AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (113)

•Diagnostic Errors (116)

•Identification Errors (83)

•Discontinuities, Gaps, and Hand-Off Problems (274)

•Fatigue and Sleep Deprivation (54)

•Medication Safety (707)

•Medical Complications (297)

•Nonsurgical Procedural Complications (77)

•Surgical Complications (312)

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•Psychological and Social Complications (67)

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•Australia and New Zealand (81)

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•Audiovisual (7)

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Error Types

•Epidemiology of Errors and Adverse Events (666)

•Active Errors (427)

•Latent Errors (140)

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Approach to Improving Safety

•Quality Improvement Strategies (585)

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•Error Reporting and Analysis (660)

•Communication Improvement (540)

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•Culture of Safety (274)

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•Education and Training (452)

Clinical Areas

•Allied Health Services (7)

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•Medicine (1670)

•Nursing (263)

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Quality and Safety Professionals

Setting of Care

•Hospitals (1610)

•Psychiatric Facilities (5)

•Residential Facilities (36)

•Ambulatory Care (162)

•Outpatient Surgery (21)

•Patient Transport (21)

1 - 20 of 2317

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COMMENTARY

Evolution of a rapid response system from voluntary to mandatory activation.

Jones CM, Bleyer AJ, Petree B. Jt Comm J Qual Patient Saf. 2010;36:266-270.

STUDY

A 5-year analysis of rapid response system activation at an in-hospital haemodialysis unit.

Galhotra S, Devita MA, Dew MA, Simmons RL. Qual Saf Health Care. 2010;19:e38.

STUDY

Defining the incidence of cardiorespiratory instability in patients in step-down units using an electronic integrated monitoring system.

Hravnak M, Edwards L, Clontz A, Valenta C, DeVita MA, Pinsky MR. Arch Intern Med. 2008;168:1300-1308.

STUDY

Leading successful rapid response teams: a multisite implementation evaluation.

Donaldson N, Shapiro S, Scott M, Foley M, Spetz J. J Nurs Adm. 2009;39:176-181.

STUDY

Nurse decision making in the prearrest period.

Gazarian PK, Henneman EA, Chandler GE. Clin Nurs Res. 2010;19:21-37.

STUDY

Unplanned transfers to a medical intensive care unit: causes and relationship to preventable errors in care.

Bapoje SR, Gaudiani JL, Narayanan V, Albert RK. J Hosp Med. 2011;6:68-72.

STUDY

Nurses' perceptions of how rapid response teams affect the nurse, team, and system.

Williams DJ, Newman A, Jones C, Woodard B. J Nurs Care Qual. 2011;26:265-272.

COMMENTARY

Clinical nurse specialists as leaders in rapid response.

Jenkins SD, Lindsey PL. Clin Nurse Spec. 2010;24:24-30.

STUDY

Rapid response teams seen through the eyes of the nurse.

Shapiro SE, Donaldson NE, Scott MB. Am J Nurs. 2010;110:28-34.

STUDY

The relationship between early emergency team calls and serious adverse events.

Chen J, Bellomo R, Flabouris A, Hillman K, Finfer S; MERIT Study Investigators for the Simpson Centre and ANZICS Clinical Trials Group. Crit Care Med. 2009;37:148-153.

STUDY

Retrospective review of emergency response activations during a 13-year period at a tertiary care children's hospital.

Wang GS, Erwin N, Zuk J, Henry DB, Dobyns EL. J Hosp Med. 2011;6:131-135.

COMMENTARY

Rapid response systems: from implementation to evidence base.

Sarani B, Scott S. Jt Comm J Qual Patient Saf. 2010;36:514-517.

COMMENTARY

Rethinking rapid response teams.

Litvak E, Pronovost PJ. JAMA. 2010;304:1375-1376.

COMMENTARY

Eliminating preventable death at Ascension Health.

Tolchin S, Brush R, Lange P, Bates P, Garbo JJ. Jt Comm J Qual Patient Saf. 2007;33:145-154.

STUDY

Timing and interventions of emergency teams during the MERIT study.

Flabouris A, Chen J, Hillman K, Bellomo R, Finfer S; The MERIT Study Investigators from the Simpson Centre and the ANZICs Clinical Trials Group. Resuscitation. 2010;81:25-30.

COMMENTARY

Development of a modified early warning score using the electronic medical record.

Albert BL, Huesman L. Dimens Crit Care Nurs. 2011;30:283-292.

STUDY

The role of the non-ICU staff nurse on a medical emergency team: perceptions and understanding.

Pusateri ME, Prior MM, Kiely SC. Am J Nurs. 2011;111:22-29.

STUDY

The impact of the medical emergency team on the resuscitation practice of critical care nurses.

Santiano N, Young L, Baramy LS, et al; Clinical Analysis Group. BMJ Qual Saf. 2011;20:115-120.

STUDY

Nurses' perceptions of simulation-based interprofessional training program for rapid response and code blue events.

Wehbe-Janek H, Lenzmeier CR, Ogden PE, et al. J Nurs Care Qual. 2012;27:43-50.

STUDY

How RNs rescue patients: a qualitative study of RNs' perceived involvement in rapid response teams.

Leach LS, Mayo A, O'Rourke M. Qual Saf Health Care. 2010;19:e13.

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