AHRQ Patient Safety Network

The Collection > Facility and Group Administrators

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Safety Target

•Device-related Complications (7)

•Diagnostic Errors (20)

•Identification Errors (10)

•Discontinuities, Gaps, and Hand-Off Problems (78)

•Fatigue and Sleep Deprivation (25)

•Medication Safety (89)

•Medical Complications (14)

•Nonsurgical Procedural Complications (2)

•Surgical Complications (30)

•Psychological and Social Complications (15)

Origin/Sponsor

•Asia (2)

•Australia and New Zealand (8)

Resource Types

•Clinical Guideline (1)

•Journal Article (229)

•Legislation/Regulation (3)

•Meeting/Conference (1)

•Newsletter/Journal (1)

•Newspaper/Magazine Article (20)

•Press Release/Announcement (1)

•Special or Theme Issue (4)

•Tools/Toolkit (7)

•Web Resource (2)

Error Types

•Epidemiology of Errors and Adverse Events (59)

•Active Errors (35)

•Latent Errors (45)

•Near Miss (8)

Approach to Improving Safety

•Quality Improvement Strategies (93)

•Legal and Policy Approaches (28)

•Error Reporting and Analysis (99)

•Communication Improvement (85)

•Human Factors Engineering (28)

•Teamwork (18)

•Specialization of Care (19)

•Logistical Approaches (46)

•Culture of Safety (34)

•Technologic Approaches (56)

•Education and Training (51)

Clinical Areas

•Allied Health Services (1)

•Medicine (204)

•Nursing (19)

•Pharmacy (13)

Target Audience
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Facility and Group Administrators

Setting of Care

•Hospitals (156)

•Psychiatric Facilities (1)

•Residential Facilities (10)

•Ambulatory Care (32)

•Outpatient Surgery (6)

•Patient Transport (5)

1 - 20 of 285

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STUDY

The importance of establishing regimen concordance in preventing medication errors in anticoagulant care.

Schillinger D, Wang F, Rodriguez M, Bindman A, Machtinger EL. J Health Comm. 2006;11:555-567.

COMMENTARY

Deciphering the Code

Goldstein MK. AHRQ WebM&M [serial online]. Febuary 2006.

STUDY

Missed and delayed diagnoses in the ambulatory setting: a study of closed malpractice claims.

Gandhi TK, Kachalia A, Thomas EJ, et al. Ann Intern Med. 2006;145:488-496.

COMMENTARY

Delay in Initiating Antibiotics Leads to Fatal Error.

Bellini LM. AHRQ WebM&M [serial online]. February 2004.

COMMENTARY

Triage Time Bomb.

Washington DL. AHRQ WebM&M [serial online]. January 2004.

STUDY

Risk of medication errors at hospital discharge and barriers to problem resolution.

Enguidanos SM, Brumley RD. Home Health Care Serv Q. 2005;24:123-135.

STUDY

Delayed or missed diagnosis of cervical spine injuries.

Platzer P, Hauswirth N, Jaindl M, Chatwani S, Vecsei V, Gaebler C. J Trauma. 2006;61:150-155.

STUDY

Missed and delayed diagnoses in the emergency department: a study of closed malpractice claims from 4 liability insurers.

Kachalia A, Gandhi TK, Puopolo AL, et al. Ann Emerg Med. Ann Emerg Med. 2007;49:196-205.

NEWSPAPER/MAGAZINE ARTICLE

Our long journey towards a safety-minded just culture. Part II: where we're going.

ISMP Medication Safety Alert! Acute Care Edition. September 21, 2006;11:1-2.

NEWSPAPER/MAGAZINE ARTICLE

Promethazine conundrum: IV can hurt more than IM injection!

ISMP Medication Safety Alert! Acute Care Edition. November 2, 2006;11:1-3.

STUDY

The effect of the fit between organizational culture and structure on medication errors in medical group practices.

Kaissi A, Kralewski J, Dowd B, Heaton A. Health Care Manage Rev. 2007;32:12-21.

STUDY

Insufficient communication about medication use at the interface between hospital and primary care.

Glintborg B, Andersen SE, Dalhoff K. Qual Saf Health Care. 2007;16:34-39.

NEWSPAPER/MAGAZINE ARTICLE

Safety in ASCs: putting patients first.

Dix K. Today's Surgicenter. December 1, 2006.

COMMENTARY

It's All in the Syringe

Weingart SN. AHRQ WebM&M [serial online]. August 2006.

REVIEW

Coordinating care across diseases, settings, and clinicians: a key role for the generalist in practice.

Stille CJ, Jerant A, Bell D, Meltzer D, Elmore JG. Ann Intern Med. 2005;142:700-708.

COMMENTARY

Discharge Against Medical Advice.

Hwang SW. WebM&M [serial online]. May 2005.

COMMENTARY

The Dangerous Detour.

Gibson J, Taylor D. AHRQ WebM&M [serial online]. June 2003.

COMMENTARY

Suicidal Man with Gun.

Simon RI. AHRQ WebM&M [serial online]. May 2003.

COMMENTARY

Electronic Err.

Tang PC. AHRQ WebM&M [serial online]. October 2004.

COMMENTARY classic

How can we make diagnosis safer?

Schiff GD, Leape LL. Acad Med. 2012;87:135-138.

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