AHRQ Patient Safety Network

The Collection > Health Care Executives and Administrators

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Safety Target

•Device-related Complications (188)

•Diagnostic Errors (164)

•Identification Errors (131)

•Discontinuities, Gaps, and Hand-Off Problems (441)

•Fatigue and Sleep Deprivation (104)

•Medication Safety (1166)

•Medical Complications (510)

•Nonsurgical Procedural Complications (94)

•Surgical Complications (422)

•Transfusion Complications (21)

•Psychological and Social Complications (147)

Origin/Sponsor

•Africa (7)

•Asia (51)

•Australia and New Zealand (125)

•Central and South America (7)

•Europe (454)

•North America (3473)

Resource Types

•Clinical Guideline (4)

•Journal Article (3010)

•Legislation/Regulation (61)

•Meeting/Conference (43)

•Newsletter/Journal (12)

•Newspaper/Magazine Article (396)

•Press Release/Announcement (36)

•Special or Theme Issue (70)

•Tools/Toolkit (60)

•Web Resource (118)

•Grant (12)

Error Types

•Epidemiology of Errors and Adverse Events (1153)

•Active Errors (524)

•Latent Errors (260)

•Near Miss (79)

Approach to Improving Safety

•Quality Improvement Strategies (1124)

•Legal and Policy Approaches (514)

•Error Reporting and Analysis (1335)

•Communication Improvement (920)

•Human Factors Engineering (498)

•Teamwork (323)

•Specialization of Care (305)

•Logistical Approaches (316)

•Culture of Safety (699)

•Technologic Approaches (730)

•Education and Training (725)

Clinical Areas

•Allied Health Services (18)

Target Audience
< All

Health Care Executives and Administrators

•Facility and Group Administrators (338)

•Nurse Managers (291)

•Risk Managers (505)

•Quality and Safety Professionals (1598)

Setting of Care

•Hospitals (2728)

•Psychiatric Facilities (19)

•Residential Facilities (99)

•Ambulatory Care (336)

•Outpatient Surgery (50)

•Patient Transport (32)

1 - 20 of 4201

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NEWSPAPER/MAGAZINE ARTICLE

Approved: no new National Patient Safety Goals, only minor revisions for 2011.

Jt Comm Perspect. August 2010;30:6-7.

BOOK/REPORT

Consumer Guide to Adverse Health Events.

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

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.

AUDIOVISUAL

Avoiding medical error.

Colvin G. "The Colvin Interview." CNN. February 5, 2007.

NEWSPAPER/MAGAZINE ARTICLE

Preventing fatal errors.

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

BOOK/REPORT

Delivering Safer Health Care in Western Australia: The Second WA Sentinel Event Report 2005-2006.

East Perth, WA, Australia: Department of Health of Western Australia; 2006.

NEWSPAPER/MAGAZINE ARTICLE

Sarasota Memorial Hospital reviewed after restrained patient dies.

Gulliver D. Sarasota Herald Tribune. November 7, 2006:BS1.

NEWSPAPER/MAGAZINE ARTICLE

Approved: 2010 National Patient Safety Goals.

Jt Comm Perspect. October 2009;29:1, 20-31.

MULTI-USE WEBSITE

Organisation Patient Safety Incident Reports.

National Patient Safety Agency.

NEWSPAPER/MAGAZINE ARTICLE

Report: hospital errors cost 18 lives.

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

STUDY

Incidence and root cause analysis of wrong-site pain management procedures: a multicenter study.

Cohen SP, Hayek SM, Datta S, et al. Anesthesiology. 2010;112:711-718.

PRESS RELEASE/ANNOUNCEMENT

Patient safety: healthcare acquired conditions and serious reportable events.

Washington, DC: National Quality Forum; September 2009.

STUDY

Hospitalized patients' attitudes about and participation in error prevention.

Waterman AD, Gallagher TH, Garbutt J, Waterman BM, Fraser V, Burroughs TE. J Gen Intern Med. 2006;21:367-370.

BOOK/REPORT

National Priorities and Goals: Aligning Our Efforts to Transform America's Healthcare.

National Priorities Partnership. Washington, DC: National Quality Forum; 2008. ISBN: 1933875194.

BOOK/REPORT

Improving Communication During Transitions of Care.

Oakbrook Terrace, IL: Joint Commission Resources; 2010. ISBN: 9781599404097.

NEWSPAPER/MAGAZINE ARTICLE

Fixing America's hospitals.

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

MULTI-USE WEBSITE

HAC Posting on Hospital Compare.

Centers for Medicare & Medicaid Services.

MULTI-USE WEBSITE

National Patient Safety Awareness Week.

National Patient Safety Foundation.

BOOK/REPORT

Patient Safety Authority Annual Reports.

Harrisburg, PA: Patient Safety Authority; April 2013.

AWARD RECIPIENT

Building and sustaining a systemwide culture of safety.

Yates GR, Bernd DL, Sayles SM, Stockmeier CA, Burke G, Merti GE. Jt Comm J Qual Patient Saf. 2005;31:684-689.

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