AHRQ Patient Safety Network

The Collection > Health Care Executives and Administrators

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Safety Target

•Device-related Complications (91)

•Diagnostic Errors (96)

•Identification Errors (63)

•Discontinuities, Gaps, and Hand-Off Problems (233)

•Fatigue and Sleep Deprivation (47)

•Medication Safety (569)

•Medical Complications (292)

•Nonsurgical Procedural Complications (44)

•Surgical Complications (387)

•Transfusion Complications (14)

•Psychological and Social Complications (78)

Origin/Sponsor

•Africa (6)

•Asia (34)

•Australia and New Zealand (171)

•Central and South America (7)

•Europe (349)

•North America (1504)

Resource Types

•Clinical Guideline (1)

•Journal Article (1529)

•Legislation/Regulation (22)

•Meeting/Conference (25)

•Newsletter/Journal (8)

•Newspaper/Magazine Article (151)

•Press Release/Announcement (22)

•Special or Theme Issue (44)

•Tools/Toolkit (29)

•Web Resource (74)

•Grant (9)

Error Types

•Epidemiology of Errors and Adverse Events (851)

•Active Errors (290)

•Latent Errors (110)

•Near Miss (42)

Approach to Improving Safety

•Quality Improvement Strategies (546)

•Legal and Policy Approaches (250)

•Error Reporting and Analysis (705)

•Communication Improvement (508)

•Human Factors Engineering (268)

•Teamwork (182)

•Specialization of Care (181)

•Logistical Approaches (130)

•Culture of Safety (312)

•Technologic Approaches (344)

•Education and Training (372)

Clinical Areas

•Allied Health Services (11)

Target Audience
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Health Care Executives and Administrators

•Facility and Group Administrators (78)

•Nurse Managers (32)

•Risk Managers (167)

•Quality and Safety Professionals (627)

Setting of Care

•Hospitals (1398)

•Psychiatric Facilities (13)

•Residential Facilities (45)

•Ambulatory Care (172)

•Outpatient Surgery (31)

•Patient Transport (32)

1 - 20 of 2126

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STUDY

The impact of Rapid Response System on delayed emergency team activation patient characteristics and outcomes—a follow-up study.

Calzavacca P, Licari E, Tee A, et al. Resuscitation. 2010;81:31-35.

STUDY

Factors that influence the expected length of operation: results of a prospective study.

Gillespie BM, Chaboyer W, Fairweather N. BMJ Qual Saf. 2012;21:3-12.

STUDY

Four years' experience with a hospitalist-led medical emergency team: an interrupted time series.

Rothberg MB, Belforti R, Fitzgerald J, Friderici J, Keyes M. J Hosp Med. 2012;7:98-103.

STUDY

Attitudes and barriers to a medical emergency team system at a tertiary paediatric hospital.

Azzopardi P, Kinney S, Moulden A, Tibballs J. Resuscitation. 2011;82:167-174.

STUDY

Hospital costs associated with adverse events in gynecological oncology.

Kondalsamy-Chennakesavan S, Gordon LG, Sanday K, et al. Gynecol Oncol. 2011;121:70-75.

STUDY

The "July phenomenon": is trauma the exception?

Schroeppel TJ, Fischer PE, Magnotti LJ, Croce MA, Fabian TC. J Am Coll Surg. 2009;209:378-384.

STUDY

Hospital-wide code rates and mortality before and after implementation of a rapid response team.

Chan PS, Khalid A, Longmore LS, Berg RA, Kosiborod M, Spertus JA. JAMA. 2008;300:2506-2513.

STUDY

The association between transfer of emergency department boarders to inpatient hallways and mortality: a 4-year experience.

Viccellio A, Santora C, Singer AJ, Thode HC Jr, Henry MC. Ann Emerg Med. 2009;54:511-513.

STUDY

Preventable morbidity at a mature trauma center.

Teixeira PGR, Inaba K, Salim A, et al. Arch Surg. 2009;144:536-541.

BOOK/REPORT

Patient Safety in Canada: An Update.

Ottawa, ON, Canada: Canadian Institute for Health Information; August 14, 2007.

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.

STUDY

Association between implementation of a medical team training program and surgical morbidity.

Young-Xu Y, Neily J, Mills PD, et al. Arch Surg. 2011;146:1368-1373.

STUDY

Simulation as a tool to improve the safety of pre-hospital anaesthesia—a pilot study.

Batchelder AJ, Steel A, Mackenzie R, Hormis AP, Daniels TS, Holding N. Anaesthesia. 2009;64:978-983.

STUDY

Diagnostic accuracy of emergency nurse practitioners versus physicians related to minor illnesses and injuries.

van der Linden C, Reijnen R, de Vos R. J Emerg Nurs. 2010;36:311-316.

BOOK/REPORT

Patient Safety Authority Annual Reports.

Harrisburg, PA: Patient Safety Authority; April 2013.

STUDY

Association between Leapfrog safe practices score and hospital mortality in major surgery.

Qian F, Lustik SJ, Diachun CA, Wissler RN, Zollo RA, Glance LG. Med Care. 2011;49:1082-1088.

BOOK/REPORT

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

STUDY

Using Medical Emergency Teams to detect preventable adverse events.

Iyengar A, Baxter A, Forster AJ. Crit Care. 2009;13:R126.

STUDY

Trauma resuscitation errors and computer-assisted decision support.

Fitzgerald M, Cameron P, Mackenzie C, et al. Arch Surg. 2011;146:218-225.

STUDY

Errors with concentrated epinephrine in otolaryngology.

Shah RK, Hoy E, Roberson DW, Nielsen D. Laryngoscope. 2008 Nov; 118: 1928-30.

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