AHRQ Patient Safety Network

The Collection > Health Care Executives and Administrators

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Safety Target

•Device-related Complications (190)

•Diagnostic Errors (175)

•Identification Errors (120)

•Discontinuities, Gaps, and Hand-Off Problems (473)

•Fatigue and Sleep Deprivation (108)

•Medication Safety (1294)

•Medical Complications (516)

•Nonsurgical Procedural Complications (90)

•Surgical Complications (416)

•Transfusion Complications (22)

•Psychological and Social Complications (147)

Origin/Sponsor

•Africa (6)

•Asia (60)

•Australia and New Zealand (138)

•Central and South America (11)

•Europe (524)

•North America (3538)

Resource Types

•Clinical Guideline (4)

•Journal Article (3212)

•Legislation/Regulation (57)

•Meeting/Conference (43)

•Newsletter/Journal (13)

•Newspaper/Magazine Article (375)

•Press Release/Announcement (30)

•Special or Theme Issue (69)

•Tools/Toolkit (61)

•Web Resource (109)

•Grant (11)

Error Types

•Epidemiology of Errors and Adverse Events (1206)

•Active Errors (554)

•Latent Errors (264)

•Near Miss (77)

Approach to Improving Safety

•Quality Improvement Strategies (1144)

•Legal and Policy Approaches (491)

•Error Reporting and Analysis (1448)

•Communication Improvement (941)

•Human Factors Engineering (510)

•Teamwork (338)

•Specialization of Care (324)

•Logistical Approaches (329)

•Culture of Safety (718)

•Technologic Approaches (774)

•Education and Training (739)

Clinical Areas

•Allied Health Services (14)

Target Audience
< All

Health Care Executives and Administrators

•Facility and Group Administrators (352)

•Nurse Managers (329)

•Risk Managers (541)

•Quality and Safety Professionals (1721)

Setting of Care

•Hospitals (2893)

•Psychiatric Facilities (18)

•Residential Facilities (84)

•Ambulatory Care (349)

•Outpatient Surgery (36)

•Patient Transport (30)

1 - 20 of 4352

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STUDY

Impact of attending physician workload on patient care: a survey of hospitalists.

Michtalik HJ, Yeh H, Pronovost PJ, Brotman DJ. JAMA Intern Med. 2013;173:375-377.

NEWSPAPER/MAGAZINE ARTICLE

Medication errors occurring with the use of bar-code administration technology.

PA-PSRS Patient Saf Advis. December 2008;5:122-126.

REVIEW

Hospital-based medication reconciliation practices: a systematic review.

Mueller SK, Sponsler KC, Kripalani S, Schnipper JL. Arch Intern Med. 2012;172:1057-1069.

STUDY

Interpreting adverse drug reaction (ADR) reports as hospital patient safety incidents.

Davies EC, Green CF, Mottram DR, Pirmohamed M. Br J Clin Pharmacol. 2010;70:102-108.

COMMENTARY

Improving heparin safety: a multidisciplinary invited conference.

Peterson C, Ham CW, Vanderveen T. Hosp Pharm. 2008;43:491-497.

STUDY

Supratherapeutic dosing of acetaminophen among hospitalized patients.

Zhou L, Maviglia SM, Mahoney LM, et al. Arch Intern Med. 2012;172:1721-1728.

STUDY

Intravenous infusion safety technology: return on investment.

Danello SH, Maddox RR, Schaack GJ. Hosp Pharm. 2009;44:680-687, 696.

STUDY

Smartphone use during inpatient attending rounds: prevalence, patterns and potential for distraction.

Katz-Sidlow RJ, Ludwig A, Miller S, Sidlow R. J Hosp Med. 2012;7:595-599.

NEWSPAPER/MAGAZINE ARTICLE

Anticoagulant safety practices call for pharmacist supervision.

Scott A. Drug Topics (Health-System Edition). November 10, 2008.

STUDY

Contemporary evidence about hospital strategies for reducing 30-day readmissions: a national study.

Bradley EH, Curry L, Horwitz LI, et al. J Am Coll Cardiol. 2012;60:607-614.

STUDY

Anticoagulation-associated adverse drug events.

Piazza G, Nguyen TN, Cios D, et al. Am J Med. 2011;124:1136-1142.

ORGANIZATIONAL POLICY/GUIDELINES

Preventing errors relating to commonly used anticoagulants.

Sentinel Event Alert. September 24, 2008;(41):1-4.

STUDY

Rural inpatient telepharmacy consultation demonstration for after-hours medication review.

Cole SL, Grubbs JH, Din C, Nesbitt TS. Telemed E Health. 2012;18:530-537.

STUDY

Reporting trends in a regional medication error data-sharing system.

Anderson JG, Ramanujam R, Hensel DJ, Sirio CA. Health Care Manag Sci. 2010;13:74-83.

STUDY

A July spike in fatal medication errors: a possible effect of new medical residents.

Phillips DP, Barker GEC. J Gen Intern Med. 2010;25:774-779.

STUDY

'Global Trigger Tool' shows that adverse events in hospitals may be ten times greater than previously measured.

Classen DC, Resar R, Griffin F, et al. Health Aff (Millwood). 2011;30:581-589.

BOOK/REPORT

Patient Safety in Canada: An Update.

Ottawa, ON, Canada: Canadian Institute for Health Information; August 14, 2007.

BOOK/REPORT

Saving Lives, Saving Money: The Imperative for Computerized Physician Order Entry in Massachusetts Hospitals.

Adams M, Bates D, Coffman G, Everett W. Westborough, MA: Massachusetts Technology Collaborative and New England Healthcare Institute; 2008.

STUDY

An exploratory study measuring verbal order content and context.

Wakefield DS, Brokel J, Ward MM, Schwichtenberg T, Groath D, Kolb M, Davis JW, Crandall D. Qual Saf Health Care. 2009;18:169-173.

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.

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