AHRQ Patient Safety Network

The Collection > Health Care Executives and Administrators

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Safety Target

•Device-related Complications (145)

•Diagnostic Errors (78)

•Identification Errors (64)

•Discontinuities, Gaps, and Hand-Off Problems (367)

•Fatigue and Sleep Deprivation (90)

•Medication Safety (855)

•Medical Complications (422)

•Nonsurgical Procedural Complications (44)

•Surgical Complications (182)

•Transfusion Complications (12)

•Psychological and Social Complications (106)

Origin/Sponsor

•Africa (2)

•Asia (34)

•Australia and New Zealand (68)

•Europe (276)

•North America (2693)

Resource Types

•Clinical Guideline (3)

•Journal Article (2239)

•Legislation/Regulation (37)

•Meeting/Conference (21)

•Newsletter/Journal (5)

•Newspaper/Magazine Article (337)

•Press Release/Announcement (13)

•Special or Theme Issue (54)

•Tools/Toolkit (45)

•Web Resource (70)

•Grant (6)

Error Types

•Epidemiology of Errors and Adverse Events (668)

•Active Errors (330)

•Latent Errors (197)

•Near Miss (43)

Approach to Improving Safety

•Quality Improvement Strategies (890)

•Legal and Policy Approaches (381)

•Error Reporting and Analysis (911)

•Communication Improvement (667)

•Human Factors Engineering (331)

•Teamwork (242)

•Specialization of Care (275)

•Logistical Approaches (252)

•Culture of Safety (582)

•Technologic Approaches (624)

•Education and Training (521)

Clinical Areas

•Allied Health Services (6)

•Medicine (2099)

•Nursing (260)

•Pharmacy (297)

Target Audience
< All

Health Care Executives and Administrators

•Facility and Group Administrators (214)

•Nurse Managers (246)

•Risk Managers (239)

•Quality and Safety Professionals (980)

Setting of Care

•Hospitals (2378)

•Psychiatric Facilities (11)

•Residential Facilities (44)

•Ambulatory Care (207)

•Outpatient Surgery (22)

•Patient Transport (11)

1 - 20 of 3122

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AWARD RECIPIENT

Announcing 2009 Leapfrog top hospitals.

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

NEWSPAPER/MAGAZINE ARTICLE

Perfect is possible.

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

BOOK/REPORT

HealthGrades Sixth Annual Patient Safety in American Hospitals Study.

Golden, CO: HealthGrades, Inc.; April 2009.

COMMENTARY

Twenty-four-hour intensivist staffing in teaching hospitals: tensions between safety today and safety tomorrow.

Kerlin MP, Halpern SD. Chest. 2012;141:1315-1320.

BOOK/REPORT

Achieving an Exceptional Patient and Family Experience of Inpatient Hospital Care.

Balik B, Conway J, Zipperer L, Watson J. Cambridge, MA: Institute for Healthcare Improvement; 2011.

NEWSPAPER/MAGAZINE ARTICLE

Piecing together medication administration.

Anderson HJ. Health Data Manage. May 1, 2009;17:22.

STUDY

The effects of computerized provider order entry implementation on communication in intensive care units.

Hoonakker PL, Carayon P, Walker JM, Brown RL, Cartmill RS. Int J Med Inform. 2013;82:e107-e117.

COMMENTARY

Early warning systems: the next level of rapid response.

Duncan KD, McMullan C, Mills BM. Nursing. 2012;42:38-44.

BOOK/REPORT

Consumers' Priorities for Hospital Quality Improvement and Implications for Public Reporting.

Ginsburg M, Glasmire K. Oakland, CA: California HealthCare Foundation; April 2011.

ORGANIZATIONAL POLICY/GUIDELINES

Preventing errors relating to commonly used anticoagulants.

Sentinel Event Alert. September 24, 2008;(41):1-4.

STUDY

Association of a clinical knowledge support system with improved patient safety, reduced complications and shorter length of stay among Medicare beneficiaries in acute care hospitals in the United States.

Bonis PA, Pickens GT, Rind DM, Foster DA. Int J Med Inform. 2008;77:745-753.

NEWSPAPER/MAGAZINE ARTICLE

For all the right reasons.

Hagland M. Healthc Informatics. 2009;26:40-44.

NEWSPAPER/MAGAZINE ARTICLE

Effective use of medication-related decision support in CPOE.

Metzger JB, Welebob E, Turisco F, Classen DC. Patient Saf Qual Healthc. Sept/Oct 2008;5:16-24.

STUDY

How do black-serving hospitals perform on patient safety indicators?: Implications for national public reporting and pay-for-performance.

Ly DP, Lopez L, Isaac T, Jha AK. Med Care. 2010;48:1133-1137.

MEASUREMENT TOOL/INDICATOR

2011 ISMP Medication Safety Self Assessment for Hospitals.

Horsham, PA: Institute for Safe Medication Practices; April 2011.

BOOK/REPORT

Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2009.

Oakbrook Terrace, IL: The Joint Commission; January 2010.

NEWSPAPER/MAGAZINE ARTICLE

CPOE: it don't come easy.

Anderson HJ. Health Data Manag. January 1, 2009;17:18.

STUDY

Intravenous infusion safety technology: return on investment.

Danello SH, Maddox RR, Schaack GJ. Hosp Pharm. 2009;44:680-687, 696.

COMMENTARY

Smart pumps: advanced capabilities and continuous quality improvement.

Vanderveen T. Patient Saf Quality Healthc. January/February 2007.

STUDY

Preliminary assessment of pediatric health care quality and patient safety in the United States using readily available administrative data.

McDonald KM, Davies SM, Haberland CA, et al. Pediatrics. 2008;122:e416-e425.

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