AHRQ Patient Safety Network

The Collection > General Hospitals

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Safety Target

•Device-related Complications (67)

•Diagnostic Errors (25)

•Identification Errors (57)

•Discontinuities, Gaps, and Hand-Off Problems (108)

•Fatigue and Sleep Deprivation (23)

•Medication Safety (357)

•Medical Complications (127)

•Nonsurgical Procedural Complications (28)

•Surgical Complications (139)

•Transfusion Complications (2)

•Psychological and Social Complications (21)

Origin/Sponsor

•Africa (1)

•Asia (9)

•Australia and New Zealand (18)

•Central and South America (7)

Resource Types

•Clinical Guideline (1)

•Journal Article (679)

•Legislation/Regulation (3)

•Meeting/Conference (1)

•Newspaper/Magazine Article (122)

•Press Release/Announcement (2)

•Special or Theme Issue (7)

•Tools/Toolkit (5)

•Web Resource (8)

Error Types

•Epidemiology of Errors and Adverse Events (276)

•Active Errors (256)

•Latent Errors (43)

•Near Miss (17)

Approach to Improving Safety

•Quality Improvement Strategies (209)

•Legal and Policy Approaches (65)

•Error Reporting and Analysis (217)

•Communication Improvement (207)

•Human Factors Engineering (145)

•Teamwork (75)

•Specialization of Care (98)

•Logistical Approaches (81)

•Culture of Safety (103)

•Technologic Approaches (170)

•Education and Training (158)

Clinical Areas

•Allied Health Services (1)

•Medicine (734)

•Nursing (106)

•Pharmacy (107)

Target Audience

•Health Care Providers (577)

•Health Care Executives and Administrators (665)

•Non-Health Care Professionals (257)

•Patients (122)

Setting of Care
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General Hospitals

•Intensive Care Units (266)

•Emergency Departments (74)

•Operating Room (135)

•Labor and Delivery (39)

1 - 20 of 856

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AUDIOVISUAL

Nebraska Medical Center investigates staff after girl's death.

Luby R. KETV. Omaha, NE. March 31, 2010.

NEWSPAPER/MAGAZINE ARTICLE

Dennis Quaid's Quest.

Grant M. AARP The Magazine. September/October 2010;53:48-51,90-91.

NEWSPAPER/MAGAZINE ARTICLE

Baby's death spotlights safety risks linked to computerized systems.

Graham J, Dizikes C. Chicago Tribune. June 27, 2011.

NEWSPAPER/MAGAZINE ARTICLE

MGH faces suit over drug error that killed woman.

Valencia MJ. Boston Globe. March 10, 2011.

STUDY

Origins of and solutions for neonatal medication-dispensing errors.

Sauberan JB, Dean LM, Fiedelak J, Abraham JA. Am J Health Syst Pharm. 2010;67:49-57.

STUDY

Medication errors resulting from computer entry by nonprescribers.

Santell JP, Kowiatek JG, Weber RJ, Hicks RW, Sirio CA. Am J Health Syst Pharm. 2009;66:843-853.

STUDY

Reducing medication errors and improving systems reliability using an electronic medication reconciliation system.

Agrawal A, Wu WY. Jt Comm J Qual Patient Saf. 2009;35:106-114.

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.

STUDY

What’s past is prologue: organizational learning from a serious patient injury.

Tamuz M, Franchois KE, Thomas EJ. Safety Sci. 2011;49:75-82.

AUDIOVISUAL PRESENTATION

Mix-up: baby nursed by wrong mother.

Cisneros N. ABC-7/KGO-TV. June 10, 2006.

AUDIOVISUAL

Medical Mistakes: Dr. Oz Talks to Actor Dennis Quaid.

The Oprah Winfrey Show. March 10, 2009.

COMMENTARY

Medication reconciliation at an academic medical center: implementation of a comprehensive program from admission to discharge.

Murphy EM, Oxencis CJ, Klauck JA, Meyer DA, Zimmerman JM. Am J Health Syst Pharm. 2009;66:2126-2131.

STUDY

Implementation of the Josie King Care Journal in a pediatric intensive care unit: a quality improvement project.

Turner K, Frush K, Hueckel R, Relf MV, Thornlow D, Champagne MT. J Nurs Care Qual. 2012 Oct 31; [Epub ahead of print].

NEWSPAPER/MAGAZINE ARTICLE

Inquiry into reporter's death finds multiple failures in care.

Stout D. New York Times. June 17, 2006;National desk:9.

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

Effect of bar-code technology on the safety of medication administration.

Poon EG, Keohane CA, Yoon CS, et al. N Engl J Med. 2010;362:1698-1707.

STUDY

Rapid response teams and continuous quality improvement.

Dailey MS, Durkin S, Gulczynski B, Kearney M, Loeb B, Pouliot J. Patient Saf Qual Healthc. Nov/Dec 2009;6:28-31.

NEWSPAPER/MAGAZINE ARTICLE

At VA hospital, a rogue cancer unit.

Bogdanich W. New York Times. June 20, 2009;National Desk:1.

STUDY

Cost implications of actual and potential adverse events prevented by interventions of a critical care pharmacist.

Kopp BJ, Mrsan M, Erstad BL, Duby JJ. Am J Health Syst Pharm. 2007;64:2483-2487.

NEWSPAPER/MAGAZINE ARTICLE

Safety shortcomings spotted in Sunrise catheter case.

Harasim P. Las Vegas Review-Journal. November 21, 2010;News:1B.

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