AHRQ Patient Safety Network

The Collection > General Hospitals

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Safety Target

•Device-related Complications (60)

•Diagnostic Errors (41)

•Identification Errors (52)

•Discontinuities, Gaps, and Hand-Off Problems (222)

•Fatigue and Sleep Deprivation (38)

•Medication Safety (319)

•Medical Complications (152)

•Nonsurgical Procedural Complications (43)

•Surgical Complications (286)

•Transfusion Complications (2)

•Psychological and Social Complications (39)

Origin/Sponsor

•Africa (1)

•Asia (14)

•Australia and New Zealand (29)

•Central and South America (1)

Resource Types

•Clinical Guideline (2)

•Journal Article (956)

•Legislation/Regulation (11)

•Meeting/Conference (1)

•Newspaper/Magazine Article (89)

•Press Release/Announcement (2)

•Special or Theme Issue (15)

•Tools/Toolkit (5)

•Web Resource (12)

•Grant (1)

Error Types

•Epidemiology of Errors and Adverse Events (308)

•Active Errors (231)

•Latent Errors (68)

•Near Miss (22)

Approach to Improving Safety

•Quality Improvement Strategies (271)

•Legal and Policy Approaches (75)

•Error Reporting and Analysis (245)

•Communication Improvement (401)

•Human Factors Engineering (191)

•Teamwork (183)

•Specialization of Care (105)

•Logistical Approaches (114)

•Culture of Safety (145)

•Technologic Approaches (201)

•Education and Training (251)

Clinical Areas

•Allied Health Services (2)

•Medicine (1000)

•Nursing (123)

•Pharmacy (87)

Target Audience

•Health Care Providers (899)

•Health Care Executives and Administrators (952)

•Non-Health Care Professionals (413)

•Patients (69)

Setting of Care
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General Hospitals

•Intensive Care Units (187)

•Emergency Departments (173)

•Operating Room (307)

•Labor and Delivery (83)

1 - 20 of 1128

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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

The association between transfer of emergency department boarders to inpatient hallways and mortality: a 4-year experience.

Viccellio A, Santora C, Singer AJ, Thode HC Jr, Henry MC. Ann Emerg Med. 2009;54:511-513.

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.

AWARD RECIPIENT

2006 Quest for Quality Prize.

Runy LA. Hosp Health Netw. September 2006.

STUDY

Systematically improving physician assignment during in-hospital transitions of care by enhancing a preexisting hospital electronic health record.

Zsenits B, Polashenski WA, Sterns RH, Brown DR IV, Moheet A. J Hosp Med. 2009;4:308-312.

COMMENTARY

XL or Smaller?

Kozer E. AHRQ WebM&M [serial online]. June 2003.

STUDY

Improving the quality of discharge communication with an educational intervention.

Key-Solle M, Paulk E, Bradford K, Skinner AC, Lewis MC, Shomaker K. Pediatrics. 2010;126:734-739.

STUDY

Professionalism: a necessary ingredient in a culture of safety.

DuPree E, Anderson R, McEvoy MD, Brodman M. Jt Comm J Qual Patient Saf. 2011;37:447-455.

STUDY

Effective triage can ameliorate the deleterious effects of delayed transfer of trauma patients from the emergency department to the ICU.

Richardson JD, Franklin G, Santos A, et al. J Am Coll Surg. 2009;208:671-678.

NEWSPAPER/MAGAZINE ARTICLE

Latest heparin fatality speaks loudly—what have you done to stop the bleeding?

ISMP Medication Safety Alert! April 8, 2010;15:1-3.

STUDY

Hospital readmissions: physician awareness and communication practices.

Roy CL, Kachalia A, Woolf S, et al. J Gen Intern Med. 2009;24:374-380.

STUDY

Effect of an electronic medication reconciliation application and process redesign on potential adverse drug events: a cluster-randomized trial.

Schnipper JL, Hamann C, Ndumele CD, et al. Arch Intern Med. 2009;169:771-780.

COMMENTARY classic

Computerization can create safety hazards: a bar-coding near miss.

McDonald CJ. Ann Intern Med. 2006;144:510-516.

STUDY

Adequacy of hospital discharge summaries in documenting tests with pending results and outpatient follow-up providers.

Were MC, Li X, Kesterson J, et al. J Gen Intern Med. 2009;24:1002-1006.

STUDY

Problems after discharge and understanding of communication with their primary care physicians (PCPs) among hospitalized seniors: a mixed methods study.

Arora VM, Prochaska ML, Farnan JM, et al. J Hosp Med. 2010;5:385-391.

STUDY

Polypharmacy in hospitalized older adult cancer patients: experience from a prospective, observational study of an oncology-acute care for elders unit.

Flood KL, Carroll MB, Le CV, Brown CJ. Am J Geriatr Pharmacother. 2009;7:151-158.

STUDY

Communication and information deficits in patients discharged to rehabilitation facilities: an evaluation of five acute care hospitals.

Gandara E, Moniz T, Ungar J, et al. J Hosp Med. 2009;4:E28-E33.

STUDY

Standardizing hospital discharge planning at the Mayo Clinic.

Holland DE, Hemann MA. Jt Comm J Qual Patient Saf. 2011;37:29-36.

STUDY

Patient whiteboards as a communication tool in the hospital setting: A survey of practices and recommendations.

Sehgal NL, Green A, Vidyarthi AR, Blegen MA, Wachter RM. J Hosp Med. 2010;5:234-239.

STUDY

Surgical team behaviors and patient outcomes.

Mazzocco K, Petitti DB, Fong KT, et al. Am J Surg. 2009;197:678-685.

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