AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (151)

•Diagnostic Errors (191)

•Identification Errors (105)

•Discontinuities, Gaps, and Hand-Off Problems (459)

•Fatigue and Sleep Deprivation (95)

•Medication Safety (1241)

•Medical Complications (402)

•Nonsurgical Procedural Complications (87)

•Surgical Complications (359)

•Transfusion Complications (15)

•Psychological and Social Complications (133)

Origin/Sponsor

•Australia and New Zealand (93)

•Central and South America (9)

•Europe (373)

•North America (3113)

Resource Types

•Audiovisual (36)

•Bibliography (3)

•Book/Report (235)

•Clinical Guideline (10)

•Journal Article (2583)

•Legislation/Regulation (63)

•Meeting/Conference (40)

•Newsletter/Journal (17)

•Newspaper/Magazine Article (341)

•Press Release/Announcement (37)

•Special or Theme Issue (67)

•Tools/Toolkit (75)

•Web Resource (137)

Error Types

•Epidemiology of Errors and Adverse Events (792)

•Active Errors (584)

•Latent Errors (251)

•Near Miss (64)

Approach to Improving Safety

•Quality Improvement Strategies (884)

•Legal and Policy Approaches (357)

•Error Reporting and Analysis (937)

•Communication Improvement (990)

•Human Factors Engineering (545)

•Teamwork (298)

•Specialization of Care (294)

•Logistical Approaches (321)

•Culture of Safety (484)

•Technologic Approaches (700)

•Education and Training (719)

Clinical Areas

•Allied Health Services (13)

•Dentistry (2)

•Medicine (2332)

•Nursing (305)

•Pharmacy (539)

Target Audience
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Health Care Providers

•Allied Health Professionals (8)

•Clinical Technologists (30)

•Physicians (479)

•Nurses (375)

•Pharmacists (272)

Setting of Care

•Hospitals (2272)

•Psychiatric Facilities (19)

•Residential Facilities (67)

•Ambulatory Care (411)

•Outpatient Surgery (39)

•Patient Transport (28)

1 - 20 of 3693

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NEWSPAPER/MAGAZINE ARTICLE

Cause for concern: drug shortages disrupt operations, tax hospitalists' treatment patterns.

Collins TR. The Hospitalist. July 2011.

NEWSPAPER/MAGAZINE ARTICLE

Anticoagulant safety practices call for pharmacist supervision.

Scott A. Drug Topics (Health-System Edition). November 10, 2008.

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.

NEWSPAPER/MAGAZINE ARTICLE

Shakespeare was on target—don't be a borrower or lender.

ISMP Medication Safety Alert! Acute Care Edition. November 19, 2009;14:1-3.

MEASUREMENT TOOL/INDICATOR

2011 ISMP Medication Safety Self Assessment for Hospitals.

Horsham, PA: Institute for Safe Medication Practices; April 2011.

REVIEW

Medication safety in acute care in Australia: where are we now? Part 2: a review of strategies and activities for improving medication safety 2002-2008.

Semple SJ, Roughead EE. Aust New Zealand Health Policy. 2009;6:24.

NEWSPAPER/MAGAZINE ARTICLE

How has the current economy affected patient safety?

ISMP Medication Safety Alert! Acute Care Edition. September 10, 2009;14:1-2.

COMMENTARY

ISMP medication error report analysis.

Cohen MR. Hosp Pharm. 2009;44:654-657.

NEWSPAPER/MAGAZINE ARTICLE

Perfect is possible.

Berwick DM, Leape LL. Newsweek. October 16, 2006:70-71.

REVIEW

classic

"July Effect": impact of the academic year-end changeover on patient outcomes. A systematic review.

Young JQ, Ranji SR, Wachter RM, Lee CM, Niehaus B, Auerbach AD. Ann Intern Med. 2011;155:309-315.

REVIEW

Interdisciplinary teamwork in hospitals: a review and practical recommendations for improvement.

O'Leary KJ, Sehgal NL, Terrell G, Williams MV; High Performance Teams and the Hospital of the Future Project Team. J Hosp Med. 2011 Oct 31; [Epub ahead of print].

STUDY

A review of verbal order policies in acute care hospitals.

Wakefield DS, Wakefield BJ, Despins L, et al. Jt Comm J Qual Patient Saf. 2012;38:24-33.

TOOLKIT

Wristband Standardization Initiative.

Austin, TX: Texas Hospital Association; October 2008.

ORGANIZATIONAL POLICY/GUIDELINES

Preventing errors relating to commonly used anticoagulants.

Sentinel Event Alert. September 24, 2008;(41):1-4.

NEWSPAPER/MAGAZINE ARTICLE

Fixing America's hospitals.

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

STUDY

Practically speaking: rethinking hand hygiene improvement programs in health care settings.

Son C, Chuck T, Childers T, et al. Am J Infect Control. 2011;39:716-724.

AWARD RECIPIENT

Announcing 2009 Leapfrog top hospitals.

Washington, DC: Leapfrog Group; December 4, 2009.

STUDY

Inpatient fall prevention: use of in-room Webcams.

Hardin SR, Dienemann J, Rudisill P, Mills KK. J Patient Saf. 2013;9:29-35.

STUDY

classic

Preventing patient harms through systems of care.

Pronovost PJ, Bo-Linn GW. JAMA. 2012;308:769-770.

REVIEW

Medication safety in acute care in Australia: where are we now? Part 1: a review of the extent and causes of medication problems 2002-2008.

Roughead EE, Semple SJ. Aust New Zealand Health Policy. 2009;6:18.

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