNOUNCEMENT

Patient safety: healthcare acquired conditions and serious reportable events.

Washington, DC: National Quality Forum; September 2009.

NEWSPAPER/MAGAZINE ARTICLE

Report: hospital errors cost 18 lives.

Rojas-Burke J. Oregonian. January 30, 2007:B01.

STUDY

Incidence and root cause analysis of wrong-site pain management procedures: a multicenter study.

Cohen SP, Hayek SM, Datta S, et al. Anesthesiology. 2010;112:711-718.

AWARD RECIPIENT

Building and sustaining a systemwide culture of safety.

Yates GR, Bernd DL, Sayles SM, Stockmeier CA, Burke G, Merti GE. Jt Comm J Qual Patient Saf. 2005;31:684-689.

MULTI-USE WEBSITE

HAC Posting on Hospital Compare.

Centers for Medicare & Medicaid Services.

MULTI-USE WEBSITE

National Patient Safety Awareness Week.

National Patient Safety Foundation.

NEWSPAPER/MAGAZINE ARTICLE

Fixing America's hospitals.

Newsweek. October 16, 2006:44-68, 72.

BOOK/REPORT

Patient Safety Authority Annual Reports.

Harrisburg, PA: Patient Safety Authority; April 2013.

ORGANIZATIONAL POLICY/GUIDELINES

AORN guidance statement: "do-not-use" abbreviations, acronyms, dosage designations, and symbols.

AORN J. 2006;84:489-492.

NEWSPAPER/MAGAZINE ARTICLE

State starts project to track serious hospital mistakes.

Colburn D. The Oregonian. February 1, 2006:B1.

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