AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (119)

•Diagnostic Errors (128)

•Identification Errors (85)

•Discontinuities, Gaps, and Hand-Off Problems (302)

•Fatigue and Sleep Deprivation (55)

•Medication Safety (755)

•Medical Complications (306)

•Nonsurgical Procedural Complications (79)

•Surgical Complications (335)

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•Psychological and Social Complications (69)

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•Australia and New Zealand (93)

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•Audiovisual (7)

•Book/Report (72)

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Error Types

•Epidemiology of Errors and Adverse Events (758)

•Active Errors (453)

•Latent Errors (153)

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Approach to Improving Safety

•Quality Improvement Strategies (612)

•Legal and Policy Approaches (114)

•Error Reporting and Analysis (718)

•Communication Improvement (562)

•Human Factors Engineering (386)

•Teamwork (240)

•Specialization of Care (182)

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•Culture of Safety (282)

•Technologic Approaches (440)

•Education and Training (468)

Clinical Areas

•Allied Health Services (7)

•Dentistry (4)

•Medicine (1756)

•Nursing (276)

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Target Audience
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Quality and Safety Professionals

Setting of Care

•Hospitals (1677)

•Psychiatric Facilities (6)

•Residential Facilities (36)

•Ambulatory Care (172)

•Outpatient Surgery (22)

•Patient Transport (21)

1 - 20 of 2436

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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.

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

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.

REVIEW

classic

Rapid response teams: a systematic review and meta-analysis.

Chan PS, Jain R, Nallmothu BK, Berg RA, Sasson C. Arch Intern Med. 2010;170:18-26.

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.

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.

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

Attitudes and barriers to a medical emergency team system at a tertiary paediatric hospital.

Azzopardi P, Kinney S, Moulden A, Tibballs J. Resuscitation. 2011;82:167-174.

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.

STUDY

Improving situation awareness to reduce unrecognized clinical deterioration and serious safety events.

Brady PW, Muething S, Kotagal U, et al. Pediatrics. 2013;131:e298-e308.

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.

COMMENTARY

Clinical nurse specialists as leaders in rapid response.

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

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

Uncovering system errors using a rapid response team: cross-coverage caught in the crossfire.

Kaplan LJ, Maerz LL, Schuster K, et al. J Trauma. 2009;67:173-179.

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

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.

STUDY

Epidemiology and patient outcome after medical emergency team calls triggered by atrial fibrillation.

Schneider A, Calzavacca P, Jones D, Bellomo R. Resuscitation. 2011;82:410-414.

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.

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