AHRQ Patient Safety Network

The Collection > Health Care Executives and Administrators

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Safety Target

•Device-related Complications (106)

•Diagnostic Errors (129)

•Identification Errors (49)

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

•Fatigue and Sleep Deprivation (51)

•Medication Safety (518)

•Medical Complications (292)

•Nonsurgical Procedural Complications (37)

•Surgical Complications (160)

•Transfusion Complications (13)

•Psychological and Social Complications (82)

Origin/Sponsor

•Africa (5)

•Asia (29)

•Australia and New Zealand (89)

•Central and South America (5)

•Europe (299)

•North America (1660)

Resource Types

•Clinical Guideline (4)

•Journal Article (1336)

•Legislation/Regulation (47)

•Meeting/Conference (32)

•Newsletter/Journal (9)

•Newspaper/Magazine Article (246)

•Press Release/Announcement (25)

•Special or Theme Issue (50)

•Tools/Toolkit (46)

•Web Resource (88)

•Grant (16)

Error Types

•Epidemiology of Errors and Adverse Events (397)

•Active Errors (242)

•Latent Errors (161)

•Near Miss (30)

Approach to Improving Safety

•Quality Improvement Strategies (712)

•Legal and Policy Approaches (349)

•Error Reporting and Analysis (664)

•Communication Improvement (489)

•Human Factors Engineering (241)

•Teamwork (157)

•Specialization of Care (151)

•Logistical Approaches (140)

•Culture of Safety (425)

•Technologic Approaches (353)

•Education and Training (384)

Clinical Areas

•Allied Health Services (10)

Target Audience
< All

Health Care Executives and Administrators

•Facility and Group Administrators (65)

•Nurse Managers (31)

•Risk Managers (91)

•Quality and Safety Professionals (364)

Setting of Care

•Hospitals (1527)

•Psychiatric Facilities (13)

•Residential Facilities (36)

•Ambulatory Care (164)

•Outpatient Surgery (22)

•Patient Transport (12)

1 - 20 of 2163

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COMMENTARY

Antiseizure Medication Disorder

Alldredge BK. AHRQ WebM&M [serial online]. May 2007.

COMMENTARY

In Conversation with…Robert M. Wachter, MD

AHRQ WebM&M [serial online]. October 2008.

COMMENTARY

Methicillin-Resistant Staphylococcus aureus

Noskin GA. AHRQ WebM&M [serial online]. April 2008

COMMENTARY

Language Barrier

Flores G. AHRQ WebM&M [serial online]. April 2006.

NEWSPAPER/MAGAZINE ARTICLE

A clinical reminder about the safe use of insulin vials.

ISMP Medication Safety Alert! Acute Care Edition. February 21, 2013;18:1-3.

BOOK/REPORT

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

Geneva, Switzerland: World Health Organization; 2011.

NEWSPAPER/MAGAZINE ARTICLE

Perfect is possible.

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

COMMENTARY

Making inpatient medication reconciliation patient centered, clinically relevant and implementable: a consensus statement on key principles and necessary first steps.

Greenwald JL, Halasyamani L, Greene J, et al. J Hosp Med. 2010;5:477-485.

NEWSPAPER/MAGAZINE ARTICLE

USP initiatives for the safe use of medical gases.

Zaidi K, Curry PD Jr, Becker SC. Pharmaceutical Technology. November 2, 2005;29:102-103.

COMMENTARY

Disclosing harmful medical errors to patients: tackling three tough cases.

Gallagher TH, Bell SK, Smith KM, Mello MM, McDonald TB. Chest. 2009;136:897-903.

COMMENTARY

In Conversation with...Eric Coleman, MD, MPH

AHRQ WebM&M [serial online]. December 2007.

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.

STUDY

Variations in surgical outcomes associated with hospital compliance with safety practices.

Brooke BS, Dominici F, Pronovost PJ, Makary MA, Schneider E, Pawlik TM. Surgery. 2012;151:651-659.

ORGANIZATIONAL POLICY/GUIDELINES

Using medication reconciliation to prevent errors.

Sentinel Event Alert. January 25, 2006;(35):1-4.

STUDY

Reconciling medications at admission: safe practice recommendations and implementation strategies.

Rogers G, Alper E, Brunelle D, et al. Jt Comm J Qual Patient Saf. 2006;32:37-50.

COMMENTARY

Disruptive clinician behavior: a persistent threat to patient safety.

Porto G, Lauve R. Patient Safety Qual Healthc. July/August 2006;3:16-24.

COMMENTARY

Elopement

Gerardi D. AHRQ WebM&M [serial online]. December 2007.

COMMENTARY

Implementing a Patient Safety Program at a Large National Health System

Hauck L, Jacob J. AHRQ WebM&M [serial online]. January 2008

ORGANIZATIONAL POLICY/GUIDELINES

Transitions of Care Consensus Policy Statement American College of Physicians-Society of General Internal Medicine-Society of Hospital Medicine-American Geriatrics Society-American College of Emergency Physicians-Society of Academic Emergency Medicine.

Snow V, Beck D, Budnitz T, et al. J Gen Intern Med. 2009;24:971-976.

COMMENTARY

Health Care–Acquired Urinary Tract Infection: The Problem and Solutions

Nicolle LE. AHRQ WebM&M [serial online]. November 2008.

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