AHRQ Patient Safety Network

The Collection > General Hospitals

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Safety Target

•Device-related Complications (51)

•Diagnostic Errors (51)

•Identification Errors (43)

•Discontinuities, Gaps, and Hand-Off Problems (200)

•Fatigue and Sleep Deprivation (25)

•Medication Safety (321)

•Medical Complications (100)

•Nonsurgical Procedural Complications (20)

•Surgical Complications (230)

•Transfusion Complications (2)

•Psychological and Social Complications (30)

Origin/Sponsor

•Asia (21)

•Australia and New Zealand (37)

•Central and South America (4)

Resource Types

•Clinical Guideline (2)

•Journal Article (849)

•Legislation/Regulation (9)

•Meeting/Conference (1)

•Newspaper/Magazine Article (59)

•Press Release/Announcement (1)

•Special or Theme Issue (4)

•Tools/Toolkit (3)

•Web Resource (6)

Error Types

•Epidemiology of Errors and Adverse Events (392)

•Active Errors (234)

•Latent Errors (93)

•Near Miss (25)

Approach to Improving Safety

•Quality Improvement Strategies (251)

•Legal and Policy Approaches (51)

•Error Reporting and Analysis (247)

•Communication Improvement (323)

•Human Factors Engineering (138)

•Teamwork (101)

•Specialization of Care (90)

•Logistical Approaches (87)

•Culture of Safety (92)

•Technologic Approaches (176)

•Education and Training (184)

Clinical Areas

•Medicine (835)

•Nursing (136)

•Pharmacy (107)

Target Audience

•Health Care Providers (745)

•Health Care Executives and Administrators (761)

•Non-Health Care Professionals (289)

•Patients (41)

Setting of Care
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General Hospitals

•Intensive Care Units (166)

•Emergency Departments (154)

•Operating Room (248)

•Labor and Delivery (36)

1 - 20 of 954

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COMMENTARY

Miscalculated Risk

Strassels SA. AHRQ WebM&M [serial online]. August 2006.

STUDY

Clinical and safety impact of an inpatient pharmacist-directed anticoagulation service.

Schillig J, Kaatz S, Hudson M, Krol GD, Szandzik EG, Kalus JS. J Hosp Med. 2011;6:322-328.

COMMENTARY

Right? Left? Neither!

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

COMMENTARY

The Wet Read

Arenson RL. AHRQ WebM&M [serial online]. March 2006.

COMMENTARY

Discharge Fumbles.

Forster A. AHRQ WebM&M [serial online]. December 2004.

COMMENTARY

Urinary Retention Dilemma

Joseph AC. AHRQ WebM&M [serial online]. November 2006.

STUDY

Bar-code technology for medication administration: medication errors and nurse satisfaction.

Fowler SB, Sohler P, Zarillo DF. MedSurg Nursing. 2009;18:103-110.

COMMENTARY

Discharge Against Medical Advice.

Hwang SW. WebM&M [serial online]. May 2005.

STUDY

Observational assessment of surgical teamwork: a feasibility study.

Undre S, Healey AN, Darzi A, Vincent CA. World J Surg. 2006;30:1774-1783.

COMMENTARY

Unreported errors in the intensive care unit: a case study of the way we work.

Henneman EA. Crit Care Nurse. 2007;27:27-34.

COMMENTARY

Triple Handoff

Vidyarthi AR. AHRQ WebM&M [serial online]. September 2006.

STUDY

Impact of a pharmacist-facilitated hospital discharge program: a quasi-experimental study.

Walker PC, Bernstein SJ, Tucker Jones JN, et al. Arch Intern Med. 2009;169:2003-2010.

STUDY

Risk factors for adverse drug events: a 10-year analysis.

Evans RS, Lloyd JF, Stoddard GJ, Nebeker JR, Samore MH. Ann Pharmacother. 2005;39:1161-1168.

COMMENTARY

Missed Appendicitis.

Adams JG. AHRQ WebM&M [serial online]. June 2003.

STUDY

Consequences of inadequate sign-out for patient care.

Horwitz LI, Moin T, Krumholz HM, Wang L, Bradley EH. Arch Intern Med. 2008;168:1755-1760.

COMMENTARY

A nurse-led approach to developing and implementing a collaborative count policy.

Norton EK, Micheli AJ, Gedney J, Felkerson TM. AORN J. 2012;95:222-227.

BOOK/REPORT

Medmarx Data Report: A Chartbook of Medication Error Findings from the Perioperative Settings from 1998-2005.

Rockville, MD: United States Pharmacopeia; 2007.

ORGANIZATIONAL POLICY/GUIDELINES

Statement on the prevention of retained foreign bodies after surgery.

Bulletin of the American College of Surgeons; October 2005.

STUDY

Impact of a pharmacist on medication reconciliation on patient admission to a Veterans Affairs Medical Center.

Strunk LB, Matson AW, Steinke D. Hosp Pharm. 2008;43:643-649.

COMMENTARY

Privacy Gone Awry.

Pauker SG, Pauker SP. AHRQ WebM&M [serial online]. May 2004.

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