AHRQ Patient Safety Network

The Collection > Hospitals

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Safety Target

•Device-related Complications (154)

•Diagnostic Errors (127)

•Identification Errors (104)

•Discontinuities, Gaps, and Hand-Off Problems (454)

•Fatigue and Sleep Deprivation (97)

•Medication Safety (913)

•Medical Complications (539)

•Nonsurgical Procedural Complications (88)

•Surgical Complications (379)

•Transfusion Complications (20)

•Psychological and Social Complications (111)

Origin/Sponsor

•Africa (3)

•Asia (46)

•Australia and New Zealand (86)

•Central and South America (4)

•Europe (347)

•North America (2741)

Resource Types

•Audiovisual (38)

•Award (22)

•Book/Report (173)

•Clinical Guideline (6)

•Journal Article (2416)

•Legislation/Regulation (42)

•Meeting/Conference (10)

•Newspaper/Magazine Article (422)

•Press Release/Announcement (12)

•Special or Theme Issue (37)

•Tools/Toolkit (44)

•Web Resource (62)

•Grant (3)

Error Types

•Epidemiology of Errors and Adverse Events (862)

•Active Errors (518)

•Latent Errors (250)

•Near Miss (64)

Approach to Improving Safety

•Quality Improvement Strategies (826)

•Legal and Policy Approaches (340)

•Error Reporting and Analysis (994)

•Communication Improvement (772)

•Human Factors Engineering (415)

•Teamwork (261)

•Specialization of Care (307)

•Logistical Approaches (298)

•Culture of Safety (457)

•Technologic Approaches (552)

•Education and Training (617)

Clinical Areas

•Allied Health Services (5)

•Medicine (2532)

•Nursing (284)

•Pharmacy (338)

Target Audience

•Health Care Providers (2208)

•Health Care Executives and Administrators (2562)

•Non-Health Care Professionals (1113)

•Patients (299)

Setting of Care
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Hospitals

•General Hospitals (904)

•Children’s Hospitals (114)

•Specialty Hospitals (65)

1 - 20 of 3287

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NEWSPAPER/MAGAZINE ARTICLE

Ingestion or aspiration of foreign objects or toxic substances is not just a safety concern with children.

ISMP Medication Safety Alert! Acute Care Edition. November 3, 2011;16:1-2.

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.

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.

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

Triangulating case-finding tools for patient safety surveillance: a cross-sectional case study of puncture/laceration.

Taylor JA, Gerwin D, Morlock L, Miller MR. Inj Prev. 2011;17:388-393.

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

Venous thromboembolism after trauma: a never event?

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

BOOK/REPORT

Saving Lives, Saving Money: The Imperative for Computerized Physician Order Entry in Massachusetts Hospitals.

Adams M, Bates D, Coffman G, Everett W. Westborough, MA: Massachusetts Technology Collaborative and New England Healthcare Institute; 2008.

COMMENTARY

ISMP medication error report analysis.

Cohen MR. Hosp Pharm. 2009;44:654-657.

BOOK/REPORT

Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2009.

Oakbrook Terrace, IL: The Joint Commission; January 2010.

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

Thirty-day, all-cause readmissions for elderly patients who have an injury-related inpatient stay.

Spector WD, Mutter R, Owens P, Limcangco R. Med Care. 2012;50:863-869.

BOOK/REPORT

Patient Safety in Canada: An Update.

Ottawa, ON, Canada: Canadian Institute for Health Information; August 14, 2007.

NEWSPAPER/MAGAZINE ARTICLE

Medicare says it won't cover hospital errors.

Pear R. New York Times. August 19, 2007.

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

Defining impact of a rapid response team: qualitative study with nurses, physicians and hospital administrators.

Benin AL, Borgstrom CP, Jenq GY, Roumanis SA, Horwitz LI. BMJ Qual Saf. 2012;21:391-398.

STUDY

Medical errors in US pediatric inpatients with chronic conditions.

Ahuja N, Zhao W, Xiang H. Pediatrics. 2012;130:e786-e793.

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.

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.

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