AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (143)

•Diagnostic Errors (180)

•Identification Errors (89)

•Discontinuities, Gaps, and Hand-Off Problems (406)

•Fatigue and Sleep Deprivation (92)

•Medication Safety (1074)

•Medical Complications (374)

•Nonsurgical Procedural Complications (84)

•Surgical Complications (348)

•Transfusion Complications (14)

•Psychological and Social Complications (134)

Origin/Sponsor

•Australia and New Zealand (75)

•Central and South America (7)

•Europe (300)

•North America (3031)

Resource Types

•Audiovisual (35)

•Bibliography (3)

•Book/Report (244)

•Clinical Guideline (9)

•Journal Article (2379)

•Legislation/Regulation (67)

•Meeting/Conference (39)

•Newsletter/Journal (17)

•Newspaper/Magazine Article (355)

•Press Release/Announcement (42)

•Special or Theme Issue (60)

•Tools/Toolkit (67)

•Web Resource (146)

Error Types

•Epidemiology of Errors and Adverse Events (733)

•Active Errors (513)

•Latent Errors (230)

•Near Miss (61)

Approach to Improving Safety

•Quality Improvement Strategies (847)

•Legal and Policy Approaches (396)

•Error Reporting and Analysis (1037)

•Communication Improvement (907)

•Human Factors Engineering (420)

•Teamwork (273)

•Specialization of Care (253)

•Logistical Approaches (266)

•Culture of Safety (461)

•Technologic Approaches (584)

•Education and Training (683)

Clinical Areas

•Allied Health Services (13)

•Dentistry (3)

•Medicine (2173)

•Nursing (258)

•Pharmacy (445)

Target Audience
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Health Care Providers

•Allied Health Professionals (8)

•Clinical Technologists (33)

•Physicians (494)

•Nurses (306)

•Pharmacists (206)

Setting of Care

•Hospitals (2094)

•Psychiatric Facilities (17)

•Residential Facilities (65)

•Ambulatory Care (373)

•Outpatient Surgery (41)

•Patient Transport (30)

1 - 20 of 3510

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NEWSPAPER/MAGAZINE ARTICLE

Preventing fatal errors.

Bailey B, Sevrens Lyons J. The Mercury News. November 27, 2005.

NEWSPAPER/MAGAZINE ARTICLE

Hospitals save money, but safety is questioned.

Klein A. The Washington Post. December 11, 2005:A01.

NEWSPAPER/MAGAZINE ARTICLE

Sarasota Memorial Hospital reviewed after restrained patient dies.

Gulliver D. Sarasota Herald Tribune. November 7, 2006:BS1.

BOOK/REPORT

Adverse Health Events in Minnesota: Ninth Annual Public Report.

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

COMMENTARY

Our broken health care system and how to fix it: an essay on health law and policy.

Jost TS. Wake Forest Law Rev. 2006;41:537-618.

COMMENTARY

Revisiting duty-hour limits — IOM recommendations for patient safety and resident education.

Iglehart JK. N Engl J Med. 2008;359:2633-2635.

COMMENTARY

Getting moving on patient safety—harnessing electronic data for safer care.

Jha AK, Classen DC. N Engl J Med 2011;365:1756-1758.

NEWSPAPER/MAGAZINE ARTICLE

Medicare says it won't cover hospital errors.

Pear R. New York Times. August 19, 2007.

BOOK/REPORT classic

classic

Resident Duty Hours: Enhancing Sleep, Supervision, and Safety.

Ulmer C, Wolman DM, Johns MME, eds. Committee on Optimizing Graduate Medical Trainee (Resident) Hours and Work Schedule to Improve Patient Safety, Institute of Medicine. Washington, DC: The National Academies Press; 2008. ISBN: 9780309127721.

BOOK/REPORT

HealthGrades Seventh Annual Patient Safety in American Hospitals Study.

Golden, CO: HealthGrades, Inc.; March 2010.

BOOK/REPORT

Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2010.

Oakbrook Terrace, IL: The Joint Commission; September 2010.

NEWSPAPER/MAGAZINE ARTICLE

Survive your doctor.

Holt TE. Men's Health. November 3, 2006.

MULTI-USE WEBSITE

Organisation Patient Safety Incident Reports.

National Patient Safety Agency.

COMMENTARY

Path to safety: benefits of the 2005 Patient Safety and Quality Improvement Act.

McBride D, Greening A, Redmond D. Healthc Financ Manage. June 2006;60:84-88.

NEWSPAPER/MAGAZINE ARTICLE

Plan would compile, analyze medical errors.

Gaul GM. The Washington Post. July 29, 2005:A06.

BOOK/REPORT

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

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

COMMENTARY

Medication errors in family practice, in hospitals and after discharge from the hospital: an ethical analysis.

Clark PA. J Law Med Ethics. 2004;32:349-357.

FEDERAL LEGISLATION

The National Medical Error Disclosure and Compensation (MEDiC) Act.

S 1784, 109th Cong, 1st Sess (2005).

NEWSPAPER/MAGAZINE ARTICLE

No pay for "never event" errors becoming standard.

O'Reilly KB. American Medical News. January 7, 2008.

NEWSPAPER/MAGAZINE ARTICLE

Standards, audits, and saying I'm sorry: an engineer's family proposes solutions.

Wojcieszak D. Patient Safety Qual Healthc. May/June 2005;2:6, 8-9.

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