AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (91)

•Diagnostic Errors (124)

•Identification Errors (66)

•Discontinuities, Gaps, and Hand-Off Problems (350)

•Fatigue and Sleep Deprivation (58)

•Medication Safety (684)

•Medical Complications (304)

•Nonsurgical Procedural Complications (50)

•Surgical Complications (218)

•Transfusion Complications (10)

•Psychological and Social Complications (140)

Origin/Sponsor

•Africa (7)

•Asia (31)

•Australia and New Zealand (93)

•Central and South America (6)

•Europe (428)

•North America (1854)

Resource Types

•Clinical Guideline (3)

•Journal Article (1724)

•Legislation/Regulation (38)

•Meeting/Conference (29)

•Newsletter/Journal (8)

•Newspaper/Magazine Article (216)

•Press Release/Announcement (25)

•Special or Theme Issue (50)

•Tools/Toolkit (54)

•Web Resource (90)

•Grant (9)

Error Types

•Epidemiology of Errors and Adverse Events (493)

•Active Errors (381)

•Latent Errors (184)

•Near Miss (40)

Approach to Improving Safety

•Quality Improvement Strategies (658)

•Legal and Policy Approaches (299)

•Error Reporting and Analysis (752)

•Communication Improvement (824)

•Human Factors Engineering (280)

•Teamwork (219)

•Specialization of Care (185)

•Logistical Approaches (160)

•Culture of Safety (378)

•Technologic Approaches (385)

•Education and Training (513)

Clinical Areas

•Allied Health Services (12)

•Complementary and Alternative Medicine (1)

Target Audience
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Health Care Providers

•Allied Health Professionals (5)

•Clinical Technologists (10)

Setting of Care

•Psychiatric Facilities (14)

•Residential Facilities (45)

•Ambulatory Care (276)

•Outpatient Surgery (25)

•Patient Transport (17)

1 - 20 of 2493

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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

Culture, language, and patient safety: making the link.

Johnstone MJ, Kanitsaki O. Int J Qual Health Care. 2006;18:383-8.

STUDY

Attitude is everything?: The impact of workload, safety climate, and safety tools on medical errors: a study of intensive care units.

Steyrer J, Schiffinger M, Huber C, Valentin A, Strunk G. Health Care Manage Rev. 2012 Oct 18; [Epub ahead of print].

REVIEW

Outcomes of classroom-based team training interventions for multiprofessional hospital staff. A systematic review.

Rabøl LI, Østergaard D, Mogensen T. Qual Saf Health Care. 2010;19:e27.

STUDY

Health care workers as second victims of medical errors.

Edrees HH, Paine LA, Feroli ER, Wu AW. Pol Arch Med Wewn. 2011;121:101-108.

BOOK/REPORT

Achieving an Exceptional Patient and Family Experience of Inpatient Hospital Care.

Balik B, Conway J, Zipperer L, Watson J. Cambridge, MA: Institute for Healthcare Improvement; 2011.

NEWSPAPER/MAGAZINE ARTICLE

Hospitals boost patients' power as advisers.

Landro L. Wall Street Journal. August 8, 2007:D1.

MISSOURI MEETING/CONFERENCE

The Second Victim Experience: Train-the-Trainer Workshop.

Center for Patient Safety. June 11, 2013; University of Missouri Health System Health System, Columbia, MO.

STUDY

Using Healthcare Failure Mode and Effect Analysis to reduce medication errors in the process of drug prescription, validation and dispensing in hospitalised patients.

Vélez-Díaz-Pallarés M, Delgado-Silveira E, Carretero-Accame ME, Bermejo-Vicedo T. BMJ Qual Saf. 2013;22:42-52.

BOOK/REPORT

IBEAS: A Pioneer Study on Patient Safety in Latin America: Towards Safer Hospital Care.

Geneva, Switzerland: World Health Organization; 2011.

MULTI-USE WEBSITE

BOOSTing Care Transitions Resource Room.

Project BOOST (Better Outcomes for Older adults through Safe Transitions), Society of Hospital Medicine.

STUDY

Peer support: healthcare professionals supporting each other after adverse medical events.

van Pelt F. Qual Saf Health Care. 2008;17:249-252.

STUDY

A reengineered hospital discharge program to decrease rehospitalization: a randomized trial.

Jack BW, Chetty VK, Anthony D, et al. Ann Intern Med. 2009;150:178-187.

MULTI-USE WEBSITE

Project Red (Re-Engineered Discharge).

Boston, MA: Boston University Medical Center.

STUDY

The relationship between patients' perception of care and measures of hospital quality and safety.

Isaac T, Zaslavsky AM, Cleary PD, Landon BE. Health Serv Res. 2010;45:1024-1040.

MULTI-USE WEBSITE

African Partnerships for Patient Safety.

Geneva, Switzerland: WHO Patient Safety, World Health Organization.

COMMENTARY

Reengineering hospital discharge: a protocol to improve patient safety, reduce costs, and boost patient satisfaction.

Clancy CM. Am J Med Qual. 2009;24:344-346.

STUDY

The importance of leadership in preventing healthcare–associated infection: results of a multisite qualitative study.

Saint S, Kowalski CP, Banaszak-Holl J, Forman J, Damschroder L, Krein SL. Infect Control Hosp Epidemiol. 2010;31:901-907.

STUDY

Analysis of staff safety concerns.

Davidson J, Lamontagne G, Burnell L, et al. J Nurs Care Qual. 2013;28:147-152.

STUDY

Variation in safety culture dimensions within and between US and Swiss Hospital units: an exploratory study.

Schwendimann R, Zimmermann N, Küng K, Ausserhofer D, Sexton B. BMJ Qual Saf. 2013;22:32-41.

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