AHRQ Patient Safety Network

The Collection > Quality and Safety Professionals

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Safety Target

•Device-related Complications (100)

•Diagnostic Errors (103)

•Identification Errors (74)

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

•Fatigue and Sleep Deprivation (58)

•Medication Safety (635)

•Medical Complications (266)

•Nonsurgical Procedural Complications (64)

•Surgical Complications (293)

•Transfusion Complications (9)

•Psychological and Social Complications (68)

Origin/Sponsor

•Asia (29)

•Australia and New Zealand (75)

•Central and South America (3)

•Europe (248)

•North America (1798)

Resource Types

•Audiovisual (10)

•Award (6)

•Book/Report (73)

•Clinical Guideline (3)

•Journal Article (1824)

•Legislation/Regulation (26)

•Meeting/Conference (13)

•Newsletter/Journal (4)

•Newspaper/Magazine Article (132)

•Press Release/Announcement (14)

•Special or Theme Issue (27)

•Tools/Toolkit (20)

•Web Resource (35)

•Grant (3)

Error Types

•Epidemiology of Errors and Adverse Events (573)

•Active Errors (363)

•Latent Errors (127)

•Near Miss (48)

Approach to Improving Safety

•Quality Improvement Strategies (602)

•Legal and Policy Approaches (121)

•Error Reporting and Analysis (644)

•Communication Improvement (516)

•Human Factors Engineering (329)

•Teamwork (246)

•Specialization of Care (171)

•Logistical Approaches (170)

•Culture of Safety (284)

•Technologic Approaches (386)

•Education and Training (410)

Clinical Areas

•Allied Health Services (7)

•Complementary and Alternative Medicine (1)

Target Audience
< All

Quality and Safety Professionals

Setting of Care

•Hospitals (1415)

•Psychiatric Facilities (6)

•Residential Facilities (37)

•Ambulatory Care (155)

•Outpatient Surgery (21)

•Patient Transport (19)

1 - 20 of 2190

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STUDY

Pediatric rapid response teams in the academic medical center.

Mistry KP, Turi J, Hueckel R, Mericle JM, Meliones JN. Clin Ped Emerg Med. 2006;7:241-247.

COMMENTARY

Findings of the first consensus conference on medical emergency teams.

Devita MA, Bellomo R, Hillman K, et al. Crit Care Med. 2006;34;2463-2478.

NEWSPAPER/MAGAZINE ARTICLE

What pilots can teach hospitals about patient safety.

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

STUDY

Healthcare provider complaints to the emergency department: a preliminary report on a new quality improvement instrument.

Griffey RT, Bohan JS. Qual Saf Health Care. 2006;15:344-346.

STUDY

Incidents during out-of-hospital patient transportation.

Flabouris A, Runciman WB, Levings B. Anaesth Intensive Care. 2006;34:228-236.

COMMENTARY

Right? Left? Neither!

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

STUDY

Dropping the baton during the handoff from emergency department to primary care: pediatric asthma continuity errors.

Hsiao AL, Shiffman RN. Jt Comm J Qual Patient Saf. 2009;35:467-474.

STUDY

Missed and delayed diagnoses in the emergency department: a study of closed malpractice claims from 4 liability insurers.

Kachalia A, Gandhi TK, Puopolo AL, et al. Ann Emerg Med. Ann Emerg Med. 2007;49:196-205.

STUDY

Using a preprinted order sheet to reduce prescription errors in a pediatric emergency department: a randomized, controlled trial.

Kozer E, Scolnik D, MacPherson A, Rauchwerger D, Koren G. Pediatrics. 2005;116:1299-1302.

STUDY

Teamwork errors in trauma resuscitation.

Sarcevic A, Marsic I, Burd RS. ACM Trans Comput Hum Interact. 2012;19:13:1-13:30.

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.

BOOK/REPORT

Pediatric Patient Safety in the Emergency Department.

Krug SE, ed. Oak Brook, IL: Joint Commission Resources and the American Academy of Pediatrics; 2010. ISBN: 9781599402123.

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.

ORGANIZATIONAL POLICY/GUIDELINES

Patient safety in the pediatric emergency care setting.

Krug SE, Frush K, for the Committee on Pediatric Emergency Medicine and American Academy of Pediatrics. Pediatrics. 2007;120:1367-1375.

STUDY

A reduction in cardiac arrests and duration of clinical instability after implementation of a paediatric rapid response system.

Hanson CC, Randolph GD, Erickson JA, et al. Qual Saf Health Care. 2009;18:500-504.

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

Enhancing patient safety in the pediatric emergency department: teams, communication, and lessons from crew resource management.

Pruitt CM, Liebelt EL. Pediatr Emerg Care. 2010;26:942-948.

REVIEW

Quality in cancer diagnosis.

Raab SS, Grzybicki DM. CA Cancer J Clin. 2010;60:139-165.

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.

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