AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (180)

•Diagnostic Errors (203)

•Identification Errors (118)

•Discontinuities, Gaps, and Hand-Off Problems (407)

•Fatigue and Sleep Deprivation (80)

•Medication Safety (1183)

•Medical Complications (436)

•Nonsurgical Procedural Complications (102)

•Surgical Complications (557)

•Transfusion Complications (18)

•Psychological and Social Complications (191)

Origin/Sponsor

•Africa (5)

•Asia (41)

•Australia and New Zealand (100)

•Central and South America (7)

•Europe (406)

•North America (3084)

Resource Types

•Clinical Guideline (8)

•Journal Article (2629)

•Legislation/Regulation (59)

•Meeting/Conference (40)

•Newsletter/Journal (17)

•Newspaper/Magazine Article (340)

•Press Release/Announcement (41)

•Special or Theme Issue (72)

•Tools/Toolkit (69)

•Web Resource (143)

•Grant (12)

Error Types

•Epidemiology of Errors and Adverse Events (773)

•Active Errors (704)

•Latent Errors (242)

•Near Miss (97)

Approach to Improving Safety

•Quality Improvement Strategies (912)

•Legal and Policy Approaches (369)

•Error Reporting and Analysis (960)

•Communication Improvement (1008)

•Human Factors Engineering (628)

•Teamwork (329)

•Specialization of Care (267)

•Logistical Approaches (258)

•Culture of Safety (487)

•Technologic Approaches (634)

•Education and Training (830)

Clinical Areas

•Allied Health Services (18)

•Complementary and Alternative Medicine (1)

Target Audience
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Health Care Providers

•Allied Health Professionals (10)

•Clinical Technologists (26)

Setting of Care

•Psychiatric Facilities (19)

•Residential Facilities (65)

•Ambulatory Care (372)

•Outpatient Surgery (48)

•Patient Transport (35)

1 - 20 of 3737

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STUDY

Ambulance personnel perceptions of near misses and adverse events in pediatric patients.

Cushman JT, Fairbanks RJ, O'Gara KG, et al. Prehosp Emerg Care. 2010;14:477-484.

AUDIOVISUAL

Chasing Zero: Winning the War on Healthcare Harm.

Austin, TX: Texas Medical Institute for Technology and the Quaid Foundation; 2010.

NEWSPAPER/MAGAZINE ARTICLE

Get me out alive.

Feldman R. The Washington Post. May 2, 2006:HE01.

COMMENTARY

Ashamed to admit it: owning up to medical error.

Ofri D. Health Aff (Millwood). 2010;29:1549-1551.

NEWSPAPER/MAGAZINE ARTICLE

Fixing America's hospitals.

Newsweek. October 16, 2006:44-68, 72.

COMMENTARY

Practice advisory on anesthetic care for magnetic resonance imaging: a report by the American Society of Anesthesiologists Task Force on Anesthetic Care for Magnetic Resonance Imaging.

Anesthesiology. 2009;110:459-479.

SPECIAL OR THEME ISSUE

Quality of Anesthesia Care.

Neuman MD, Martinez EA, eds. Anesthesiol Clin. 2011;29:1-178.

STUDY

A human factors curriculum for surgical clerkship students.

Cahan MA, Larkin AC, Starr S, et al. Arch Surg. 2010;145:1151-1157.

COMMENTARY

Preparing your hospital for compliance with The Joint Commission's National Patient Safety Goals.

Murdaugh L, Jordin R. Hosp Pharm. 2008;43:728-733.

AWARD RECIPIENT

An interview with Lucian Leape.

Leape LL. Jt Comm J Qual Saf. 2004;30:653-658.

COMMENTARY

Back to Basics

Hellman R. AHRQ WebM&M [serial online]. March 2007.

SPECIAL OR THEME ISSUE

Patient Safety Papers 5.

Baker GR, ed. Healthc Q. 2010;13:1-136.

NEWSPAPER/MAGAZINE ARTICLE

Drug shortages: national survey reveals high level of frustration, low level of safety.

ISMP Medication Safety Alert! Acute Care Edition. September 23, 2010;15,1-6.

STUDY

Adequacy of hospital discharge summaries in documenting tests with pending results and outpatient follow-up providers.

Were MC, Li X, Kesterson J, et al. J Gen Intern Med. 2009;24:1002-1006.

STUDY

Adverse events during hospitalization: results of a patient survey.

Fowler FJ, Epstein A, Weingart SN, et al. Jt Comm J Qual Patient Saf. 2008;34:583-590.

SPECIAL OR THEME ISSUE

Medical errors and safety systems.

Pearlman MD, ed. Clin Obstet Gynecol. 2010;53:471-585.

NEWSPAPER/MAGAZINE ARTICLE

Saving lives: hospitals have signed on to a six-part plan to avoid a multitude of unnecessary deaths.

Comarow A. US News & World Report. July 18, 2005;139:74,76,79.

AWARD RECIPIENT

2006 Quest for Quality Prize.

Runy LA. Hosp Health Netw. September 2006.

COMMENTARY

Confusion about epinephrine dosing leading to iatrogenic overdose: a life-threatening problem with a potential solution.

Kanwar M, Irvin CB, Frank JJ, Weber K, Rosman H. Ann Emerg Med. 2010;55:341-344.

BOOK/REPORT classic

Safe Practices for Better Healthcare—2010 Update.

National Quality Forum. Washington, DC: National Quality Forum; 2010.

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