AHRQ Patient Safety Network

The Collection > Facility and Group Administrators

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Safety Target

•Device-related Complications (11)

•Diagnostic Errors (26)

•Identification Errors (17)

•Discontinuities, Gaps, and Hand-Off Problems (77)

•Fatigue and Sleep Deprivation (28)

•Medication Safety (171)

•Medical Complications (40)

•Nonsurgical Procedural Complications (4)

•Surgical Complications (45)

•Transfusion Complications (3)

•Psychological and Social Complications (17)

Origin/Sponsor

•Asia (6)

•Australia and New Zealand (21)

Resource Types

•Clinical Guideline (1)

•Journal Article (434)

•Legislation/Regulation (7)

•Meeting/Conference (2)

•Newsletter/Journal (2)

•Newspaper/Magazine Article (53)

•Press Release/Announcement (1)

•Special or Theme Issue (5)

•Tools/Toolkit (13)

•Web Resource (12)

Error Types

•Epidemiology of Errors and Adverse Events (125)

•Active Errors (50)

•Latent Errors (36)

•Near Miss (14)

Approach to Improving Safety

•Quality Improvement Strategies (154)

•Legal and Policy Approaches (61)

•Error Reporting and Analysis (195)

•Communication Improvement (131)

•Human Factors Engineering (47)

•Teamwork (37)

•Specialization of Care (39)

•Logistical Approaches (64)

•Culture of Safety (97)

•Technologic Approaches (125)

•Education and Training (81)

Clinical Areas

•Allied Health Services (2)

•Complementary and Alternative Medicine (1)

•Medicine (339)

•Nursing (36)

•Pharmacy (32)

Target Audience
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Facility and Group Administrators

Setting of Care

•Hospitals (294)

•Psychiatric Facilities (1)

•Residential Facilities (28)

•Ambulatory Care (84)

•Outpatient Surgery (9)

•Patient Transport (5)

1 - 20 of 560

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NEWSPAPER/MAGAZINE ARTICLE

Ambulatory surgery facilities: a comprehensive review of medication error reports in Pennsylvania.

PA-PSRS Patient Saf Advis. September 2011;8:85-93.

REVIEW

Patient safety in dermatology: a review of the literature.

Cao LY, Taylor JS, Vidimos A. Dermatol Online J. 2010;16:3.

STUDY

The 80-hour work guidelines and resident survey perceptions of quality.

Biller CK, Antonacci AC, Pelletier S, et al. J Surg Res. 2006;135:275-281.

STUDY

Surgical specimen identification errors: a new measure of quality in surgical care.

Makary MA, Epstein J, Pronovost PJ, Millman EA, Hartmann EC, Freischlag JA. Surgery. 2007;141:450-455.

COMMENTARY

Using medical malpractice closed claims data to reduce surgical risk and improve patient safety.

Manuel BM, Greenwald LM. Bull Am Coll Surg. March 2007;92:27-30.

STUDY

Medication error reporting in nursing homes: identifying targets for patient safety improvement.

Greene SB, Williams CE, Pierson S, Hansen RA, Carey TS. Qual Saf Health Care. 2010;19:218-222.

STUDY

The American College of Surgeons' closed claims study: new insights for improving care.

Griffen FD, Stephens LS, Alexander JB, et al. J Am Coll Surg. 2007;204:561-569.

NEWSPAPER/MAGAZINE ARTICLE

Safety in ASCs: putting patients first.

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

COMMENTARY classic

Balancing "no blame" with accountability in patient safety.

Wachter RM, Pronovost PJ. N Engl J Med. 2009;361:1401-1406.

STUDY

Novel use of electronic whiteboard in the operating room increases surgical team compliance with pre-incision safety practices.

Mainthia R, Lockney T, Zotov A, et al. Surgery. 2012;151:660-666.

STUDY

The safety of hospital stroke care.

Holloway RG, Tuttle D, Baird T, Skelton WK. Neurology. 2007;68:550-555.

STUDY

Patterns of communication breakdowns resulting in injury to surgical patients.

Greenberg CC, Regenbogen SE, Studdert DM, et al. J Am Coll Surg. 2007;204:533-540.

STUDY

Medication errors in paediatric outpatients.

Kaushal R, Goldmann DA, Keohane CA, et al. Qual Saf Health Care. 2010;19:e30.

COMMENTARY

Eliminating perioperative adverse events at Ascension Health.

Ewing H, Bruder G, Baroco P, Hill M, Sparkman LP. Jt Comm J Qual Patient Saf. 2007;33:256-266.

STUDY

Outpatient adverse drug events identified by screening electronic health records.

Gandhi TK, Seger AC, Overhage JM, et al. J Patient Saf. 2010;6;91-96.

STUDY

The association between EMS workplace safety culture and safety outcomes.

Weaver MD, Wang HE, Fairbanks RJ, Patterson D. Prehosp Emerg Care. 2012;16:43-52.

STUDY

What happens between visits? Adverse and potential adverse events among a low-income, urban, ambulatory population with diabetes.

Sarkar U, Handley MA, Gupta R, et al. Qual Saf Health Care. 2010;19:223-228.

REVIEW

Quality in cancer diagnosis.

Raab SS, Grzybicki DM. CA Cancer J Clin. 2010;60:139-165.

STUDY

Electronic prescribing improves medication safety in community-based office practices.

Kaushal R, Kern LM, Barrón Y, Quaresimo J, Abramson EL. J Gen Intern Med. 2010;25:530-536.

COMMENTARY

Critical diagnoses (critical values) in anatomic pathology.

Association of Directors of Anatomic and Surgical Pathology. Hum Pathol. 2006;37:982-984.

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