AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (180)

•Diagnostic Errors (214)

•Identification Errors (108)

•Discontinuities, Gaps, and Hand-Off Problems (420)

•Fatigue and Sleep Deprivation (68)

•Medication Safety (1287)

•Medical Complications (436)

•Nonsurgical Procedural Complications (105)

•Surgical Complications (388)

•Transfusion Complications (15)

•Psychological and Social Complications (137)

Origin/Sponsor

•Africa (5)

•Asia (36)

•Australia and New Zealand (92)

•Central and South America (4)

•Europe (355)

•North America (3088)

Resource Types

•Clinical Guideline (11)

•Journal Article (2541)

•Legislation/Regulation (68)

•Meeting/Conference (35)

•Newsletter/Journal (13)

•Newspaper/Magazine Article (369)

•Press Release/Announcement (55)

•Special or Theme Issue (63)

•Tools/Toolkit (69)

•Web Resource (137)

•Grant (13)

Error Types

•Epidemiology of Errors and Adverse Events (779)

•Active Errors (733)

•Latent Errors (254)

•Near Miss (70)

Approach to Improving Safety

•Quality Improvement Strategies (1059)

•Legal and Policy Approaches (365)

•Error Reporting and Analysis (940)

•Communication Improvement (1032)

•Human Factors Engineering (491)

•Teamwork (273)

•Specialization of Care (280)

•Logistical Approaches (226)

•Culture of Safety (458)

•Technologic Approaches (643)

•Education and Training (749)

Clinical Areas

•Allied Health Services (15)

Target Audience
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Health Care Providers

•Allied Health Professionals (11)

•Clinical Technologists (27)

Setting of Care

•Psychiatric Facilities (20)

•Residential Facilities (63)

•Ambulatory Care (415)

•Outpatient Surgery (43)

•Patient Transport (39)

1 - 20 of 3677

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COMMENTARY

Are Two Insulin Pumps Better Than One?

Cook CB. AHRQ WebM&M [serial online]. January 2009.

NEWSPAPER/MAGAZINE ARTICLE

Common cause analysis.

Clapper C, Crea K. Patient Saf Qual Healthc. May/June 2010;7:30-35.

STUDY

Identifying causes of adverse events detected by an automated trigger tool through in-depth analysis.

Muething SE, Conway PH, Kloppenborg E, et al. Qual Saf Health Care. 2010;19:435-439.

NEWSPAPER/MAGAZINE ARTICLE

Reducing patient harm from opiates.

ISMP Medication Safety Alert! Acute Care Edition. February 22, 2007;12:1-3.

COMMENTARY

ISMP medication error report analysis.

Cohen MR. Hosp Pharm. 2005;40:643-648.

STUDY

Characteristics of medication errors and adverse drug events in hospitals participating in the California Pediatric Patient Safety Initiative.

Takata GS, Taketomo CK, Waite S; for the California Pediatric Patient Safety Initiative. Am J Health Syst Pharm. 2008;65:2036-2044.

NEWSPAPER/MAGAZINE ARTICLE

10 things your hospital won't tell you.

Kapadia R. Smart Money. October 2006;15:112-114.

NEWSPAPER/MAGAZINE ARTICLE

Empowering families in emergencies.

Spath PL. Hospital & Health Networks. February 20, 2007.

NEWSPAPER/MAGAZINE ARTICLE

Action needed to prevent dangerous heparin-insulin confusion.

ISMP Medication Safety Alert! Acute Care Edition. May 3, 2007;12:1-2.

BOOK/REPORT

National Priorities and Goals: Aligning Our Efforts to Transform America's Healthcare.

National Priorities Partnership. Washington, DC: National Quality Forum; 2008. ISBN: 1933875194.

COMMENTARY

Anatomy of an incident disclosure: the importance of dialogue.

Iedema R, Allen S. Jt Comm J Qual Patient Saf. 2012;38:435-442.

COMMENTARY

Sick and Pregnant

El-Ibiary S. AHRQ WebM&M [serial online]. November 2008.

NEWSPAPER/MAGAZINE ARTICLE

Shared MDIs: can cross-contamination be avoided?

ISMP Medication Safety Alert! Acute Care Edition. April 9, 2009;14:1-3.

COMMENTARY

ISMP medication error report analysis.

Cohen MR, Smetzer JL. Hosp Pharm. 2009;44:847-853.

TOOLKIT

Making Strides in Safety.

Chicago, IL: American Medical Association.

REVIEW

Nonhospital health care–associated hepatitis B and C virus transmission: United States, 1998-2008.

Thompson ND, Perz JF, Moorman AC, Holmberg SD. Ann Intern Med. 2009;150:33-39.

NEWSPAPER/MAGAZINE ARTICLE

Beware of basal opioid infusions with PCA therapy.

ISMP Medication Safety Alert! Acute Care Edition. March 12, 2009;14:1-3.

NEWSPAPER/MAGAZINE ARTICLE

USP initiatives for the safe use of medical gases.

Zaidi K, Curry PD Jr, Becker SC. Pharmaceutical Technology. November 2, 2005;29:102-103.

NEWSPAPER/MAGAZINE ARTICLE

Misadministration of IV insulin associated with dose measurement and hyperkalemia treatment.

ISMP Medication Safety Alert! Acute Care Edition. August 11, 2011;16:1-3.

COMMENTARY

ISMP medication error report analysis.

Cohen MR. Hosp Pharm. 2005;40:940-945.

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