AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (7)

•Diagnostic Errors (15)

•Identification Errors (4)

•Discontinuities, Gaps, and Hand-Off Problems (17)

•Fatigue and Sleep Deprivation (17)

•Medication Safety (52)

•Medical Complications (46)

•Nonsurgical Procedural Complications (4)

•Surgical Complications (40)

•Transfusion Complications (1)

•Psychological and Social Complications (10)

Origin/Sponsor

•Australia and New Zealand (10)

•Central and South America (3)

•North America (291)

Resource Types

•Audiovisual (3)

•Book/Report (60)

•Journal Article (188)

•Legislation/Regulation (24)

•Meeting/Conference (7)

•Newsletter/Journal (2)

•Newspaper/Magazine Article (53)

•Press Release/Announcement (4)

•Special or Theme Issue (8)

•Tools/Toolkit (3)

•Web Resource (14)

Error Types

•Epidemiology of Errors and Adverse Events (38)

•Active Errors (27)

•Latent Errors (40)

•Near Miss (5)

Approach to Improving Safety

•Quality Improvement Strategies (125)

•Legal and Policy Approaches (242)

•Error Reporting and Analysis (166)

•Communication Improvement (47)

•Human Factors Engineering (23)

•Teamwork (18)

•Specialization of Care (8)

•Logistical Approaches (30)

•Culture of Safety (65)

•Technologic Approaches (51)

•Education and Training (79)

Clinical Areas

•Allied Health Services (1)

•Medicine (154)

•Pharmacy (18)

Target Audience
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Policy Makers

Setting of Care

•Hospitals (147)

•Psychiatric Facilities (1)

•Residential Facilities (7)

•Ambulatory Care (27)

•Outpatient Surgery (8)

1 - 20 of 369

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NEWSPAPER/MAGAZINE ARTICLE

Reused devices, surgery's deadly suspects.

Klein A. The Washington Post. December 30, 2005:A3.

BOOK/REPORT

Report 6: Managing Risk and Minimising Mistakes in Services to Children and Families.

Bostock L, Bairstow S, Fish S, Macleod F. London, England: Social Care Institute for Excellence; 2005. ISBN: 1904812279.

NEWSPAPER/MAGAZINE ARTICLE

Handwritten-prescription ban puts pharmacists in awkward position as "enforcers."

Ostrom CM. Seattle Times. June 22, 2006:B1.

COMMENTARY

Liposuction Gone Awry

Yates JA. AHRQ WebM&M [serial online]. March 2006.

AUDIOVISUAL

Chasing Zero: Winning the War on Healthcare Harm.

Austin, TX: Texas Medical Institute for Technology and the Quaid Foundation; 2010.

NEWSPAPER/MAGAZINE ARTICLE

Healthcare industry representatives: maximizing benefits and reducing risks.

PA-PSRS Patient Saf Advis. March 2006;3:13-19.

STUDY

Potentially inappropriate medication use among elderly home care patients in Europe.

Fialová D, Topinková E, Gambassi G, et al. JAMA 2005;293:1348-1358.

NEWSPAPER/MAGAZINE ARTICLE

CMS: your mistake, your problem.

Lubell J. Modern Healthc. August 20, 2007;37:10.

BOOK/REPORT

To Err Is Human — To Delay Is Deadly.

Jewell K, McGiffert L. Austin, TX: Consumers Union; 2009.

NEWSPAPER/MAGAZINE ARTICLE

State: nurse error caused death.

Wahlberg D. Wisconsin State Journal. July 22, 2006:A1.

BOOK/REPORT

Safety First: One Year On.

London, UK: National Patient Safety Agency; 2007. ISBN: 9780955634093.

STUDY

Policies and practices related to the role of board certification and recertification of pediatricians in hospital privileging.

Freed GL, Uren RL, Hudson EJ, Lakhani I, Wheeler JRC, Stockman JA III; Research Advisory Committee of the American Board of Pediatrics. JAMA. 2006;295:905-912.

COMMENTARY

Accreditation and Regulation: Can They Help Improve Patient Safety?

Warburton RN. AHRQ WebM&M [serial online]. April 2009.

BOOK/REPORT

Corporate Responsibility and Health Care Quality: A Resource for Health Care Boards of Directors.

Callender AN, Hastings DA, Hemsley MC, Morris L, Peregrine MW. Washington, DC: US Department of Health and Human Services Office of the Inspector General; June 29, 2007.

STUDY

Exploring the causes of adverse events in hospitals and potential prevention strategies.

Smits M, Zegers M, Groenewegen PP, et al. Qual Saf Health Care. 2010;19:e5.

STUDY

Nursing accreditation system and patient safety.

Teng CI, Shyu YI, Dai YT, Wong MK, Chu TL, Chou TA. J Nurs Manag. 2012;20:311-318.

COMMENTARY

Medical error reduction and tort reform through private contractually-based quality medicine societies.

MacCourt D, Bernstein J. Am J Law Med. 2009;35:505-561.

SPECIAL OR THEME ISSUE

The Criminal Edition.

The Just Culture Community. January/February 2007;1-6.

COMMENTARY

Patient Safety in the United Kingdom: Evolution and Progress

Burnett S, Vincent C. AHRQ WebM&M [serial online]. May 2007.

BOOK/REPORT

Risk Management Pearls on Disclosure of Adverse Events.

Amori G. Chicago, IL: American Society for Healthcare Risk Management; 2006.

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