AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (115)

•Diagnostic Errors (141)

•Identification Errors (89)

•Discontinuities, Gaps, and Hand-Off Problems (342)

•Fatigue and Sleep Deprivation (63)

•Medication Safety (847)

•Medical Complications (328)

•Nonsurgical Procedural Complications (84)

•Surgical Complications (331)

•Transfusion Complications (10)

•Psychological and Social Complications (124)

Origin/Sponsor

•Australia and New Zealand (66)

•Central and South America (4)

•Europe (213)

•North America (2598)

Resource Types

•Audiovisual (33)

•Bibliography (3)

•Book/Report (218)

•Clinical Guideline (6)

•Journal Article (1998)

•Legislation/Regulation (50)

•Meeting/Conference (32)

•Newsletter/Journal (14)

•Newspaper/Magazine Article (297)

•Press Release/Announcement (30)

•Special or Theme Issue (62)

•Tools/Toolkit (61)

•Web Resource (125)

Error Types

•Epidemiology of Errors and Adverse Events (565)

•Active Errors (430)

•Latent Errors (185)

•Near Miss (52)

Approach to Improving Safety

•Quality Improvement Strategies (858)

•Legal and Policy Approaches (327)

•Error Reporting and Analysis (792)

•Communication Improvement (888)

•Human Factors Engineering (359)

•Teamwork (263)

•Specialization of Care (198)

•Logistical Approaches (183)

•Culture of Safety (422)

•Technologic Approaches (471)

•Education and Training (627)

Clinical Areas

•Allied Health Services (14)

•Dentistry (3)

•Medicine (1895)

•Nursing (138)

•Pharmacy (316)

Target Audience
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Health Care Providers

•Allied Health Professionals (6)

•Clinical Technologists (14)

•Physicians (300)

•Nurses (159)

•Pharmacists (108)

Setting of Care

•Hospitals (1639)

•Psychiatric Facilities (15)

•Residential Facilities (59)

•Ambulatory Care (336)

•Outpatient Surgery (41)

•Patient Transport (27)

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AWARD RECIPIENT

2006 Quest for Quality Prize.

Runy LA. Hosp Health Netw. September 2006.

BOOK/REPORT

Patient-Centered Care Improvement Guide.

Frampton S, Guastello S, Brady C, et al. Derby, CT: Planetree; Camden, ME: Picker Institute; 2008.

ORGANIZATIONAL POLICY/GUIDELINES

ACOG Committee Opinion No. 447: patient safety in obstetrics and gynecology.

ACOG Committee on Patient Safety and Quality Improvement. Obstet Gynecol. 2009;114:1424-1427.

SPECIAL OR THEME ISSUE

Medical errors and safety systems.

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

MEETING/CONFERENCE PROCEEDINGS

Third International Conference on Patient and Family-Centered Care: Partnerships for Enhancing Quality and Safety.

Institute for Family-Centered Care. July 30 - August 1, 2007; Seattle, WA.

ORGANIZATIONAL POLICY/GUIDELINES

ACOG Committee Opinion #464: patient safety in the surgical environment.

ACOG Committee on Patient Safety and Quality Improvement. Obstet Gynecol. 2010;116:786-790.

NEWSPAPER/MAGAZINE ARTICLE

Reducing patient harm from opiates.

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

NEWSPAPER/MAGAZINE ARTICLE

Q: What scares doctors? A: Being the patient.

Gibbs N, Bower A. Time Magazine. May 1, 2006.

COMMENTARY

ISMP medication error report analysis.

Cohen MC. Hosp Pharm. 2009;44:374-378.

NEWSPAPER/MAGAZINE ARTICLE

Empowering families in emergencies.

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

MULTI-USE WEBSITE

ACOG SCOPE: Safety Certification in Outpatient Practice Excellence for Women's Health.

American Congress of Obstetricians and Gynecologists.

STUDY

Medical error reporting, patient safety, and the physician.

Anderson B, Stumpf PG, Schulkin J. J Patient Saf. 2009;5:176-179.

STUDY

Major congenital malformations after first-trimester exposure to ACE inhibitors.

Cooper WO, Hernandez-Diaz S, Arbogast PG, et al. N Engl J Med. 2006;354:2443-2451.

NEWSPAPER/MAGAZINE ARTICLE

How safe do patients feel?

Wolosin R, Vercler L, Matthews J. Patient Safety & Quality Healthcare. November/December 2005;2:40-44.

NEWSPAPER/MAGAZINE ARTICLE

Health literacy—a quality and patient safety imperative.

Foubister V. Quality Matters. November/December 2006.

COMMENTARY

The Role of the Patient in Improving Patient Safety

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

REVIEW

Perinatal high reliability.

Knox GE, Simpson KR. Am J Obstet Gynecol. 2011;204: 373-377.

SPECIAL OR THEME ISSUE

Obstetric Quality and Safety.

J Healthc Qual. 2009;31:3-52.

SPECIAL OR THEME ISSUE

Patient Safety and Quality.

Lyndon A, Simpson KR, Bakewell-Sachs S, eds. J Perinat Neonat Nurs. 2010;24:1-89.

BOOK/REPORT

Health Care Leader Action Guide to Reduce Avoidable Readmissions.

Osei-Anto A, Joshi M, Audet AJ, Berman A, Jencks SF. New York, NY: The Commonwealth Fund, The John Hartford Foundation, Health Research and Educational Trust; January 25, 2010.

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