AHRQ Patient Safety Network

The Collection > Health Care Executives and Administrators

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Safety Target

•Device-related Complications (170)

•Diagnostic Errors (145)

•Identification Errors (112)

•Discontinuities, Gaps, and Hand-Off Problems (464)

•Fatigue and Sleep Deprivation (92)

•Medication Safety (1105)

•Medical Complications (538)

•Nonsurgical Procedural Complications (93)

•Surgical Complications (417)

•Transfusion Complications (22)

•Psychological and Social Complications (160)

Origin/Sponsor

•Africa (5)

•Asia (44)

•Australia and New Zealand (118)

•Central and South America (7)

•Europe (509)

•North America (3468)

Resource Types

•Clinical Guideline (4)

•Journal Article (3016)

•Legislation/Regulation (58)

•Meeting/Conference (47)

•Newsletter/Journal (13)

•Newspaper/Magazine Article (395)

•Press Release/Announcement (32)

•Special or Theme Issue (87)

•Tools/Toolkit (63)

•Web Resource (124)

•Grant (16)

Error Types

•Epidemiology of Errors and Adverse Events (860)

•Active Errors (491)

•Latent Errors (243)

•Near Miss (70)

Approach to Improving Safety

•Quality Improvement Strategies (1252)

•Legal and Policy Approaches (504)

•Error Reporting and Analysis (1260)

•Communication Improvement (1091)

•Human Factors Engineering (497)

•Teamwork (421)

•Specialization of Care (295)

•Logistical Approaches (301)

•Culture of Safety (884)

•Technologic Approaches (722)

•Education and Training (780)

Clinical Areas

•Allied Health Services (15)

Target Audience
< All

Health Care Executives and Administrators

•Facility and Group Administrators (344)

•Nurse Managers (295)

•Risk Managers (441)

•Quality and Safety Professionals (1626)

Setting of Care

•Hospitals (2681)

•Psychiatric Facilities (17)

•Residential Facilities (82)

•Ambulatory Care (318)

•Outpatient Surgery (38)

•Patient Transport (29)

1 - 20 of 4234

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SPECIAL OR THEME ISSUE

Improving Health Care Quality.

Wisc Med J. 2006:105;1-86.

STUDY

Quality improvement initiative to reduce serious safety events and improve patient safety culture.

Muething SE, Goudie A, Schoettker PJ, et al. Pediatrics. 2012;130:e423-e431.

COMMENTARY

The Preventable Harm Index: an effective motivator to facilitate the drive to zero.

Brilli RJ, McClead RE Jr, Davis T, Stoverock L, Rayburn A, Berry JC. J Pediatr. 2010;157:681-683.

BOOK/REPORT

Meeting the Joint Commission's 2013 National Patient Safety Goals.

Oakbrook Terrace, IL: The Joint Commission; September 2012. ISBN: 9781599407555.

NEWSPAPER/MAGAZINE ARTICLE

Fixing America's hospitals.

Newsweek. October 16, 2006:44-68, 72.

NEWSPAPER/MAGAZINE ARTICLE

Perfect is possible.

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

NEWSPAPER/MAGAZINE ARTICLE

Inquiry into reporter's death finds multiple failures in care.

Stout D. New York Times. June 17, 2006;National desk:9.

COMMENTARY

Learning accountability for patient outcomes.

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

NEWSPAPER/MAGAZINE ARTICLE

Hospitals boost patients' power as advisers.

Landro L. Wall Street Journal. August 8, 2007:D1.

BOOK/REPORT

Tennessee Center for Patient Safety Annual Report 2010.

Nashville, TN: Tennessee Center for Patient Safety; August 2011.

NEWSPAPER/MAGAZINE ARTICLE

Empowered to improve.

Gardner E. Mod Healthc. May 18, 2009;39:28-31.

STUDY

Organisational culture: variation across hospitals and connection to patient safety climate.

Speroff T, Nwosu S, Greevy R, et al. Qual Saf Health Care. 2010;19:592-596.

MULTI-USE WEBSITE

The Josie King Foundation.

Tony and Sorrel King.

SPECIAL OR THEME ISSUE

Medical errors and safety systems.

Pearlman MD, ed. Clin Obstet Gynecol. 2010;53:471-585.

MULTI-USE WEBSITE

The Patient Safety Group.

Boston, MA.

ORGANIZATIONAL POLICY/GUIDELINES

ACOG Committee Opinion No. 447: patient safety in obstetrics and gynecology.

ACOG Committee on Patient Safety and Quality Improvement. Obstet Gynecol. 2009;114:1424-1427.

STUDY

Patient Safety Dialogue: evaluation of an intervention aimed at achieving an improved patient safety culture.

Öhrn A, Rutberg H, Nilsen P. J Patient Saf. 2011;7:185-192.

STUDY

Tracking rates of patient safety indicators over time: lessons from the Veterans Administration.

Rosen AK, Zhao S, Rivard P, et al. Med Care. 2006;44:850-861.

STUDY

Patient readmissions, emergency visits, and adverse events after software-assisted discharge from hospital: cluster randomized trial.

Graumlich JF, Novotny NL, Nace GS, et al. J Hosp Med. 2009;4:E11-E19.

STUDY

Association between hospital-reported Leapfrog Safe Practices scores and inpatient mortality.

Kernisan LP, Lee SJ, Boscardin WJ, Landefeld CS, Dudley RA. JAMA. 2009;301:1341-1348.

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