AHRQ Patient Safety Network

The Collection > Health Care Executives and Administrators

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Safety Target

•Device-related Complications (181)

•Diagnostic Errors (148)

•Identification Errors (123)

•Discontinuities, Gaps, and Hand-Off Problems (468)

•Fatigue and Sleep Deprivation (105)

•Medication Safety (1067)

•Medical Complications (544)

•Nonsurgical Procedural Complications (91)

•Surgical Complications (588)

•Transfusion Complications (20)

•Psychological and Social Complications (164)

Origin/Sponsor

•Africa (5)

•Asia (53)

•Australia and New Zealand (128)

•Central and South America (7)

•Europe (569)

•North America (3595)

Resource Types

•Clinical Guideline (4)

•Journal Article (3209)

•Legislation/Regulation (65)

•Meeting/Conference (49)

•Newsletter/Journal (13)

•Newspaper/Magazine Article (399)

•Press Release/Announcement (34)

•Special or Theme Issue (87)

•Tools/Toolkit (66)

•Web Resource (122)

•Grant (17)

Error Types

•Epidemiology of Errors and Adverse Events (912)

•Active Errors (519)

•Latent Errors (268)

•Near Miss (76)

Approach to Improving Safety

•Quality Improvement Strategies (1282)

•Legal and Policy Approaches (560)

•Error Reporting and Analysis (1343)

•Communication Improvement (1040)

•Human Factors Engineering (554)

•Teamwork (480)

•Specialization of Care (296)

•Logistical Approaches (330)

•Culture of Safety (891)

•Technologic Approaches (724)

•Education and Training (819)

Clinical Areas

•Allied Health Services (15)

Target Audience
< All

Health Care Executives and Administrators

•Facility and Group Administrators (375)

•Nurse Managers (340)

•Risk Managers (477)

•Quality and Safety Professionals (1757)

Setting of Care

•Hospitals (2922)

•Psychiatric Facilities (18)

•Residential Facilities (82)

•Ambulatory Care (331)

•Outpatient Surgery (49)

•Patient Transport (26)

1 - 20 of 4459

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BOOK/REPORT

2009 National Healthcare Quality Report.

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

BOOK/REPORT

MHA Keystone Center for Patient Safety & Quality 2010 Annual Report.

Lansing, MI: Michigan Health & Hospital Association; October 2010.

COMMENTARY

Learning accountability for patient outcomes.

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

BOOK/REPORT

Patient Safety Authority Annual Reports.

Harrisburg, PA: Patient Safety Authority; April 2013.

MULTI-USE WEBSITE

African Partnerships for Patient Safety.

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

BOOK/REPORT

Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2009.

Oakbrook Terrace, IL: The Joint Commission; January 2010.

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.

COMMENTARY

A new frontier in patient safety.

McCannon J, Berwick DM. JAMA. 2011;305:2221-2222.

AWARD RECIPIENT

Announcing 2009 Leapfrog top hospitals.

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

BOOK/REPORT

IBEAS: A Pioneer Study on Patient Safety in Latin America: Towards Safer Hospital Care.

Geneva, Switzerland: World Health Organization; 2011.

BOOK/REPORT

The Patient Safety Initiative at America’s Public Hospitals: The Year One Overview.

Research Brief. Washington, DC: National Association of Public Hospitals and Health Systems; January 2011.

COMMENTARY

Integrating CUSP and TRIP to improve patient safety.

Romig M, Goeschel C, Pronovost P, Berenholtz SM. Hosp Pract (Minneap). 2010;38:114-121.

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.

BOOK/REPORT

Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2012.

Oakbrook Terrace, IL: The Joint Commission; September 2012.

BOOK/REPORT

Safer Hospital Care: Strategies for Continuous Innovation.

Raheja D. New York, NY: Productivity Press; 2011. ISBN: 9781439821022.

COMMENTARY

Hospital board checklist to improve culture and reduce central line–associated bloodstream infections.

Goeschel CA, Holzmueller CG, Pronovost PJ. Jt Comm J Qual Patient Saf. 2010;36:525-528.

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.

REVIEW

Responsibility for quality improvement and patient safety: hospital board and medical staff leadership challenges.

Goeschel CA, Wachter RM, Pronovost PJ. Chest. 2010;138:171-178.

COMMENTARY

Moving beyond readmission penalties: creating an ideal process to improve transitional care.

Burke RE, Kripalani S, Vasilevskis EE, Schnipper JL. J Hosp Med. 2013;8:102-109.

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