AHRQ Patient Safety Network

The Collection > Risk Managers

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Safety Target

•Device-related Complications (40)

•Diagnostic Errors (61)

•Identification Errors (33)

•Discontinuities, Gaps, and Hand-Off Problems (68)

•Fatigue and Sleep Deprivation (41)

•Medication Safety (206)

•Medical Complications (42)

•Nonsurgical Procedural Complications (26)

•Surgical Complications (117)

•Transfusion Complications (5)

•Psychological and Social Complications (23)

Origin/Sponsor

•Asia (8)

•Australia and New Zealand (17)

Resource Types

•Journal Article (566)

•Legislation/Regulation (9)

•Meeting/Conference (1)

•Newsletter/Journal (2)

•Newspaper/Magazine Article (65)

•Press Release/Announcement (10)

•Special or Theme Issue (4)

•Tools/Toolkit (6)

•Web Resource (7)

•Grant (1)

Error Types

•Epidemiology of Errors and Adverse Events (227)

•Active Errors (133)

•Latent Errors (39)

•Near Miss (21)

Approach to Improving Safety

•Quality Improvement Strategies (168)

•Legal and Policy Approaches (90)

•Error Reporting and Analysis (295)

•Communication Improvement (136)

•Human Factors Engineering (98)

•Teamwork (36)

•Specialization of Care (29)

•Logistical Approaches (63)

•Culture of Safety (52)

•Technologic Approaches (105)

•Education and Training (94)

Clinical Areas

•Allied Health Services (1)

Target Audience
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Risk Managers

Setting of Care

•Hospitals (369)

•Psychiatric Facilities (2)

•Residential Facilities (11)

•Ambulatory Care (45)

•Outpatient Surgery (10)

•Patient Transport (8)

1 - 20 of 700

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NEWSPAPER/MAGAZINE ARTICLE

Patient safety in the ED.

Scalise D, Lazar C. Hosp Health Netw. May 2006:80:5,48,2.

STUDY

The role of surgeon error in withdrawal of postoperative life support.

Schwarze ML, Redmann AJ, Brasel KJ, Alexander GC. Ann Surg. 2012;256:10-15.

STUDY

Retained surgical items: a problem yet to be solved.

Stawicki SP, Moffatt-Bruce SD, Ahmed HM, et al. J Am Coll Surg. 2013;216:15-22.

STUDY

Impact of resident participation in surgical operations on postoperative outcomes: National Surgical Quality Improvement Program.

Kiran RP, Ahmed Ali U, Coffey JC, Vogel JD, Pokala N, Fazio VW. Ann Surg. 2012;256:469-475.

STUDY

Wrong-side/wrong-site, wrong-procedure, and wrong-patient adverse events: are they preventable?

Seiden SC, Barach P. Arch Surg. 2006;141:931-939.

NEWSPAPER/MAGAZINE ARTICLE

Handwritten-prescription ban puts pharmacists in awkward position as "enforcers."

Ostrom CM. Seattle Times. June 22, 2006:B1.

NEWSPAPER/MAGAZINE ARTICLE

Safety in ASCs: putting patients first.

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

STUDY

Operating room briefings and wrong-site surgery.

Makary MA, Mukherjee A, Sexton BJ, et al. J Am Coll Surg. 2007;204:236-243.

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

The impact of the 80-hour resident workweek on surgical residents and attending surgeons.

Hutter MM, Kellogg KC, Ferguson CM, Abbott WM, Warshaw AL. Ann Surg. 2006;243:864-871; discussion 871-875.

BOOK/REPORT

Annual Benchmarking Report: Malpractice Risks in Surgery.

Cambridge, MA: CRICO/RMF Strategies; 2010.

STUDY

The impact of abbreviations on patient safety.

Brunetti L, Santell JP, Hicks RW. Jt Comm J Qual Patient Saf. 2007;33:576-583.

NEWSPAPER/MAGAZINE ARTICLE

What pilots can teach hospitals about patient safety.

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

STUDY

Resident work hour limits and patient safety.

Poulose BK, Ray WA, Arbogast PG, et al. Ann Surg. 2005;241:847-860.

STUDY

Surgeon age and operative mortality in the United States.

Waljee JF, Greenfield LJ, Dimick JB, Birkmeyer JD. Ann Surg. 2006;244:353-362.

FACT SHEET/FAQS

Medication safety issue brief. Counterfeit drug prevention and identification.

American Hospital Association, American Society of Health-System Pharmacists, Hospitals and Health Networks. Hosp Health Netw. August 2005;79.29-30.

COMMENTARY

The impact of transparency on patient safety and liability.

Griffen FD. Bull Am Coll Surg. 2008;93:19-23.

STUDY

Practice-based learning and improvement: a two-year experience with the reporting of morbidity and mortality cases by general surgery residents.

Falcone JL, Lee KKW, Billiar TR, Hamad GG. J Surg Educ. 2012;69:385-392.

STUDY

Time of day effects on the incidence of anesthetic adverse events.

Wright MC, Phillips-Bute B, Mark JB, et al. Qual Saf Health Care. 2006;15:258-263.

STUDY

Gossypiboma: tales of lost sponges and lessons learned.

McIntyre LK, Jurkovich GJ, Gunn MLD, Maier RV. Arch Surg. 2010;145:770-775.

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