AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (143)

•Diagnostic Errors (189)

•Identification Errors (98)

•Discontinuities, Gaps, and Hand-Off Problems (471)

•Fatigue and Sleep Deprivation (88)

•Medication Safety (1197)

•Medical Complications (401)

•Nonsurgical Procedural Complications (86)

•Surgical Complications (359)

•Transfusion Complications (15)

•Psychological and Social Complications (138)

Origin/Sponsor

•Africa (5)

•Asia (28)

•Australia and New Zealand (87)

•Central and South America (8)

•Europe (369)

•North America (3084)

Resource Types

•Clinical Guideline (10)

•Journal Article (2567)

•Legislation/Regulation (64)

•Meeting/Conference (38)

•Newsletter/Journal (17)

•Newspaper/Magazine Article (336)

•Press Release/Announcement (31)

•Special or Theme Issue (64)

•Tools/Toolkit (73)

•Web Resource (132)

•Grant (11)

Error Types

•Epidemiology of Errors and Adverse Events (770)

•Active Errors (560)

•Latent Errors (243)

•Near Miss (65)

Approach to Improving Safety

•Quality Improvement Strategies (884)

•Legal and Policy Approaches (350)

•Error Reporting and Analysis (921)

•Communication Improvement (1094)

•Human Factors Engineering (448)

•Teamwork (324)

•Specialization of Care (309)

•Logistical Approaches (276)

•Culture of Safety (491)

•Technologic Approaches (658)

•Education and Training (718)

Clinical Areas

•Allied Health Services (13)

Target Audience
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Health Care Providers

•Allied Health Professionals (8)

•Clinical Technologists (26)

Setting of Care

•Psychiatric Facilities (19)

•Residential Facilities (68)

•Ambulatory Care (403)

•Outpatient Surgery (39)

•Patient Transport (30)

1 - 20 of 3653

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NEWSPAPER/MAGAZINE ARTICLE

Anticoagulant safety practices call for pharmacist supervision.

Scott A. Drug Topics (Health-System Edition). November 10, 2008.

ORGANIZATIONAL POLICY/GUIDELINES

Preventing errors relating to commonly used anticoagulants.

Sentinel Event Alert. September 24, 2008;(41):1-4.

AWARD RECIPIENT

2006 Quest for Quality Prize.

Runy LA. Hosp Health Netw. September 2006.

MEASUREMENT TOOL/INDICATOR

2011 ISMP Medication Safety Self Assessment for Hospitals.

Horsham, PA: Institute for Safe Medication Practices; April 2011.

STUDY

A review of verbal order policies in acute care hospitals.

Wakefield DS, Wakefield BJ, Despins L, et al. Jt Comm J Qual Patient Saf. 2012;38:24-33.

NEWSPAPER/MAGAZINE ARTICLE

Safe practice environment chapter proposed by USP.

ISMP Medication Safety Alert! Acute Care Edition. December 4, 2008;13:1-3.

REVIEW

Medication safety in acute care in Australia: where are we now? Part 2: a review of strategies and activities for improving medication safety 2002-2008.

Semple SJ, Roughead EE. Aust New Zealand Health Policy. 2009;6:24.

NEWSPAPER/MAGAZINE ARTICLE

How has the current economy affected patient safety?

ISMP Medication Safety Alert! Acute Care Edition. September 10, 2009;14:1-2.

COMMENTARY

Making inpatient medication reconciliation patient centered, clinically relevant and implementable: a consensus statement on key principles and necessary first steps.

Greenwald JL, Halasyamani L, Greene J, et al. J Hosp Med. 2010;5:477-485.

BOOK/REPORT

Meeting the Joint Commission's 2013 National Patient Safety Goals.

Oakbrook Terrace, IL: The Joint Commission; September 2012. ISBN: 9781599407555.

STUDY

Results of a medication reconciliation survey from the 2006 Society of Hospital Medicine national meeting.

Clay BJ, Halasyamani L, Stucky ER, Greenwald JL, Williams MV. J Hosp Med. 2008;3:465-472.

REVIEW

Deficits in communication and information transfer between hospital-based and primary care physicians: implications for patient safety and continuity of care.

Kripalani S, LeFevre F, Phillips CO, Williams MV, Basaviah P, Baker DW. JAMA. 2007;297:831-841.

COMMENTARY

Improving heparin safety: a multidisciplinary invited conference.

Peterson C, Ham CW, Vanderveen T. Hosp Pharm. 2008;43:491-497.

NEWSPAPER/MAGAZINE ARTICLE

Raising the index of suspicion: red flags that represent credible threats to patient safety.

ISMP Medication Safety Alert! Acute Care Edition. July 26, 2012;17:1-3.

STUDY

Intravenous infusion safety technology: return on investment.

Danello SH, Maddox RR, Schaack GJ. Hosp Pharm. 2009;44:680-687, 696.

STUDY

Impact of electronic prescribing in a hospital setting: a process-focused evaluation.

Cunningham TR, Geller ES, Clarke SW. Int J Med Inform. 2008;77:546-554.

STUDY

A new method to guard inpatient medication safety by the implementation of RFID.

Sun PR, Wang BH, Wu F. J Med Syst. 2008;32:327-332.

STUDY

Lack of patient knowledge regarding hospital medications.

Cumbler E, Wald H, Kutner J. J Hosp Med. 2010;5-83-86.

NEWSPAPER/MAGAZINE ARTICLE

Medication errors: when pharmacy is closed.

PA-PSRS Patient Saf Advis. March 2012;9:11-17.

COMMENTARY

Anticoagulation patient safety goal compliance at a university health system: methods for achieving the goal.

Franco AC, Maxwell P, Green K, Barthol C. Hosp Pharm. 2009;44:776-780, 784.

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