AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (23)

•Diagnostic Errors (11)

•Identification Errors (2)

•Discontinuities, Gaps, and Hand-Off Problems (14)

•Fatigue and Sleep Deprivation (4)

•Medication Safety (62)

•Medical Complications (33)

•Nonsurgical Procedural Complications (4)

•Surgical Complications (25)

•Transfusion Complications (1)

•Psychological and Social Complications (8)

Origin/Sponsor

•Australia and New Zealand (10)

•Europe (114)

•North America (202)

Resource Types

•Audiovisual (1)

•Book/Report (28)

•Journal Article (240)

•Legislation/Regulation (5)

•Meeting/Conference (7)

•Newspaper/Magazine Article (13)

•Press Release/Announcement (5)

•Special or Theme Issue (15)

•Tools/Toolkit (3)

•Web Resource (8)

Error Types

•Epidemiology of Errors and Adverse Events (44)

•Active Errors (18)

•Latent Errors (24)

•Near Miss (4)

Approach to Improving Safety

•Quality Improvement Strategies (109)

•Legal and Policy Approaches (44)

•Error Reporting and Analysis (104)

•Communication Improvement (37)

•Human Factors Engineering (93)

•Teamwork (33)

•Specialization of Care (6)

•Logistical Approaches (14)

•Culture of Safety (81)

•Technologic Approaches (56)

•Education and Training (44)

Clinical Areas

•Allied Health Services (1)

•Medicine (158)

•Pharmacy (8)

Target Audience
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Safety Scientists

Setting of Care

•Hospitals (144)

•Psychiatric Facilities (2)

•Residential Facilities (5)

•Ambulatory Care (23)

•Outpatient Surgery (3)

•Patient Transport (1)

1 - 20 of 334

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BOOK/REPORT

Advancing Patient Safety: A Decade of Evidence, Design, and Implementation.

Rockville, MD; Agency for Healthcare Research and Quality; November 2009. AHRQ Publication No. 09(10)-0084.

MEETING/CONFERENCE PROCEEDINGS

AHRQ 2008 Annual Conference.

Rockville, MD: Agency for Healthcare Research and Quality; February 2009.

GRANT ANNOUNCEMENT

AHRQ Health Services Research Projects (R01).

US Department of Health and Human Services. Program Announcement No. PA-09-070.

MEETING/CONFERENCE PROCEEDINGS

AHRQ 2009 Annual Conference.

Rockville, MD: Agency for Healthcare Research and Quality; December 2009.

MEETING/CONFERENCE PROCEEDINGS

AHRQ 2007 Annual Conference.

Rockville, MD: Agency for Healthcare Research and Quality; August 2008.

GRANT ANNOUNCEMENT

AHRQ Health Services Research Demonstration and Dissemination Grants (R18).

US Department of Health and Human Services. Program Announcement No. PA-09-071.

BOOK/REPORT classic

classic

Advances in Patient Safety: New Directions and Alternative Approaches.

Rockville, MD: Agency for Healthcare Research and Quality; July 2008. AHRQ Publication Nos. 080034 (1-4).

MULTI-USE WEBSITE

Safe Use Initiative.

US Food and Drug Administration.

STUDY

Organisational readiness: exploring the preconditions for success in organisation-wide patient safety improvement programmes.

Burnett S, Benn J, Pinto A, Parand A, Iskander S, Vincent C. Qual Saf Health Care. 2010;19:313-317.

SPECIAL OR THEME ISSUE

Still Crossing The Quality Chasm.

Health Aff (Millwood). 2011;30:554-800.

BOOK/REPORT

The Patient Safety Initiative at America’s Public Hospitals: The Year One Overview.

Research Brief. Washington, DC: National Association of Public Hospitals and Health Systems; January 2011.

REVIEW

Quality of medication use in primary care—mapping the problem, working to a solution: a systematic review of the literature.

Garfield S, Barber N, Walley P, Willson A, Eliasson L. BMC Med. 2009;7:50.

BOOK/REPORT

Deaths in Acute Hospitals: Caring to the End?

Cooper H, Findlay G, Goodwin APL, et al. London, UK: National Confidential Enquiry into Patient Outcome and Death; November 2009. ISBN: 9780956088222.

BOOK/REPORT

The Measurement and Monitoring of Safety.

Vincent C, Burnett S, Carthey J. London, UK: Health Foundation; April 2013. ISBN: 9781906461447.

REVIEW

Patient safety and acute care medicine: lessons for the future, insights from the past.

Brindley PG. Crit Care. 2010;14:217.

SPECIAL OR THEME ISSUE

Biomedical Complexity and Error.

Patel VL, Kahol K, Buchman T, eds. J Biomed Inform. 2011;44:385-506.

GRANT ANNOUNCEMENT

Patient Safety Research During Neonatal Care.

Bethesda, MD: National Institutes of Health. PAR-11-225; PAR-11-226; PAR-11-227.

STUDY

Perceptions of the impact of a large-scale collaborative improvement programme: experience in the UK Safer Patients Initiative.

Benn J, Burnett S, Parand A, Pinto A, Iskander S, Vincent C. J Eval Clin Pract. 2009;15:524-540.

SPECIAL OR THEME ISSUE

Enhancing Surgical Systems.

Healey AN, Catchpole K, Yule S. Cogn Tech Work. 2008;10:249-333.

STUDY

High-performance work systems in health care management—part 1 and part 2.

Garman AN, McAlearney AS, Harrison MI, Song PH, McHugh M, Robbins J. Health Care Manage Rev. 2011;36:201-226.

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