AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (13)

•Diagnostic Errors (16)

•Identification Errors (7)

•Discontinuities, Gaps, and Hand-Off Problems (26)

•Fatigue and Sleep Deprivation (21)

•Medication Safety (84)

•Medical Complications (69)

•Nonsurgical Procedural Complications (4)

•Surgical Complications (51)

•Transfusion Complications (2)

•Psychological and Social Complications (13)

Origin/Sponsor

•Africa (3)

•Asia (7)

•Australia and New Zealand (15)

•Central and South America (3)

Resource Types

•Journal Article (289)

•Legislation/Regulation (24)

•Meeting/Conference (9)

•Newsletter/Journal (3)

•Newspaper/Magazine Article (74)

•Press Release/Announcement (5)

•Special or Theme Issue (9)

•Tools/Toolkit (5)

•Web Resource (21)

•Grant (3)

Error Types

•Epidemiology of Errors and Adverse Events (77)

•Active Errors (31)

•Latent Errors (38)

•Near Miss (7)

Approach to Improving Safety

•Quality Improvement Strategies (152)

•Legal and Policy Approaches (308)

•Error Reporting and Analysis (252)

•Communication Improvement (65)

•Human Factors Engineering (31)

•Teamwork (26)

•Specialization of Care (10)

•Logistical Approaches (37)

•Culture of Safety (88)

•Technologic Approaches (79)

•Education and Training (84)

Clinical Areas

•Allied Health Services (2)

•Medicine (229)

•Nursing (12)

•Pharmacy (30)

Target Audience
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Policy Makers

Setting of Care

•Hospitals (233)

•Psychiatric Facilities (3)

•Residential Facilities (13)

•Ambulatory Care (40)

•Outpatient Surgery (13)

•Patient Transport (1)

1 - 20 of 555

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COMMENTARY

Our broken health care system and how to fix it: an essay on health law and policy.

Jost TS. Wake Forest Law Rev. 2006;41:537-618.

COMMENTARY

Collegiality vs. Competence

Sagin T. AHRQ WebM&M [serial online]. March 2006.

STUDY

Errors with concentrated epinephrine in otolaryngology.

Shah RK, Hoy E, Roberson DW, Nielsen D. Laryngoscope. 2008 Nov; 118: 1928-30.

BOOK/REPORT

To Err Is Human — To Delay Is Deadly.

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

COMMENTARY

Constitutional arguments in favor of modifying the HCQIA to allow the dissemination of physician information to healthcare consumers.

Chernitsky LA. Wash Lee Law Rev. Spring 2006;63:737-776.

COMMENTARY

"Health courts" and accountability for patient safety.

Mello MM, Studdert DM, Kachalia AB, Brennan TA. Milbank Q. 2006;84:459-492.

NEWSPAPER/MAGAZINE ARTICLE

Report: hospital errors cost 18 lives.

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

NEWSPAPER/MAGAZINE ARTICLE

Nurse is charged in death of patient.

Wahlberg D, Treleven E. Wisconsin State Journal. November 3, 2006:A1.

NEWSPAPER/MAGAZINE ARTICLE

Hospitals save money, but safety is questioned.

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

COMMENTARY

The evolution of the apology.

Newfield JS. Home Health Care Manage Pract. 2007;19:137-139.

NEWSPAPER/MAGAZINE ARTICLE

Preventing fatal errors.

Bailey B, Sevrens Lyons J. The Mercury News. November 27, 2005.

NEWSPAPER/MAGAZINE ARTICLE

One group of doctors changes its ways.

Hallinan JT. Post-Gazette.com. June 21, 2005.

STUDY

Evaluation of the implementation of the alert issued by the UK National Patient Safety Agency on the storage and handling of potassium chloride concentrate solution.

Lankshear AJ, Sheldon TA, Lowson KV, Watt IS, Wright J. Qual Saf Health Care. 2005;14:196-201.

NEWSPAPER/MAGAZINE ARTICLE

Protecting patients: hospitals wrestle with reporting and fixing medical mistakes.

Collins LM. Deseret Morning News. July 8, 2007;A1.

REVIEW

Fostering rational regulation of patient safety.

Mello MM, Kelly CN, Brennan TA. J Health Polit Policy Law. 2005;30:375-426.

STUDY

No harm found when nurse anesthetists work without supervision by physicians.

Dulisse B, Cromwell J. Health Aff (Millwood). 2010;29:1469-1475.

STUDY

Remaking surgical socialization: work hour restrictions, rites of passage, and occupational identity.

Veazey Brooks J, Bosk CL. Soc Sci Med. 2012;75:1625-1632.

COMMENTARY

Regulating patient safety: The Patient Protection and Affordable Care Act.

Furrow BR. Univ PA Law Rev. 2011;159:1727-1775.

BOOK/REPORT

The First Annual HealthGrades Pediatric Patient Safety in American Hospitals Study.

Reed K, May R. Golden, CO: Health Grades, Inc; 2010.

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.

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