AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (142)

•Diagnostic Errors (181)

•Identification Errors (93)

•Discontinuities, Gaps, and Hand-Off Problems (394)

•Fatigue and Sleep Deprivation (78)

•Medication Safety (1017)

•Medical Complications (427)

•Nonsurgical Procedural Complications (78)

•Surgical Complications (477)

•Transfusion Complications (16)

•Psychological and Social Complications (120)

Origin/Sponsor

•Africa (7)

•Asia (52)

•Australia and New Zealand (116)

•Central and South America (10)

•Europe (509)

•North America (2541)

Resource Types

•Clinical Guideline (3)

•Journal Article (2377)

•Legislation/Regulation (44)

•Meeting/Conference (33)

•Newsletter/Journal (10)

•Newspaper/Magazine Article (271)

•Press Release/Announcement (44)

•Special or Theme Issue (58)

•Tools/Toolkit (63)

•Web Resource (128)

•Grant (13)

Error Types

•Epidemiology of Errors and Adverse Events (1005)

•Active Errors (517)

•Latent Errors (229)

•Near Miss (66)

Approach to Improving Safety

•Quality Improvement Strategies (828)

•Legal and Policy Approaches (318)

•Error Reporting and Analysis (1057)

•Communication Improvement (872)

•Human Factors Engineering (415)

•Teamwork (289)

•Specialization of Care (257)

•Logistical Approaches (227)

•Culture of Safety (553)

•Technologic Approaches (520)

•Education and Training (637)

Clinical Areas

•Allied Health Services (15)

•Complementary and Alternative Medicine (2)

Target Audience
< All

Health Care Providers

•Allied Health Professionals (9)

•Clinical Technologists (31)

Setting of Care

•Psychiatric Facilities (18)

•Residential Facilities (61)

•Ambulatory Care (372)

•Outpatient Surgery (41)

•Patient Transport (31)

1 - 20 of 3321

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BOOK/REPORT

2009 National Healthcare Quality Report.

Rockville, MD: Agency for Healthcare Research and Quality; March 2010. AHRQ Publication No. 10-0003.

BOOK/REPORT

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

Golden, CO: HealthGrades, Inc.; April 2007.

BOOK/REPORT

IBEAS: A Pioneer Study on Patient Safety in Latin America: Towards Safer Hospital Care.

Geneva, Switzerland: World Health Organization; 2011.

MULTI-USE WEBSITE

HAC Posting on Hospital Compare.

Centers for Medicare & Medicaid Services.

BOOK/REPORT

Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2009.

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

BOOK/REPORT

Patient Safety Authority Annual Reports.

Harrisburg, PA: Patient Safety Authority; April 2013.

STUDY

Impact of a statewide intensive care unit quality improvement initiative on hospital mortality and length of stay: retrospective comparative analysis.

Lipitz-Snyderman A, Steinwachs D, Needham DM, Colantuoni E, Morlock LL, Pronovost PJ. BMJ. 2011;342:d219.

BOOK/REPORT

Hospital Performance Report.

Trenton, NJ: New Jersey Department of Health and Senior Services; March 2012.

BOOK/REPORT

HealthGrades Seventh Annual Patient Safety in American Hospitals Study.

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

BOOK/REPORT

HSMR: A New Approach for Measuring Hospital Mortality Trends in Canada.

Ottawa, ON, Canada: Canadian Institute for Health Information; 2007. ISBN: 9781554651849.

STUDY

Measurement for improvement: a survey of current practice in Australian public hospitals.

Brand CA, Tropea J, Ibrahim JE, et al. Med J Aust. 2008;189:35-40.

MULTI-USE WEBSITE

Impact Case Studies and Knowledge Transfer Case Studies: Patient Safety.

Agency for Healthcare Research and Quality; November 2011.

BOOK/REPORT

Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2012.

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

STUDY

Tracking rates of patient safety indicators over time: lessons from the Veterans Administration.

Rosen AK, Zhao S, Rivard P, et al. Med Care. 2006;44:850-861.

STUDY

Is patient safety improving? National trends in patient safety indicators: 1998–2007.

Downey JR, Hernandez-Boussard T, Banka G, Morton JM. Health Serv Res. 2012;47:414-430.

STUDY

The association between night or weekend admission and hospitalization-relevant patient outcomes.

Khanna R, Wachsberg K, Marouni A, Feinglass J, Williams MV, Wayne DB. J Hosp Med. 2011;6:10-14.

REVIEW

The efficacy of computer-enabled discharge communication interventions: a systematic review.

Motamedi SM, Posadas-Calleja J, Straus S, et al. BMJ Qual Saf. 2011;20:403-415.

STUDY

Patient safety, satisfaction, and quality of hospital care: cross sectional surveys of nurses and patients in 12 countries in Europe and the United States.

Aiken LH, Sermeus W, Van den Heede K, et al. BMJ. 2012;344:e1717.

STUDY

Interpreting adverse drug reaction (ADR) reports as hospital patient safety incidents.

Davies EC, Green CF, Mottram DR, Pirmohamed M. Br J Clin Pharmacol. 2010;70:102-108.

STUDY

A multidisciplinary approach to reduce central line–associated bloodstream infections.

McMullan C, Propper G, Schuhmacher C, et al. Jt Comm J Qual Patient Saf. 2013;39:61-69.

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