AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (164)

•Diagnostic Errors (290)

•Identification Errors (103)

•Discontinuities, Gaps, and Hand-Off Problems (583)

•Fatigue and Sleep Deprivation (138)

•Medication Safety (1216)

•Medical Complications (457)

•Nonsurgical Procedural Complications (106)

•Surgical Complications (459)

•Transfusion Complications (14)

•Psychological and Social Complications (177)

Origin/Sponsor

•Africa (6)

•Asia (47)

•Australia and New Zealand (126)

•Central and South America (10)

•Europe (424)

•North America (3431)

Resource Types

•Clinical Guideline (10)

•Journal Article (2976)

•Legislation/Regulation (67)

•Meeting/Conference (38)

•Newsletter/Journal (17)

•Newspaper/Magazine Article (373)

•Press Release/Announcement (43)

•Special or Theme Issue (69)

•Tools/Toolkit (73)

•Web Resource (150)

•Grant (12)

Error Types

•Epidemiology of Errors and Adverse Events (880)

•Active Errors (660)

•Latent Errors (279)

•Near Miss (72)

Approach to Improving Safety

•Quality Improvement Strategies (986)

•Legal and Policy Approaches (391)

•Error Reporting and Analysis (1144)

•Communication Improvement (1180)

•Human Factors Engineering (512)

•Teamwork (340)

•Specialization of Care (304)

•Logistical Approaches (338)

•Culture of Safety (508)

•Technologic Approaches (667)

•Education and Training (830)

Clinical Areas

•Allied Health Services (18)

Target Audience
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Health Care Providers

•Allied Health Professionals (17)

•Clinical Technologists (46)

Setting of Care

•Psychiatric Facilities (20)

•Residential Facilities (70)

•Ambulatory Care (463)

•Outpatient Surgery (45)

•Patient Transport (42)

1 - 20 of 4145

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NEWSPAPER/MAGAZINE ARTICLE

Empowering families in emergencies.

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

NEWSPAPER/MAGAZINE ARTICLE

Inquiry into reporter's death finds multiple failures in care.

Stout D. New York Times. June 17, 2006;National desk:9.

NEWSPAPER/MAGAZINE ARTICLE

Fixing America's hospitals.

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

NEWSPAPER/MAGAZINE ARTICLE

Get me out alive.

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

NEWSPAPER/MAGAZINE ARTICLE

Hospitals combat errors at the 'hand-off.'

Landro L. Wall Street Journal (Eastern edition). June 28, 2006:D1. [reprinted on Post-gazette.com].

COMMENTARY

Do Not Disturb!

Duffy FD, Cassel CK. AHRQ WebM&M [serial online]. October 2007.

NEWSPAPER/MAGAZINE ARTICLE

Can high tech save your life?

Fischman J. US News and World Report. August 1, 2005;139:45,49-50,52.

STUDY

The care transitions intervention: translating from efficacy to effectiveness.

Voss R, Gardner R, Baier R, Butterfield K, Lehrman S, Gravenstein S. Arch Intern Med. 2011;171:1232-1237.

BOOK/REPORT

HealthGrades Quality Study: Third Annual Patient Safety in American Hospitals Study.

Golden, CO: Health Grades, Inc.; April 2006.

ORGANIZATIONAL POLICY/GUIDELINES

Transitions of Care Consensus Policy Statement American College of Physicians-Society of General Internal Medicine-Society of Hospital Medicine-American Geriatrics Society-American College of Emergency Physicians-Society of Academic Emergency Medicine.

Snow V, Beck D, Budnitz T, et al. J Gen Intern Med. 2009;24:971-976.

AUDIOVISUAL

Avoiding medical error.

Colvin G. "The Colvin Interview." CNN. February 5, 2007.

STUDY

Cost implications of reduced work hours and workloads for resident physicians.

Nuckols TK, Bhattacharya J, Miller Wolman D, Ulmer C, Escarce JJ. N Engl J Med. 2009;360:2202-2215.

COMMENTARY

The ACGME’s final duty-hour standards—special PGY-1 limits and strategic napping.

Iglehart JK. N Engl J Med. 2010;363:1589-1591.

COMMENTARY

Patient safety beyond the hospital.

Gandhi TK, Lee TH. N Engl J Med. 2010;363:1001-1003.

COMMENTARY

Disruptive clinician behavior: a persistent threat to patient safety.

Porto G, Lauve R. Patient Safety Qual Healthc. July/August 2006;3:16-24.

BOOK/REPORT

Adverse Health Events in Minnesota: Ninth Annual Public Report.

St. Paul, MN: Minnesota Department of Health; January 2013.

NEWSPAPER/MAGAZINE ARTICLE

Survey results: community liaison programs to decrease hospital readmissions.

ISMP Medication Safey Alert! Acute Care Edition. March 7, 2013;18:1-3.

NEWSPAPER/MAGAZINE ARTICLE

Practitioners agree on medication reconciliation value, but frustration and difficulties abound.

ISMP Medication Safety Alert! Acute Care Edition. July 13, 2006;11:1-2.

STUDY

Effects of an enhanced discharge planning intervention for hospitalized older adults: a randomized trial.

Altfeld SJ, Shier GE, Rooney M, et al. Gerontologist. 2013;53:430-440.

NEWSPAPER/MAGAZINE ARTICLE

Settlement to be used for hospital training in labeling medicines.

Ostrom CM. Seattle Times. September 13, 2005;Local News:B3

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