AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (13)

•Diagnostic Errors (19)

•Identification Errors (6)

•Discontinuities, Gaps, and Hand-Off Problems (31)

•Fatigue and Sleep Deprivation (21)

•Medication Safety (94)

•Medical Complications (73)

•Nonsurgical Procedural Complications (6)

•Surgical Complications (52)

•Transfusion Complications (2)

•Psychological and Social Complications (14)

Origin/Sponsor

•Australia and New Zealand (15)

•Central and South America (3)

•North America (479)

Resource Types

•Audiovisual (4)

•Bibliography (1)

•Book/Report (113)

•Journal Article (306)

•Legislation/Regulation (26)

•Meeting/Conference (12)

•Newsletter/Journal (4)

•Newspaper/Magazine Article (74)

•Press Release/Announcement (5)

•Special or Theme Issue (10)

•Tools/Toolkit (6)

•Web Resource (27)

Error Types

•Epidemiology of Errors and Adverse Events (83)

•Active Errors (35)

•Latent Errors (42)

•Near Miss (7)

Approach to Improving Safety

•Quality Improvement Strategies (160)

•Legal and Policy Approaches (322)

•Error Reporting and Analysis (269)

•Communication Improvement (74)

•Human Factors Engineering (34)

•Teamwork (28)

•Specialization of Care (11)

•Logistical Approaches (38)

•Culture of Safety (94)

•Technologic Approaches (84)

•Education and Training (90)

Clinical Areas

•Allied Health Services (2)

•Medicine (246)

•Nursing (12)

•Pharmacy (34)

Target Audience
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Policy Makers

Setting of Care

•Hospitals (248)

•Psychiatric Facilities (3)

•Residential Facilities (12)

•Ambulatory Care (45)

•Outpatient Surgery (13)

•Patient Transport (1)

1 - 20 of 594

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NEWSPAPER/MAGAZINE ARTICLE

Plan would compile, analyze medical errors.

Gaul GM. The Washington Post. July 29, 2005:A06.

NEWSPAPER/MAGAZINE ARTICLE

Report: hospital errors cost 18 lives.

Rojas-Burke J. Oregonian. January 30, 2007:B01.

NEWSPAPER/MAGAZINE ARTICLE

Approved: 2010 National Patient Safety Goals.

Jt Comm Perspect. October 2009;29:1, 20-31.

NEWSPAPER/MAGAZINE ARTICLE

Hospitals save money, but safety is questioned.

Klein A. The Washington Post. December 11, 2005:A01.

FEDERAL LEGISLATION

The National Medical Error Disclosure and Compensation (MEDiC) Act.

S 1784, 109th Cong, 1st Sess (2005).

NEWSPAPER/MAGAZINE ARTICLE

No pay for "never event" errors becoming standard.

O'Reilly KB. American Medical News. January 7, 2008.

SPECIAL OR THEME ISSUE

The Criminal Edition.

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

NEWSPAPER/MAGAZINE ARTICLE

Standards, audits, and saying I'm sorry: an engineer's family proposes solutions.

Wojcieszak D. Patient Safety Qual Healthc. May/June 2005;2:6, 8-9.

BOOK/REPORT classic

classic

Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2011.

Oakbrook Terrace, IL: The Joint Commission; September 2011.

NEWSPAPER/MAGAZINE ARTICLE

Why King-Harbor must die.

Wachter RM. Los Angeles Times. July 1, 2007:M1.

NEWSPAPER/MAGAZINE ARTICLE

Sarasota Memorial Hospital reviewed after restrained patient dies.

Gulliver D. Sarasota Herald Tribune. November 7, 2006:BS1.

MULTI-USE WEBSITE

Organisation Patient Safety Incident Reports.

National Patient Safety Agency.

COMMENTARY

Path to safety: benefits of the 2005 Patient Safety and Quality Improvement Act.

McBride D, Greening A, Redmond D. Healthc Financ Manage. June 2006;60:84-88.

COMMENTARY

Medication errors in family practice, in hospitals and after discharge from the hospital: an ethical analysis.

Clark PA. J Law Med Ethics. 2004;32:349-357.

STUDY

Stories from the sharp end: case studies in safety improvement.

McCarthy D, Blumenthal D. Milbank Q. 2006;84:165-200.

NEWSPAPER/MAGAZINE ARTICLE

Medicare says it won't cover hospital errors.

Pear R. New York Times. August 19, 2007.

BOOK/REPORT classic

classic

Resident Duty Hours: Enhancing Sleep, Supervision, and Safety.

Ulmer C, Wolman DM, Johns MME, eds. Committee on Optimizing Graduate Medical Trainee (Resident) Hours and Work Schedule to Improve Patient Safety, Institute of Medicine. Washington, DC: The National Academies Press; 2008. ISBN: 9780309127721.

COMMENTARY

Liability reform should make patients safer: "Avoidable classes of events" are a key improvement.

Bovbjerg RR, Tancredi LR. J Law Med Ethics. 2005;33:478-500.

BOOK/REPORT

HealthGrades Seventh Annual Patient Safety in American Hospitals Study.

Golden, CO: HealthGrades, Inc.; March 2010.

BOOK/REPORT

Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2010.

Oakbrook Terrace, IL: The Joint Commission; September 2010.

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