AHRQ Patient Safety Network

The Collection > Health Care Executives and Administrators

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Safety Target

•Device-related Complications (174)

•Diagnostic Errors (137)

•Identification Errors (102)

•Discontinuities, Gaps, and Hand-Off Problems (425)

•Fatigue and Sleep Deprivation (95)

•Medication Safety (997)

•Medical Complications (508)

•Nonsurgical Procedural Complications (81)

•Surgical Complications (337)

•Transfusion Complications (17)

•Psychological and Social Complications (132)

Origin/Sponsor

•Africa (5)

•Asia (41)

•Australia and New Zealand (100)

•Central and South America (4)

•Europe (414)

•North America (3193)

Resource Types

•Clinical Guideline (4)

•Journal Article (2717)

•Legislation/Regulation (54)

•Meeting/Conference (41)

•Newsletter/Journal (12)

•Newspaper/Magazine Article (365)

•Press Release/Announcement (29)

•Special or Theme Issue (64)

•Tools/Toolkit (58)

•Web Resource (110)

•Grant (11)

Error Types

•Epidemiology of Errors and Adverse Events (818)

•Active Errors (469)

•Latent Errors (225)

•Near Miss (59)

Approach to Improving Safety

•Quality Improvement Strategies (1108)

•Legal and Policy Approaches (471)

•Error Reporting and Analysis (1130)

•Communication Improvement (879)

•Human Factors Engineering (442)

•Teamwork (319)

•Specialization of Care (287)

•Logistical Approaches (284)

•Culture of Safety (679)

•Technologic Approaches (676)

•Education and Training (683)

Clinical Areas

•Allied Health Services (12)

Target Audience
< All

Health Care Executives and Administrators

•Facility and Group Administrators (269)

•Nurse Managers (242)

•Risk Managers (343)

•Quality and Safety Professionals (1361)

Setting of Care

•Hospitals (2583)

•Psychiatric Facilities (16)

•Residential Facilities (66)

•Ambulatory Care (304)

•Outpatient Surgery (33)

•Patient Transport (24)

1 - 20 of 3821

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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.

ORGANIZATIONAL POLICY/GUIDELINES classic

A Compendium of Strategies to Prevent Healthcare-Associated Infections in Acute Care Hospitals.

Yokoe DS, Mermel LA, Anderson DJ, et al. Infect Control Hosp Epidemiol. 2008;29:901-994.

BOOK/REPORT

2009 National Healthcare Quality Report.

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

MULTI-USE WEBSITE

On the CUSP: Stop HAI.

Health Research & Educational Trust, MHA Keystone Center.

AUDIOVISUAL

How a simple checklist can dramatically reduce medical errors.

Pronovost PJ. On Call. IHI Open School for Health Professionals. November 3, 2008.

STUDY

National estimates of adverse events during nonpsychiatric hospitalizations for persons with schizophrenia.

Khaykin E, Ford DE, Pronovost PJ, Dixon L, Daumit GL. Gen Hosp Psychiatry. 2010;32:419-425.

AUDIOVISUAL

Battling hospital-acquired infections.

Gross T. "Fresh Air." National Public Radio. January 9, 2008.

STUDY

Effect of nonpayment for hospital-acquired, catheter–associated urinary tract infection: a statewide analysis.

Meddings JA, Reichert H, Rogers MA, Saint S, Stephansky J, McMahon LF. Ann Intern Med. 2012;157:305-312.

BOOK/REPORT

Eliminating CLABSI: A National Patient Safety Imperative.

Rockville, MD: Agency for Healthcare Research and Quality; September 2011. AHRQ Publication No. 11-0037-1-EF.

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.

BOOK/REPORT

Tennessee Center for Patient Safety Annual Report 2010.

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

COMMENTARY

Learning accountability for patient outcomes.

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

BOOK/REPORT

Preventing Central Line–Associated Bloodstream Infections: a Global Challenge, a Global Perspective.

The Joint Commission. Oakbrook Terrace, IL: Joint Commission Resources; May 2012.

PRESS RELEASE/ANNOUNCEMENT

New 2012 National Patient Safety Goal - catheter-associated urinary tract infection (CAUTI).

Oakbrook Terrace, IL: Joint Commission; May 17, 2011.

MULTI-USE WEBSITE

African Partnerships for Patient Safety.

Geneva, Switzerland: WHO Patient Safety, World Health Organization.

AWARD RECIPIENT

Achievements in eliminating healthcare-associated infections awards.

Washington, DC: US Health and Human Services and Critical Care Societies Collaborative. December 7, 2010.

COMMENTARY

Reducing methicillin-resistant Staphylococcus aureus (MRSA) infections.

Griffin FA. Jt Comm J Qual Patient Saf. 2007;33:726-731.

NEWSPAPER/MAGAZINE ARTICLE

Perfect is possible.

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

BOOK/REPORT

Patient Safety Authority Annual Reports.

Harrisburg, PA: Patient Safety Authority; April 2012.

COMMENTARY

As she lay dying: how I fought to stop medical errors from killing my mom.

Welch JR. Health Aff (Millwood). 2012;31:2817-2820.

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