AHRQ Patient Safety Network

The Collection > Health Care Executives and Administrators

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Safety Target

•Device-related Complications (74)

•Diagnostic Errors (52)

•Identification Errors (50)

•Discontinuities, Gaps, and Hand-Off Problems (165)

•Fatigue and Sleep Deprivation (38)

•Medication Safety (581)

•Medical Complications (212)

•Nonsurgical Procedural Complications (29)

•Surgical Complications (150)

•Transfusion Complications (9)

•Psychological and Social Complications (68)

Origin/Sponsor

•Africa (4)

•Asia (22)

•Australia and New Zealand (71)

•Central and South America (3)

•Europe (261)

•North America (1400)

Resource Types

•Clinical Guideline (4)

•Journal Article (1060)

•Legislation/Regulation (44)

•Meeting/Conference (31)

•Newsletter/Journal (10)

•Newspaper/Magazine Article (218)

•Press Release/Announcement (29)

•Special or Theme Issue (49)

•Tools/Toolkit (36)

•Web Resource (89)

•Grant (8)

Error Types

•Epidemiology of Errors and Adverse Events (332)

•Active Errors (211)

•Latent Errors (115)

•Near Miss (26)

Approach to Improving Safety

•Quality Improvement Strategies (610)

•Legal and Policy Approaches (405)

•Error Reporting and Analysis (565)

•Communication Improvement (412)

•Human Factors Engineering (200)

•Teamwork (139)

•Specialization of Care (110)

•Logistical Approaches (103)

•Culture of Safety (319)

•Technologic Approaches (435)

•Education and Training (309)

Clinical Areas

•Allied Health Services (10)

Target Audience
< All

Health Care Executives and Administrators

•Facility and Group Administrators (78)

•Nurse Managers (16)

•Risk Managers (100)

•Quality and Safety Professionals (281)

Setting of Care

•Hospitals (991)

•Psychiatric Facilities (13)

•Residential Facilities (42)

•Ambulatory Care (151)

•Outpatient Surgery (23)

•Patient Transport (12)

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NEWSPAPER/MAGAZINE ARTICLE

Hospitals save money, but safety is questioned.

Klein A. The Washington Post. December 11, 2005:A01.

NEWSPAPER/MAGAZINE ARTICLE

Screenings for staph are now the law: state first to apply mandatory testing.

Graham J. Chicago Tribune. August 21, 2007;Metro section:1.

BOOK/REPORT

Back to Basics.

Gima Z, Gosselar P, Levine A, Lincoln T, Ramirez A. Washington, DC: Public Citizen; August 6, 2009.

MULTI-USE WEBSITE

Patient Safety.

The Pennsylvania Medical Society.

FEDERAL LEGISLATION

The National Medical Error Disclosure and Compensation (MEDiC) Act.

S 1784, 109th Cong, 1st Sess (2005).

TOOLKIT

Patient Safety Toolbox.

Portland, ME: National Academy for State Health Policy.

NEWSPAPER/MAGAZINE ARTICLE

Preventing fatal errors.

Bailey B, Sevrens Lyons J. The Mercury News. November 27, 2005.

NEWSPAPER/MAGAZINE ARTICLE

Report: hospital errors cost 18 lives.

Rojas-Burke J. Oregonian. January 30, 2007:B01.

COMMENTARY

ISMP medication error report analysis.

Cohen M. Hosp Pharm. 2006;41:222-224.

AWARD RECIPIENT

Translating patient safety legislation into health care practice.

Rabinowitz ABK, Clarke JR, Marella W, et al. Jt Comm J Qual Patient Saf. 2006;32:676-681.

MULTI-USE WEBSITE

Mississippi Patient Safety Coalition.

385B Highland Colony Parkway, Suite 504, Ridgeland, MS 39157.

COMMENTARY

Language Barrier

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

COMMENTARY

Organizational Change in the Face of Highly Public Errors—I. The Dana-Farber Cancer Institute Experience

Conway JB, Weingart SN. AHRQ WebM&M [serial online]. May 2005.

COMMENTARY

Our broken health care system and how to fix it: an essay on health law and policy.

Jost TS. Wake Forest Law Rev. 2006;41:537-618.

REVIEW

Medication safety in acute care in Australia: where are we now? Part 2: a review of strategies and activities for improving medication safety 2002-2008.

Semple SJ, Roughead EE. Aust New Zealand Health Policy. 2009;6:24.

COMMENTARY

Health information technology is a vehicle, not a destination: a conversation with David J. Brailer.

Milstein A. Health Aff (Millwood). 2007;26:w236-w241.

ORGANIZATIONAL POLICY/GUIDELINES

Electronic prescribing in pediatrics: toward safer and more effective medication management.

Council on Clinical Information Technology Executive Committee. Pediatrics. 2013;131:824-826.

AWARD RECIPIENT

Announcing 2009 Leapfrog top hospitals.

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

BOOK/REPORT

Lucado J, Paez K, Elixhauser A. HCUP Statistical Brief #109. Rockville, MD: Agency for Healthcare Research and Quality; April 2011.

COMMENTARY

The Patient Safety and Quality Improvement Act of 2005: provisions and potential opportunities.

Liang BA, Riley W, Rutherford W, Hamman W. Am J Med Qual. 2007;22:8-12.

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