AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (28)

•Diagnostic Errors (18)

•Identification Errors (4)

•Discontinuities, Gaps, and Hand-Off Problems (18)

•Fatigue and Sleep Deprivation (2)

•Medication Safety (55)

•Medical Complications (31)

•Nonsurgical Procedural Complications (2)

•Surgical Complications (18)

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•Asia (1)

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•Journal Article (219)

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•Meeting/Conference (5)

•Newspaper/Magazine Article (18)

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•Special or Theme Issue (9)

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Error Types

•Epidemiology of Errors and Adverse Events (73)

•Active Errors (22)

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Approach to Improving Safety

•Quality Improvement Strategies (72)

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•Error Reporting and Analysis (107)

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•Education and Training (41)

Clinical Areas

•Medicine (147)

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Safety Scientists

Setting of Care

•Hospitals (131)

•Psychiatric Facilities (2)

•Residential Facilities (5)

•Ambulatory Care (27)

•Outpatient Surgery (2)

•Patient Transport (3)

1 - 20 of 281

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ILLINOIS MEETING/CONFERENCE

6th International Conference: Diagnostic Error in Medicine.

Society to Improve Diagnosis in Medicine. September 22–25, 2013; Northwestern University Feinberg School of Medicine, Chicago, IL.

STUDY

Diagnostic error in medicine: analysis of 583 physician-reported errors.

Schiff GD, Hasan O, Kim S, et al. Arch Intern Med. 2009;169:1881-1887.

STUDY

Use of simulation to assess electronic health record safety in the intensive care unit: a pilot study.

March CA, Steiger D, Scholl G, Mohan V, Hersh WR, Gold JA. BMJ Open. 2013;3:e002549.

REVIEW

High-fidelity simulation and safety: an integrative review.

Shearer JE. J Nurs Educ. 2012;52:39-45.

REVIEW

Does training with human patient simulation translate to improved patient safety and outcome?

Shear TD, Greenberg SB, Tokarczyk A. Curr Opin Anaesthesiol. 2013;26:159-163.

STUDY

25-Year summary of US malpractice claims for diagnostic errors 1986–2010: an analysis from the National Practitioner Data Bank.

Tehrani ASS, Lee HW, Mathews SC, et al. BMJ Qual Saf. 2013 Apr 22; [Epub ahead of print].

COMMENTARY

Using simulation to address hierarchy issues during medical crises.

Calhoun AW, Boone MC, Miller KH, Pian-Smith MC. Simul Healthc. 2013;8:13-19.

STUDY

Effect of the 2011 vs 2003 duty hour regulation-compliant models on sleep duration, trainee education, and continuity of patient care among internal medicine house staff: a randomized trial.

Desai SV, Feldman L, Brown L, et al. JAMA Intern Med. 2013;173:649-655.

STUDY

Medication prescribing and monitoring errors in primary care: a report from the Practice Partner Research Network.

Wessell AM, Litvin C, Jenkins RG, Nietert PJ, Nemeth LS, Ornstein SM. Qual Saf Health Care. 2010;19:e21.

STUDY

Data consistency in a voluntary medical incident reporting system.

Gong Y. J Med Syst. 2011;35:609-615.

NEWSPAPER/MAGAZINE ARTICLE

Software for symptoms.

Borzo J. Wall Street Journal. May 23, 2005:R10.

COMMENTARY

Human factors in patient safety as an innovation.

Carayon P. Appl Ergon. 2010;41:657-665.

STUDY

Improving patient safety using the sterile cockpit principle during medication administration: a collaborative, unit-based project.

Fore AM, Sculli GL, Albee D, Neily J. J Nurs Manag. 2013;21:106-111.

STUDY

The impact of electronic medical records data sources on an adverse drug event quality measure.

Kahn MG, Ranade D. J Am Med Inform Assoc. 2010;17:185-191.

MEETING/CONFERENCE PROCEEDINGS

Diagnostic Errors in Medicine 2010.

Society for Medical Decision Making. October 25–27, 2010; Sheraton Centre Toronto Hotel Toronto, Ontario, Canada.

STUDY

EMS helicopter crashes: what influences fatal outcome?

Baker SP, Grabowski JG, Dodd RS, Shanahan DF, Lamb MW, Li GH. Ann Emerg Med. 2006;47:351-356.

STUDY

Measuring inappropriate medical diagnosis and treatment in survey data: the case of ADHD among school-age children.

Evans WN, Morrill MS, Parente ST. J Health Econ. 2010;29:657-673.

STUDY

How best to measure surgical quality? Comparison of the Agency for Healthcare Research and Quality Patient Safety Indicators (AHRQ-PSI) and the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) postoperative adverse events at a single institution.

Cima RR, Lackore KA, Nehring SA, et al. Surgery. 2011;150:943-949.

SPECIAL OR THEME ISSUE

Health Literacy Research: Current Status and Future Directions.

Paasche-Orlow MK, Wilson EAH, McCormack L, eds. J Health Comm. 2010;15(suppl 2):1-225.

STUDY

National study on the distribution, causes, and consequences of voluntarily reported medication errors between the ICU and non-ICU settings.

Latif A, Rawat N, Pustavoitau A, Pronovost PJ, Pham JC. Crit Care Med. 2013;41:389-398.

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