AHRQ Patient Safety Network

The Collection > Health Care Executives and Administrators

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Safety Target

•Device-related Complications (197)

•Diagnostic Errors (127)

•Identification Errors (106)

•Discontinuities, Gaps, and Hand-Off Problems (346)

•Fatigue and Sleep Deprivation (74)

•Medication Safety (1020)

•Medical Complications (429)

•Nonsurgical Procedural Complications (104)

•Surgical Complications (346)

•Transfusion Complications (16)

•Psychological and Social Complications (114)

Origin/Sponsor

•Africa (6)

•Asia (37)

•Australia and New Zealand (80)

•Central and South America (7)

•Europe (323)

•North America (2928)

Resource Types

•Clinical Guideline (4)

•Journal Article (2404)

•Legislation/Regulation (50)

•Meeting/Conference (42)

•Newsletter/Journal (12)

•Newspaper/Magazine Article (351)

•Press Release/Announcement (41)

•Special or Theme Issue (64)

•Tools/Toolkit (45)

•Web Resource (106)

•Grant (11)

Error Types

•Epidemiology of Errors and Adverse Events (734)

•Active Errors (590)

•Latent Errors (212)

•Near Miss (69)

Approach to Improving Safety

•Quality Improvement Strategies (978)

•Legal and Policy Approaches (423)

•Error Reporting and Analysis (1011)

•Communication Improvement (772)

•Human Factors Engineering (512)

•Teamwork (277)

•Specialization of Care (248)

•Logistical Approaches (240)

•Culture of Safety (588)

•Technologic Approaches (650)

•Education and Training (620)

Clinical Areas

•Allied Health Services (15)

Target Audience
< All

Health Care Executives and Administrators

•Facility and Group Administrators (181)

•Nurse Managers (182)

•Risk Managers (346)

•Quality and Safety Professionals (1182)

Setting of Care

•Hospitals (2124)

•Psychiatric Facilities (16)

•Residential Facilities (64)

•Ambulatory Care (266)

•Outpatient Surgery (33)

•Patient Transport (27)

1 - 20 of 3446

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NEWSPAPER/MAGAZINE ARTICLE

Proper positioning of pharmacy label on Hospira PCA vials will avoid interference with scanning.

ISMP Medication Safety Alert! Acute Care Edition. August 14, 2008;13:1-3.

NEWSPAPER/MAGAZINE ARTICLE

Preventing catheter/tubing misconnections: much needed help is on the way.

ISMP Medication Safety Alert! Acute Care Edition. July 15, 2010;15:1-2.

STUDY

Evaluation of consistency in dosing directions and measuring devices for pediatric nonprescription liquid medications.

Yin HS, Wolf MS, Dreyer BP, Sanders LM, Parker RM. JAMA. 2010;304:2595-2602.

COMMENTARY

Anticoagulation patient safety goal compliance at a university health system: methods for achieving the goal.

Franco AC, Maxwell P, Green K, Barthol C. Hosp Pharm. 2009;44:776-780, 784.

COMMENTARY

The Role of Bar Coding and Smart Pumps in Safety

Jeffrey M. Rothschild, MD, MPH; Carol Keohane, RN, BSN AHRQ WebM&M [serial online]. September 2008.

COMMENTARY

Smart pumps: advanced capabilities and continuous quality improvement.

Vanderveen T. Patient Saf Quality Healthc. January/February 2007.

STUDY

Harmful medication errors involving unfractionated and low-molecular-weight heparin in three patient safety reporting programs.

Grissinger MC, Hicks RW, Keroack MA, Marella WM, Vaida A. Jt Comm J Qual Patient Saf. 2010;36:195-202.

COMMENTARY

Dealing honestly with an honest mistake.

Liang NL, Herring ME, Bush RL. J Vasc Surg. 2010;51:494-495.

BOOK/REPORT

Tennessee Center for Patient Safety Annual Report 2010.

Nashville, TN: Tennessee Center for Patient Safety; August 2011.

ORGANIZATIONAL POLICY/GUIDELINES

Medical device alarm safety in hospitals.

Sentinel Event Alert. April 8, 2013;(50):1-3.

STUDY

Injection practices among clinicians in United States health care settings.

Pugliese G, Gosnell C, Bartley JM, Robinson S. Am J Infect Control. 2010;38:789-798.

MULTI-USE WEBSITE

Solutions for Patient Safety.

Ohio Business Roundtable. 41 S. High Street, Suite 2240, Columbus, OH, 43215.

NEWSPAPER/MAGAZINE ARTICLE

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

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

COMMENTARY

Learning accountability for patient outcomes.

Pronovost PJ. JAMA. 2010;304:204-205.

STUDY

Error detection and recovery in dialysis nursing.

Wilkinson WE, Cauble LA, Patel VL. J Patient Saf. 2011;7:213-223.

STUDY

Effect of bar-code technology on the safety of medication administration.

Poon EG, Keohane CA, Yoon CS, et al. N Engl J Med. 2010;362:1698-1707.

STUDY

Impact of a comprehensive safety initiative on patient-controlled analgesia errors.

Paul JE, Bertram B, Antoni K, et al. Anesthesiology. 2010;113:1427-1432.

COMMENTARY

New technology, new errors: how to prime an upgrade of an insulin infusion pump.

Rule AM, Drincic A, Galt KA. Jt Comm J Qual Patient Saf. 2007;33:155-162.

NEWSPAPER/MAGAZINE ARTICLE

Program encourages reporting accidents waiting to happen: the Good Catch Awards.

McCook A. Anesthesiology News. Sept 2011;37:9.

ORGANIZATIONAL POLICY/GUIDELINES

Preventing maternal death.

Sentinel Event Alert. January 26, 2010;(44):1-4.

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