AHRQ Patient Safety Network

The Collection > Health Care Executives and Administrators

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Safety Target

•Device-related Complications (107)

•Diagnostic Errors (114)

•Identification Errors (108)

•Discontinuities, Gaps, and Hand-Off Problems (253)

•Fatigue and Sleep Deprivation (40)

•Medication Safety (858)

•Medical Complications (255)

•Nonsurgical Procedural Complications (43)

•Surgical Complications (259)

•Transfusion Complications (24)

•Psychological and Social Complications (71)

Origin/Sponsor

•Africa (5)

•Asia (35)

•Australia and New Zealand (91)

•Central and South America (4)

•Europe (345)

•North America (1730)

Resource Types

•Clinical Guideline (3)

•Journal Article (1502)

•Legislation/Regulation (33)

•Meeting/Conference (32)

•Newsletter/Journal (10)

•Newspaper/Magazine Article (245)

•Press Release/Announcement (36)

•Special or Theme Issue (51)

•Tools/Toolkit (40)

•Web Resource (82)

•Grant (16)

Error Types

•Epidemiology of Errors and Adverse Events (508)

•Active Errors (520)

•Latent Errors (293)

•Near Miss (59)

Approach to Improving Safety

•Quality Improvement Strategies (644)

•Legal and Policy Approaches (342)

•Error Reporting and Analysis (814)

•Communication Improvement (557)

•Human Factors Engineering (311)

•Teamwork (161)

•Specialization of Care (145)

•Logistical Approaches (137)

•Culture of Safety (361)

•Technologic Approaches (467)

•Education and Training (384)

Clinical Areas

•Allied Health Services (19)

Target Audience
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Health Care Executives and Administrators

•Facility and Group Administrators (106)

•Nurse Managers (70)

•Risk Managers (197)

•Quality and Safety Professionals (656)

Setting of Care

•Hospitals (1307)

•Psychiatric Facilities (12)

•Residential Facilities (52)

•Ambulatory Care (222)

•Outpatient Surgery (26)

•Patient Transport (23)

1 - 20 of 2299

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COMMENTARY

The Role of the Patient in Improving Patient Safety

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

COMMENTARY

Failure to Report

Spath PL. AHRQ WebM&M [serial online]. March 2007.

FACT SHEET/FAQS classic

Preventing Medication Errors: A $21 Billion Opportunity.

Washington, DC: National Priorities Partnership and National Quality Forum; December 2010.

BOOK/REPORT

Patient Safety Authority Annual Reports.

Harrisburg, PA: Patient Safety Authority; April 2013.

NEWSPAPER/MAGAZINE ARTICLE

Neuromuscular blocking agents: reducing associated wrong-drug errors.

PA-PSRS Patient Saf Advis. December 2009;6:109-114.

MULTI-USE WEBSITE

HAC Posting on Hospital Compare.

Centers for Medicare & Medicaid Services.

STUDY

National and local medication error reporting systems—a survey of practices in 16 countries.

Holmström AR, Airaksinen M, Weiss M, Wuliji T, Chan XH, Laaksonen R. J Patient Saf. 2012;8:165-176.

BOOK/REPORT

Consumer Guide to Adverse Health Events.

St. Paul, MN: Minnesota Department of Health; January 2009.

COMMENTARY classic

Shaping systems for better behavioral choices: lessons learned from a fatal medication error.

Smetzer J, Baker C, Byrne FD, Cohen MR. Jt Comm J Qual Patient Saf. 2010;36:152-163, 1AP-2AP.

COMMENTARY

In Conversation with...Steven J. Spear, DBA, MS, MS

AHRQ WebM&M [serial online]. August 2009.

STUDY

Quantification and classification of errors associated with hand-repackaging of medications in long-term care facilities in Germany.

Gerber A, Kohaupt I, Lauterbach KW, Buescher G, Stock S, Lungen M. Am J Geriatr Pharmacother. 2008;6:212-219.

COMMENTARY

ISMP medication error report analysis.

Cohen MR. Hosp Pharm. 2006;41:811, 815, 902.

NEWSPAPER/MAGAZINE ARTICLE

The five rights: a destination without a map.

ISMP Medication Safety Alert! Acute Care Edition. January 25, 2007;12:1.

STUDY

The relationship between organizational leadership for safety and learning from patient safety events.

Ginsburg LR, Chuang YT, Berta WB, et al. Health Serv Res. 2010;45:607-632.

COMMENTARY

The Sorry Works! Coalition: making the case for full disclosure.

Wojcieszak D, Banja J, Houk C. Jt Comm J Qual Patient Saf. 2006;32:344-350.

COMMENTARY

Prevent medication errors: a New Year's resolution: teaching patients about their medications.

Polzien G. Home Healthc Nurse. 2007;25:59-62.

NEWSPAPER/MAGAZINE ARTICLE

Reducing patient harm from opiates.

ISMP Medication Safety Alert! Acute Care Edition. February 22, 2007;12:1-3.

NEWSPAPER/MAGAZINE ARTICLE

Drug shortages: national survey reveals high level of frustration, low level of safety.

ISMP Medication Safety Alert! Acute Care Edition. September 23, 2010;15,1-6.

SPECIAL OR THEME ISSUE

The safety and quality of health care: where are we now?

Med J Aust. 2006;184:S37-S72.

STUDY

Error tracking in a clinical biochemistry laboratory.

Szecsi PB, Ødum L. Clin Chem Lab Med. 2009;47:1253-1257.

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