AHRQ Patient Safety Network

The Collection > Specialty Hospitals

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Safety Target

•Device-related Complications (6)

•Diagnostic Errors (8)

•Identification Errors (2)

•Discontinuities, Gaps, and Hand-Off Problems (12)

•Medication Safety (34)

•Medical Complications (21)

•Nonsurgical Procedural Complications (5)

•Surgical Complications (8)

•Transfusion Complications (2)

•Psychological and Social Complications (3)

Origin/Sponsor

•Asia (4)

•Australia and New Zealand (7)

•Central and South America (1)

Resource Types

•Journal Article (85)

•Newspaper/Magazine Article (3)

Error Types

•Epidemiology of Errors and Adverse Events (43)

•Active Errors (20)

•Latent Errors (3)

Approach to Improving Safety

•Quality Improvement Strategies (21)

•Legal and Policy Approaches (5)

•Error Reporting and Analysis (22)

•Communication Improvement (21)

•Human Factors Engineering (9)

•Teamwork (5)

•Specialization of Care (16)

•Logistical Approaches (5)

•Culture of Safety (9)

•Technologic Approaches (23)

•Education and Training (12)

Clinical Areas

•Medicine (78)

•Nursing (6)

•Pharmacy (9)

Target Audience

•Health Care Providers (73)

•Health Care Executives and Administrators (80)

•Non-Health Care Professionals (33)

•Patients (4)

Setting of Care
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Specialty Hospitals

1 - 20 of 90

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STUDY

Retrospective review of emergency response activations during a 13-year period at a tertiary care children's hospital.

Wang GS, Erwin N, Zuk J, Henry DB, Dobyns EL. J Hosp Med. 2011;6:131-135.

STUDY

Hospital-wide code rates and mortality before and after implementation of a rapid response team.

Chan PS, Khalid A, Longmore LS, Berg RA, Kosiborod M, Spertus JA. JAMA. 2008;300:2506-2513.

STUDY

The impact of Rapid Response System on delayed emergency team activation patient characteristics and outcomes—a follow-up study.

Calzavacca P, Licari E, Tee A, et al. Resuscitation. 2010;81:31-35.

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

Rapid response systems in adult academic medical centers.

Wood KA, Ranji SR, Ide B, Dracup K. Jt Comm J Qual Patient Saf. 2009;35:475-482.

STUDY

Attitudes and barriers to a medical emergency team system at a tertiary paediatric hospital.

Azzopardi P, Kinney S, Moulden A, Tibballs J. Resuscitation. 2011;82:167-174.

STUDY

Changing cardiac arrest and hospital mortality rates through a medical emergency team takes time and constant review.

Santamaria J, Tobin A, Holmes J. Crit Care Med. 2010;38:445-450.

STUDY

Using in situ simulation to improve in-hospital cardiopulmonary resuscitation.

Lighthall GK, Poon T, Harrison TK. Jt Comm J Qual Patient Saf. 2010;36:209-216.

STUDY

Using Medical Emergency Teams to detect preventable adverse events.

Iyengar A, Baxter A, Forster AJ. Crit Care. 2009;13:R126.

STUDY

Preventable morbidity at a mature trauma center.

Teixeira PGR, Inaba K, Salim A, et al. Arch Surg. 2009;144:536-541.

STUDY

A survey of nurses' beliefs about the medical emergency team system in a Canadian tertiary hospital.

Bagshaw SM, Mondor EE, Scouten C, et al; Capital Health Medical Emergency Team Investigators. Am J Crit Care. 2010;19:74-83.

STUDY

Hospital costs associated with adverse events in gynecological oncology.

Kondalsamy-Chennakesavan S, Gordon LG, Sanday K, et al. Gynecol Oncol. 2011;121:70-75.

STUDY

Chemotherapy medication errors in a pediatric cancer treatment center: prospective characterization of error types and frequency and development of a quality improvement initiative to lower the error rate.

Watts RG, Parsons K. Pediatr Blood Cancer. 2013 Mar 20; [Epub ahead of print].

STUDY

Hospitalization-associated disability: "She was probably able to ambulate, but I'm not sure."

Covinsky KE, Pierluissi E, Johnston CB. JAMA. 2011;306:1782-1793.

STUDY

Time for a change in injury and trauma care delivery: a trauma death review analysis.

Sugrue M, Caldwell E, D'Amours S, et al. ANZ J Surg. 2008;78:949-954.

STUDY

The effect of resident duty hour restriction on trauma center outcomes in teaching hospitals in the state of Pennsylvania.

Helling TS, Kaswan S, Boccardo J, Bost JE. J Trauma. 2010;69:607-613.

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

Patient safety on the otolaryngology service: the role of an established rapid response system.

Oliver CL, DeVita MA, Dunwoody CJ, Johnson JT, Sok JC, Simmons RL. Qual Saf Health Care. 2009;18:496-499.

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.

AWARD RECIPIENT

2006 Quest for Quality Prize.

Runy LA. Hosp Health Netw. September 2006.

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