AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (99)

•Diagnostic Errors (63)

•Identification Errors (46)

•Discontinuities, Gaps, and Hand-Off Problems (247)

•Fatigue and Sleep Deprivation (35)

•Medication Safety (666)

•Medical Complications (243)

•Nonsurgical Procedural Complications (36)

•Surgical Complications (210)

•Transfusion Complications (8)

•Psychological and Social Complications (80)

Origin/Sponsor

•Australia and New Zealand (87)

•Central and South America (6)

•Europe (318)

•North America (1659)

Resource Types

•Audiovisual (18)

•Bibliography (2)

•Book/Report (205)

•Clinical Guideline (2)

•Journal Article (1384)

•Legislation/Regulation (33)

•Meeting/Conference (36)

•Newsletter/Journal (10)

•Newspaper/Magazine Article (223)

•Press Release/Announcement (25)

•Special or Theme Issue (62)

•Tools/Toolkit (45)

•Web Resource (89)

Error Types

•Epidemiology of Errors and Adverse Events (341)

•Active Errors (217)

•Latent Errors (136)

•Near Miss (40)

Approach to Improving Safety

•Quality Improvement Strategies (654)

•Legal and Policy Approaches (305)

•Error Reporting and Analysis (683)

•Communication Improvement (680)

•Human Factors Engineering (290)

•Teamwork (255)

•Specialization of Care (183)

•Logistical Approaches (125)

•Culture of Safety (670)

•Technologic Approaches (445)

•Education and Training (414)

Clinical Areas

•Allied Health Services (13)

•Complementary and Alternative Medicine (1)

•Dentistry (3)

•Medicine (1252)

•Nursing (119)

•Pharmacy (281)

Target Audience
< All

Health Care Executives and Administrators

•Facility and Group Administrators (104)

•Nurse Managers (60)

•Risk Managers (102)

•Quality and Safety Professionals (464)

Setting of Care

•Hospitals (1216)

•Psychiatric Facilities (14)

•Residential Facilities (53)

•Ambulatory Care (191)

•Outpatient Surgery (22)

•Patient Transport (19)

1 - 20 of 2179

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COMMENTARY

The Role of the Patient in Improving Patient Safety

Gibson R. AHRQ WebM&M [serial online]. March 2007.

GRANT RECIPIENT

The MacArthur Fellows Program: Michael Cohen.

The John D. and Catherine T. MacArthur Foundation. September 20, 2005.

SPECIAL OR THEME ISSUE

Patient Safety Papers 5.

Baker GR, ed. Healthc Q. 2010;13:1-136.

FACT SHEET/FAQS

Patient Safety Research Highlights: Program Brief.

Rockville, MD: Agency for Healthcare Research and Quality; May 2006. AHRQ Publication No. 06-P023.

AWARD RECIPIENT

2006 Quest for Quality Prize.

Runy LA. Hosp Health Netw. September 2006.

STUDY

National Quality Forum 30 safe practices: priority and progress in Iowa hospitals.

Ward MM, Evans TC, Spies AJ, Roberts LL, Wakefield DS. Am J Med Qual. 2006;21:101-108.

NEWSPAPER/MAGAZINE ARTICLE

Fixing America's hospitals.

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

NEWSPAPER/MAGAZINE ARTICLE

Saving lives: hospitals have signed on to a six-part plan to avoid a multitude of unnecessary deaths.

Comarow A. US News & World Report. July 18, 2005;139:74,76,79.

COMMENTARY

2004 ASHP Leadership Conference on Pharmacy Practice Management Executive Summary: Improving patient care and medication safety.

Am J Health Syst Pharm. 2005;62:1303-1310.

TOOLKIT

Implementing a Program of Patient Safety in Small Rural Hospitals.

Omaha, NE: Jones K, Skinner A, Cochran G, Knudson A, Beattie S, Mueller K; for University of Nebraska Medical Center and Nebraska Center for Rural Research; 2007.

NEWSPAPER/MAGAZINE ARTICLE

Get me out alive.

Feldman R. The Washington Post. May 2, 2006:HE01.

MEETING/CONFERENCE PROCEEDINGS

Patient Safety 2006.

National Patient Safety Agency. February 1-2, 2006; International Convention Centre, Birmingham, UK.

AUDIOVISUAL

Good News: How Hospitals Heal Themselves [documentary].

Washington, DC: CCM, Inc.; 2006. Crawford-Mason C (producer), Dobyns L (reporter); Management Wisdom Video Series.

NEWSPAPER/MAGAZINE ARTICLE

Pump up the volume—tips for increasing error reporting.

ISMP Medication Safety Alert! Acute Care Edition. February 9, 2006;11:1-2,4.

SPECIAL OR THEME ISSUE

Quality of Anesthesia Care.

Neuman MD, Martinez EA, eds. Anesthesiol Clin. 2011;29:1-178.

STUDY

Building safer systems by ecological design: using restoration science to develop a medication safety intervention.

Marck PB, Kwan JA, Preville B, et al. Qual Saf Health Care. 2006;15:92-97.

BOOK/REPORT

External Inquiry into the adverse incident that occurred at Queen's Medical Centre, Nottingham, 4th January 2001.

Toft B. London, England: Department of Health; 2001.

NEWSPAPER/MAGAZINE ARTICLE

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

Collins TR. The Hospitalist. July 2011.

COMMENTARY

In Conversation with...James P. Bagian, MD

AHRQ WebM&M [serial online]. September 2006.

PRESS RELEASE/ANNOUNCEMENT

Patient Safety & Clinical Pharmacy Services Collaborative.

Rockville, MD: Health Resources and Services Administration.

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