AHRQ Patient Safety Network

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Safety Target

•Discontinuities, Gaps, and Hand-Off Problems (4)

•Medication Safety (2)

•Medical Complications (4)

•Nonsurgical Procedural Complications (1)

•Surgical Complications (1)

•Psychological and Social Complications (3)

Origin/Sponsor

•Australia and New Zealand (1)

•Europe (2)

•North America (15)

Resource Types

•Book/Report (1)

•Clinical Guideline (1)

•Journal Article (13)

•Newspaper/Magazine Article (2)

•Tools/Toolkit (1)

•Web Resource (1)

Error Types

•Epidemiology of Errors and Adverse Events (1)

•Active Errors (3)

•Latent Errors (2)

•Near Miss (2)

Approach to Improving Safety

•Quality Improvement Strategies (5)

•Legal and Policy Approaches (2)

•Error Reporting and Analysis (5)

•Communication Improvement (4)

•Human Factors Engineering (1)

•Teamwork (1)

•Specialization of Care (1)

•Culture of Safety (5)

•Education and Training (5)

Clinical Areas

•Allied Health Services (7)

•Complementary and Alternative Medicine (1)

•Medicine (14)

•Nursing (2)

•Pharmacy (2)

Target Audience
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Allied Health Professionals

Setting of Care

•Hospitals (6)

•Residential Facilities (1)

•Ambulatory Care (3)

•Patient Transport (3)

1 - 19 of 19

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BOOK/REPORT

Report 6: Managing Risk and Minimising Mistakes in Services to Children and Families.

Bostock L, Bairstow S, Fish S, Macleod F. London, England: Social Care Institute for Excellence; 2005. ISBN: 1904812279.

MULTI-USE WEBSITE

Emergency Medicine Patient Safety Foundation.

11760 Atwood Road, Suite 5, Auburn, CA 95603.

STUDY

Emergency medical services provider perceptions of the nature of adverse events and near-misses in out-of-hospital care: an ethnographic view.

Fairbanks RJ, Crittenden CN, O'Gara KG, et al. Acad Emerg Med. 2008;15:633-640.

STUDY

The reporting of patient safety incidents—first experiences with the chiropractic reporting and learning system (CRLS): a pilot study.

Thiel H, Bolton J. Clin Chiropract. 2006;9:139-149.

NEWSPAPER/MAGAZINE ARTICLE

Accuracy at every step: the challenge of medication reconciliation.

Institute for Healthcare Improvement Web site. March 20, 2006.

STUDY

Safety Climate Survey: reliability of results from a multicenter ICU survey.

Kho ME, Carbone JM, Lucas J, Cook DJ. Qual Saf Health Care. 2005;14:273-278.

STUDY

Engaging patients and family members in patient safety—the experience of the New York City Health and Hospitals Corporation.

Wale JB, Moon RR. Psychiatr Q. Spring 2005;76:85-95.

REVIEW

"Tech-check-tech": a review of the evidence on its safety and benefits.

Adams AJ, Martin SJ, Stolpe SF. Am J Health Syst Pharm. 2011;68:1824-1833.

CLINICAL GUIDELINE

Fall prevention for older adults.

Lyons SS. University of Iowa Gerontological Nursing Interventions Research Center, Research Dissemination Core. 1996 (revised 2004 Feb). NGC:003480.

COMMENTARY

Too Hot For Comfort

Cleland H, Wasiak J. AHRQ WebM&M [serial online]. December 2007.

COMMENTARY

Are you using checklists? Check!

McNellis B. JAAPA. July 2010;23:24-26, 31.

STUDY

Variation in emergency medical services workplace safety culture.

Patterson PD, Huang DT, Fairbanks RJ, Simeone S, Weaver M, Wang HE. Prehosp Emerg Care. 2010;14:448-460.

COMMENTARY

Error and patient safety: ethical analysis of cases in occupational and physical therapy practice.

Scheirton LS, Mu K, Lohman H, Cochran TM. Med Health Care Philos. 2007;10;301-311.

STUDY

'You have to face your mistakes in the street': the contextual keys that shape health service access and health workers' experiences in rural areas.

Allan J, Ball P, Alston M. Rural Remote Health. 2008;8:835.

TOOLKIT

National Center for Patient Safety Falls Toolkit 2004.

Ann Arbor, MI: National Center for Patient Safety; 2004.

REVIEW

Do professional interpreters improve clinical care for patients with limited English proficiency? A systematic review of the literature.

Karliner LS, Jacobs EA, Chen AH, Mutha S. Health Serv Res. 2007;42:727-754.

STUDY

Lost in translation: challenges and opportunities in physician-to-physician communication during patient handoffs.

Solet DJ, Norvell JM, Rutan GH, Frankel RM. Acad Med. 2005;80:1094-1099.

COMMENTARY

Disclosure of medical errors: the right thing to do.

Schuer KM; Quality Care Committee of the AAPA. JAAPA. 2010 Aug;23:27-29.

NEWSPAPER/MAGAZINE ARTICLE

Reportable incidents.

Barishansky RM, Glick DE. EMS Magazine. 2009 Mar;38:43-47.