AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (182)

•Diagnostic Errors (272)

•Identification Errors (128)

•Discontinuities, Gaps, and Hand-Off Problems (437)

•Fatigue and Sleep Deprivation (93)

•Medication Safety (1298)

•Medical Complications (445)

•Nonsurgical Procedural Complications (110)

•Surgical Complications (458)

•Transfusion Complications (17)

•Psychological and Social Complications (122)

Origin/Sponsor

•Africa (5)

•Asia (51)

•Australia and New Zealand (89)

•Central and South America (9)

•Europe (401)

•North America (3132)

Resource Types

•Clinical Guideline (11)

•Journal Article (2791)

•Legislation/Regulation (58)

•Meeting/Conference (30)

•Newsletter/Journal (14)

•Newspaper/Magazine Article (315)

•Press Release/Announcement (35)

•Special or Theme Issue (59)

•Tools/Toolkit (60)

•Web Resource (107)

•Grant (7)

Error Types

•Epidemiology of Errors and Adverse Events (1081)

•Active Errors (654)

•Latent Errors (233)

•Near Miss (73)

Approach to Improving Safety

•Quality Improvement Strategies (924)

•Legal and Policy Approaches (302)

•Error Reporting and Analysis (988)

•Communication Improvement (961)

•Human Factors Engineering (519)

•Teamwork (290)

•Specialization of Care (262)

•Logistical Approaches (282)

•Culture of Safety (424)

•Technologic Approaches (657)

•Education and Training (709)

Clinical Areas

•Allied Health Services (10)

•Complementary and Alternative Medicine (2)

Target Audience
< All

Health Care Providers

•Allied Health Professionals (4)

•Clinical Technologists (44)

Setting of Care

•Psychiatric Facilities (19)

•Residential Facilities (72)

•Ambulatory Care (460)

•Outpatient Surgery (44)

•Patient Transport (32)

1 - 20 of 3744

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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.

REVIEW

Monitoring for medication errors in outpatient settings.

Balkrishnan R, Foss CE, Pawaskar M, Uhas AA, Feldman SR. J Dermatolog Treat. 2009;20:229-232.

STUDY

Outcome of 6 years of protocol use for preventing wrong site office surgery.

Starling J 3rd, Coldiron BM. J Am Acad Dermatol. 2011;65:807-810.

STUDY

Racial disparities in the frequency of patient safety events: results from the National Medicare Patient Safety Monitoring System.

Metersky ML, Hunt DR, Kliman R, et al. Med Care. 2011;49:504-510.

STUDY

Wrong-side/wrong-site, wrong-procedure, and wrong-patient adverse events: are they preventable?

Seiden SC, Barach P. Arch Surg. 2006;141:931-939.

STUDY

Incidence and root cause analysis of wrong-site pain management procedures: a multicenter study.

Cohen SP, Hayek SM, Datta S, et al. Anesthesiology. 2010;112:711-718.

MULTI-USE WEBSITE

Keeping Kidney Patients Safe.

Renal Physicians Association.

STUDY

Wrong-site and wrong-patient procedures in the Universal Protocol era: analysis of a prospective database of physician self-reported occurrences.

Stahel PF, Sabel AL, Victoroff MS, et al. Arch Surg. 2010;145:978-984.

STUDY

Outpatient adverse drug events identified by screening electronic health records.

Gandhi TK, Seger AC, Overhage JM, et al. J Patient Saf. 2010;6;91-96.

STUDY

Pediatric antidepressant medication errors in a national error reporting database.

Rinke ML, Bundy DG, Shore AD, Colantuoni E, Morlock LL, Miller MR. J Dev Behav Pediatr. 2010;31:129-136.

STUDY

Medication errors in paediatric outpatients.

Kaushal R, Goldmann DA, Keohane CA, et al. Qual Saf Health Care. 2010;19:e30.

STUDY

Wrong-site sinus surgery in otolaryngology.

Shah RK, Nussenbaum B, Kienstra M, et al. Otolaryngol Head Neck Surg. 2010;143:37-41.

STUDY

What happens between visits? Adverse and potential adverse events among a low-income, urban, ambulatory population with diabetes.

Sarkar U, Handley MA, Gupta R, et al. Qual Saf Health Care. 2010;19:223-228.

STUDY

Toward understanding errors in inpatient psychiatry: a qualitative inquiry.

Cullen SW, Nath SB, Marcus SC. Psychiatr Q. 2010;81:197-205.

STUDY

The safety of hospital stroke care.

Holloway RG, Tuttle D, Baird T, Skelton WK. Neurology. 2007;68:550-555.

NEWSPAPER/MAGAZINE ARTICLE

Patient safety records: silent witness.

Gould M. Health Service Journal. September 15, 2008:22-24.

STUDY

Priority patient safety issues identified by perioperative nurses.

Steelman VM, Graling PR, Perkhounkova Y. AORN J. 2013;97:402-418.

REVIEW

Avoiding wrong site surgery: a systematic review.

DeVine J, Chutkan N, Norvell DC, Dettori JR. Spine. 2010;35(suppl 9):S28-S36.

SPECIAL OR THEME ISSUE

Patient safety and quality in the pediatric intensive care unit.

Pediatr Crit Care Med. 2007;8(suppl):S1-S43.

STUDY

Medication error reporting in nursing homes: identifying targets for patient safety improvement.

Greene SB, Williams CE, Pierson S, Hansen RA, Carey TS. Qual Saf Health Care. 2010;19:218-222.

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