AHRQ Patient Safety Network

The Collection > Facility and Group Administrators

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Safety Target

•Device-related Complications (9)

•Diagnostic Errors (21)

•Identification Errors (16)

•Discontinuities, Gaps, and Hand-Off Problems (65)

•Fatigue and Sleep Deprivation (28)

•Medication Safety (160)

•Medical Complications (38)

•Nonsurgical Procedural Complications (4)

•Surgical Complications (38)

•Transfusion Complications (3)

•Psychological and Social Complications (14)

Origin/Sponsor

•Asia (5)

•Australia and New Zealand (21)

Resource Types

•Clinical Guideline (1)

•Journal Article (396)

•Legislation/Regulation (6)

•Meeting/Conference (2)

•Newsletter/Journal (2)

•Newspaper/Magazine Article (52)

•Press Release/Announcement (1)

•Special or Theme Issue (5)

•Tools/Toolkit (10)

•Web Resource (12)

Error Types

•Epidemiology of Errors and Adverse Events (109)

•Active Errors (43)

•Latent Errors (26)

•Near Miss (12)

Approach to Improving Safety

•Quality Improvement Strategies (140)

•Legal and Policy Approaches (52)

•Error Reporting and Analysis (183)

•Communication Improvement (113)

•Human Factors Engineering (42)

•Teamwork (36)

•Specialization of Care (33)

•Logistical Approaches (60)

•Culture of Safety (90)

•Technologic Approaches (119)

•Education and Training (72)

Clinical Areas

•Allied Health Services (2)

•Complementary and Alternative Medicine (1)

•Medicine (295)

•Nursing (33)

•Pharmacy (29)

Target Audience
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Facility and Group Administrators

Setting of Care

•Hospitals (268)

•Residential Facilities (25)

•Ambulatory Care (73)

•Outpatient Surgery (9)

•Patient Transport (4)

1 - 20 of 515

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NEWSPAPER/MAGAZINE ARTICLE

What pilots can teach hospitals about patient safety.

Murphy K. New York Times. October 31, 2006:F5.

NEWSLETTER/JOURNAL

Laboratory Errors & Patient Safety.

Seattle, WA: Medical Training Solutions.

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.

STUDY

Comparison and interpretation of urinalysis performed by a nephrologist versus a hospital-based clinical laboratory.

Tsai JJ, Yeun JY, Kumar VA, Don BR. Am J Kidney Dis. 2005;46:820-829.

NEWSPAPER/MAGAZINE ARTICLE

Medical errors still claiming many lives.

Weise E. USA Today. May 18, 2005.

BOOK/REPORT

Improving America's Hospitals: A Report on Quality and Safety.

Oakbrook Terrace, IL: The Joint Commission; March 2007.

STUDY

Quality improvement to decrease specimen mislabeling in transfusion medicine.

Quillen K, Murphy K. Arch Pathol Lab Med. 2006;130:1196-1198.

COMMENTARY

Critical diagnoses (critical values) in anatomic pathology.

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

COMMENTARY

Crossing to safety: transforming healthcare organizations for patient safety.

Ralston JD, Larson EB. J Postgrad Med. 2005;51:61-67.

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

Medical error identification, disclosure, and reporting: do emergency medicine provider groups differ?

Hobgood C, Weiner B, Tamayo-Sarver JH. Acad Emerg Med. 2006;13:443-451.

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.

BOOK/REPORT

Committed to Safety: Ten Case Studies on Reducing Harm to Patients.

McCarthy D, Blumenthal D. New York, NY: The Commonwealth Fund; April 2006.

TOOLKIT

Patient Safety Rounding Toolkit.

Dana-Farber Cancer Institute.

MULTI-USE WEBSITE

Culture - Patient Safety.

Premiere, Inc.

NEWSPAPER/MAGAZINE ARTICLE

Buried answers.

Dobbs D. New York Times Magazine. April 24, 2005;sect 6:40.

NEWSPAPER/MAGAZINE ARTICLE

Soaring to new safety heights.

Ketter P. T&D. January 2006;60:51-54.

NEWSPAPER/MAGAZINE ARTICLE

Our long journey towards a safety-minded just culture. Part I: Where we've been.

ISMP Medication Safety Alert! Acute Care Edition. September 7, 2006;11:1-3.

STUDY

Error tracking in a clinical biochemistry laboratory.

Szecsi PB, Ødum L. Clin Chem Lab Med. 2009;47:1253-1257.

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