AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (133)

•Diagnostic Errors (111)

•Identification Errors (96)

•Discontinuities, Gaps, and Hand-Off Problems (357)

•Fatigue and Sleep Deprivation (72)

•Medication Safety (839)

•Medical Complications (402)

•Nonsurgical Procedural Complications (69)

•Surgical Complications (337)

•Transfusion Complications (13)

•Psychological and Social Complications (123)

Origin/Sponsor

•Australia and New Zealand (74)

•Central and South America (4)

•Europe (282)

•North America (2824)

Resource Types

•Audiovisual (24)

•Bibliography (3)

•Book/Report (244)

•Clinical Guideline (3)

•Journal Article (2281)

•Legislation/Regulation (46)

•Meeting/Conference (42)

•Newsletter/Journal (12)

•Newspaper/Magazine Article (334)

•Press Release/Announcement (24)

•Special or Theme Issue (65)

•Tools/Toolkit (44)

•Web Resource (99)

Error Types

•Epidemiology of Errors and Adverse Events (642)

•Active Errors (400)

•Latent Errors (175)

•Near Miss (56)

Approach to Improving Safety

•Quality Improvement Strategies (1005)

•Legal and Policy Approaches (429)

•Error Reporting and Analysis (922)

•Communication Improvement (879)

•Human Factors Engineering (386)

•Teamwork (408)

•Specialization of Care (255)

•Logistical Approaches (228)

•Culture of Safety (609)

•Technologic Approaches (589)

•Education and Training (614)

Clinical Areas

•Allied Health Services (13)

•Dentistry (1)

•Medicine (2045)

•Nursing (183)

•Pharmacy (282)

Target Audience
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Health Care Executives and Administrators

•Facility and Group Administrators (174)

•Nurse Managers (140)

•Risk Managers (281)

•Quality and Safety Professionals (1042)

Setting of Care

•Hospitals (2025)

•Psychiatric Facilities (15)

•Residential Facilities (66)

•Ambulatory Care (255)

•Outpatient Surgery (33)

•Patient Transport (24)

1 - 20 of 3273

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STUDY

Professionalism: a necessary ingredient in a culture of safety.

DuPree E, Anderson R, McEvoy MD, Brodman M. Jt Comm J Qual Patient Saf. 2011;37:447-455.

SPECIAL OR THEME ISSUE

Improving Health Care Quality.

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

AWARD RECIPIENT

2006 Quest for Quality Prize.

Runy LA. Hosp Health Netw. September 2006.

TOOLKIT

Making Strides in Safety.

Chicago, IL: American Medical Association.

STUDY

classic

Liability claims and costs before and after implementation of a medical error disclosure program.

Kachalia A, Kaufman SR, Boothman R, et al. Ann Intern Med. 2010;153:213-221.

STUDY

Prevalence of polypharmacy exposure among hospitalized children in the United States.

Feudtner C, Dai D, Hexem KR, Luan X, Metjian TA. Arch Pediatr Adolesc Med. 2012;166:9-16.

BOOK/REPORT

Health Care Leader Action Guide to Reduce Avoidable Readmissions.

Osei-Anto A, Joshi M, Audet AJ, Berman A, Jencks SF. New York, NY: The Commonwealth Fund, The John Hartford Foundation, Health Research and Educational Trust; January 25, 2010.

MEASUREMENT TOOL/INDICATOR

Medication Safety Self Assessment for Automated Dispensing Cabinets.

Horsham, PA: Institute for Safe Medication Practices; 2009.

STUDY

The objective impact of clinical peer review on hospital quality and safety.

Edwards MT. Am J Med Qual. 2011;26:110-119.

STUDY

Improving teamwork: impact of structured interdisciplinary rounds on a medical teaching unit.

O'Leary KJ, Wayne DB, Haviley C, Slade ME, Lee J, Williams MV. J Gen Intern Med. 2010;25:826-832.

STUDY

Teamwork on inpatient medical units: assessing attitudes and barriers.

O'Leary KJ, Ritter CD, Wheeler H, Szekendi MK, Brinton TS, Williams MV. Qual Saf Health Care. 2010;19:117-121.

NEWSPAPER/MAGAZINE ARTICLE

Standards, audits, and saying I'm sorry: an engineer's family proposes solutions.

Wojcieszak D. Patient Safety Qual Healthc. May/June 2005;2:6, 8-9.

STUDY

Resident fatigue: is there a patient safety issue?

Mitchell CD, Mooty CR, Dunn EL, Ramberger KC, Mangram AJ. Am J Surg. 2009;198:811-816.

STUDY

Parents' perceptions of medical errors.

Mazor KM, Goff SL, Dodd KS, Velten SJ, Walsh KE. J Patient Saf. 2010;6:102-107.

NEWSPAPER/MAGAZINE ARTICLE

The best medical care in the U.S.

Arnst C. Business Week. July 17, 2006.

COMMENTARY

ISMP medication error report analysis.

Cohen MC. Hosp Pharm. 2009;44:374-378.

STUDY

Patient safety rounds in a pediatric tertiary care center.

Rinke ML, Zimmer KP, Lehmann CU, et al. Jt Comm J Qual Patient Saf. 2008;34:5-12.

NEWSPAPER/MAGAZINE ARTICLE

Survive your doctor.

Holt TE. Men's Health. November 3, 2006.

NEWSPAPER/MAGAZINE ARTICLE

Are we finally getting serious about medical errors?

Burns J. Managed Care Magazine. May 2011;20:23-28.

NEWSPAPER/MAGAZINE ARTICLE

Empowering families in emergencies.

Spath PL. Hospital & Health Networks. February 20, 2007.

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