AHRQ Patient Safety Network

The Collection > Specialty Hospitals

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Safety Target

•Device-related Complications (8)

•Diagnostic Errors (8)

•Identification Errors (2)

•Discontinuities, Gaps, and Hand-Off Problems (13)

•Fatigue and Sleep Deprivation (1)

•Medication Safety (36)

•Medical Complications (21)

•Nonsurgical Procedural Complications (5)

•Surgical Complications (9)

•Transfusion Complications (2)

•Psychological and Social Complications (3)

Origin/Sponsor

•Asia (5)

•Australia and New Zealand (9)

•Central and South America (1)

Resource Types

•Journal Article (90)

•Newspaper/Magazine Article (3)

Error Types

•Epidemiology of Errors and Adverse Events (43)

•Active Errors (21)

•Latent Errors (3)

Approach to Improving Safety

•Quality Improvement Strategies (22)

•Legal and Policy Approaches (6)

•Error Reporting and Analysis (23)

•Communication Improvement (21)

•Human Factors Engineering (11)

•Teamwork (6)

•Specialization of Care (17)

•Logistical Approaches (5)

•Culture of Safety (8)

•Technologic Approaches (23)

•Education and Training (12)

Clinical Areas

•Medicine (79)

•Nursing (5)

•Pharmacy (9)

Target Audience

•Health Care Providers (74)

•Health Care Executives and Administrators (85)

•Non-Health Care Professionals (36)

•Patients (4)

Setting of Care
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Specialty Hospitals

1 - 20 of 95

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STUDY

Structured interdisciplinary rounds in a medical teaching unit: improving patient safety.

O’Leary KJ, Buck R, Fligiel HM, et al. Arch Intern Med. 2011;171:678-684.

STUDY

Inability of providers to predict unplanned readmissions.

Allaudeen N, Schnipper JL, Orav EJ, Wachter RM, Vidyarthi AR. J Gen Intern Med. 2011;26:771-776.

STUDY

A trigger tool fails to identify serious errors and adverse events in pediatric otolaryngology.

Lander L, Roberson DW, Plummer KM, Forbes PW, Healy GB, Shah RK. Otolaryngol Head Neck Surg. 2010;143:480-486.

STUDY

Preventing potentially inappropriate medication use in hospitalized older patients with a computerized provider order entry warning system.

Mattison MLP, Afonso KA, Ngo LH, Mukamal KJ. Arch Intern Med. 2010;170:1331-1336.

STUDY

An in-depth analysis of medication errors in hospitalized patients with HIV.

Snyder AM, Klinker K, Orrick JJ, Janelle J, Winterstein AG. Ann Pharmacother. 2011;45:459-468.

STUDY

Medication reconciliation during internal hospital transfer and impact of computerized prescriber order entry.

Lee JY, Leblanc K, Fernandes OA, et al. Ann Pharmacother. 2010;44:1887-1895.

STUDY

Patient safety measures in burn care: do national reporting systems accurately reflect quality of burn care?

Mandell SP, Robinson EF, Cooper CL, Klein MB, Gibran NS. J Burn Care Res. 2010;31:125-129.

STUDY

Trends in central line–associated bloodstream infections in a trauma-surgical intensive care unit.

Ong A, Dysert K, Herbert C, et al. Arch Surg. 2011;146:302-307.

STUDY

Assessment of adverse drug events among patients in a tertiary care medical center.

Johnston PE, France DJ, Byrne DW, et al. Am J Health Syst Pharm. 2006;63:2218-2227.

STUDY

A prospective observational study of physician handoff for intensive-care-unit-to-ward patient transfers.

Li P, Stelfox HT, Ghali WA. Am J Med. 2011;124:860-867.

STUDY

Developing a programme for medication reconciliation at the time of admission into hospital.

Manzorro AG, Zoni AC, Rieiro CR, et al. Int J Clin Pharm. 2011;33:603-609.

STUDY

Using an enhanced oral chemotherapy computerized provider order entry system to reduce prescribing errors and improve safety.

Collins CM, Elsaid KA. Int J Qual Health Care. 2011;23:36-43.

STUDY

Importance of prevention and early intervention of adverse events in pediatric cardiac catheterization: a review of three years of experience.

Huang YC, Chang JS, Lai YC, Li PC. Pediatr Neonatol. 2009;50:280-286.

AWARD RECIPIENT

2006 Quest for Quality Prize.

Runy LA. Hosp Health Netw. September 2006.

STUDY

Unit-based care teams and the frequency and quality of physician–nurse communications.

Gordon MB, Melvin P, Graham D, et al. Arch Pediatr Adolesc Med. 2011;165:424-428.

COMMENTARY

JCAHO proposal for patient-centered care brings concept to mainstream healthcare settings.

The Risk Management Reporter. June 2005;24:1,3-7.

STUDY

Incidence of adverse drug events and medication errors in Japan: the JADE Study.

Morimoto T, Sakuma M, Matsui K, et al. J Gen Intern Med. 2011;26:148-153.

STUDY

Hospital admission medication reconciliation in medically complex children: an observational study.

Stone BL, Boehme S, Mundorff MB, Maloney CG, Srivastava R. Arch Dis Child. 2010;95:250-255.

COMMENTARY

Successful remediation of patient safety incidents: a tale of two medication errors.

Helmchen LA, Richards MR, McDonald TB. Health Care Manage Rev. 2011;36:1-10.

STUDY

Responding to patient safety incidents: the "seven pillars."

McDonald TB, Helmchen LA, Smith KM, et al. Qual Saf Health Care. 2010;19:e11.

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