AHRQ Patient Safety Network

The Collection > Risk Managers

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Safety Target

•Device-related Complications (50)

•Diagnostic Errors (70)

•Identification Errors (35)

•Discontinuities, Gaps, and Hand-Off Problems (88)

•Fatigue and Sleep Deprivation (47)

•Medication Safety (265)

•Medical Complications (65)

•Nonsurgical Procedural Complications (31)

•Surgical Complications (127)

•Transfusion Complications (6)

•Psychological and Social Complications (29)

Origin/Sponsor

•Asia (26)

•Australia and New Zealand (28)

•Central and South America (1)

Resource Types

•Clinical Guideline (1)

•Journal Article (728)

•Legislation/Regulation (9)

•Meeting/Conference (1)

•Newsletter/Journal (3)

•Newspaper/Magazine Article (68)

•Press Release/Announcement (14)

•Special or Theme Issue (8)

•Tools/Toolkit (6)

•Web Resource (7)

•Grant (1)

Error Types

•Epidemiology of Errors and Adverse Events (299)

•Active Errors (161)

•Latent Errors (54)

•Near Miss (28)

Approach to Improving Safety

•Quality Improvement Strategies (203)

•Legal and Policy Approaches (106)

•Error Reporting and Analysis (386)

•Communication Improvement (163)

•Human Factors Engineering (125)

•Teamwork (44)

•Specialization of Care (33)

•Logistical Approaches (75)

•Culture of Safety (69)

•Technologic Approaches (124)

•Education and Training (101)

Clinical Areas

•Allied Health Services (2)

Target Audience
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Risk Managers

Setting of Care

•Hospitals (487)

•Psychiatric Facilities (5)

•Residential Facilities (12)

•Ambulatory Care (56)

•Outpatient Surgery (12)

•Patient Transport (10)

1 - 20 of 886

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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.

TOOLKIT

Patient Safety Rounding Toolkit.

Dana-Farber Cancer Institute.

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.

SPECIAL OR THEME ISSUE

Patient Safety in Pediatric Emergency Medicine.

Frush KS, Hohenhaus SM, eds. Clin Ped Emerg Med. 2006;7:213-277.

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.

COMMENTARY

Right? Left? Neither!

Howell EA, Chassin MR. AHRQ WebM&M [serial online]. May 2006.

STUDY

The effects of on-duty napping on intern sleep time and fatigue.

Arora V, Dunphy C, Chang VY, Ahmad F, Humphrey HJ, Meltzer D. Ann Intern Med. 2006;144:792-798.

STUDY

Attitudes and barriers to incident reporting: a collaborative hospital study.

Evans SM, Berry JG, Smith BJ, et al. Qual Saf Health Care. 2006;15:39-43.

AUDIOVISUAL

Empowering Better Nursing Care.

Robert Wood Johnson Foundation.

STUDY

Outcomes of care by hospitalists, general internists, and family physicians.

Lindenauer PK, Rothberg MB, Pekow PS, Kenwood C, Benjamin EM, Auerbach AD. N Engl J Med. 2007;357:2589-2600.

COMMENTARY

System errors in intrapartum electronic fetal monitoring: a case review.

Miller LA. J Midwifery Womens Health. 2005;50:507-516.

STUDY

Potassium and phosphorus repletion in hospitalized patients: implications for clinical practice and the potential use of healthcare information technology to improve prescribing and patient safety.

Hemstreet BA, Stolpman N, Badesch DB, May SK, McCollum M. Curr Med Res Opin. 2006;22:2449-2455.

STUDY

What is the measure of a safe hospital? Medication errors missed by risk management, clinical staff, and surveyors.

Grasso BC, Rothschild JM, Jordan CW, Jayaram G. J Psychiatr Pract. 2005;11:268-273.

COMMENTARY

A multifaceted approach to improve patient safety, prevent medical errors and resolve the professional liability crisis.

Weinstein L. Am J Obstet Gynecol. 2006;194:1160-1165; discussion 1165-1167.

STUDY

Resident attitudes regarding the impact of the 80–duty-hours work standards.

Zonia SC, LaBaere RJ, Stommel M, Tomaszewski DD. J Am Osteopath Assoc. 2005;105:307-313.

STUDY

Drug-induced hypoglycaemia--new insight into an old problem.

Ching CK, Lai CK, Poon WT, et al. Hong Kong Med J. 2006;12:334-338.

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.

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.

NEWSPAPER/MAGAZINE ARTICLE

Manic for medication safety: bar codes and drug information databases are helping to reduce medication errors.

Rogoski RR. Health Manage Technol. February 2007;28:14, 16-18.

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