AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (13)

•Diagnostic Errors (18)

•Identification Errors (5)

•Discontinuities, Gaps, and Hand-Off Problems (29)

•Fatigue and Sleep Deprivation (20)

•Medication Safety (88)

•Medical Complications (69)

•Nonsurgical Procedural Complications (6)

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•Journal Article (288)

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Error Types

•Epidemiology of Errors and Adverse Events (76)

•Active Errors (32)

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Approach to Improving Safety

•Quality Improvement Strategies (153)

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•Education and Training (83)

Clinical Areas

•Allied Health Services (1)

•Medicine (233)

•Nursing (10)

•Pharmacy (32)

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Policy Makers

Setting of Care

•Hospitals (229)

•Psychiatric Facilities (2)

•Residential Facilities (11)

•Ambulatory Care (42)

•Outpatient Surgery (10)

•Patient Transport (1)

1 - 20 of 552

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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.

NEWSPAPER/MAGAZINE ARTICLE

Medical errors: should you apologize?

Weiss GG. Med Econ. April 21, 2006;83:50-54.

COMMENTARY

The Sorry Works! Coalition: making the case for full disclosure.

Wojcieszak D, Banja J, Houk C. Jt Comm J Qual Patient Saf. 2006;32:344-350.

BOOK/REPORT

Risk Management Pearls on Disclosure of Adverse Events.

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

COMMENTARY

Language barriers to health care in the United States.

Flores G. N Engl J Med. 2006;355:229-231.

ORGANIZATIONAL POLICY/GUIDELINES

ACOG Committee Opinion #520: disclosure and discussion of adverse events.

ACOG Committee on Patient Safety and Quality Improvement and Committee on Professional Liability. Obstet Gynecol. 2012;119:686-689.

REVIEW

Disclosing harmful medical errors to patients.

Gallagher TH, Studdert D, Levinson W. N Engl J Med. 2007;356:2713-2719.

COMMENTARY

Medical error, malpractice and complications: a moral geography.

Zientek DM. HEC Forum. 2010;22:145-157.

COMMENTARY

Lawyers say 'sorry' may sink you in court.

Butcher L. Physician Exec. March-April 2006;32:20-24.

COMMENTARY

Forgive and forget: recognition of error and use of apology as preemptive steps to ADR or litigation in medical malpractice cases.

Davenport AA. Pepp Disp Resol Law J. 2006;6:81-107.

STUDY

How does routine disclosure of medical error affect patients' propensity to sue and their assessment of provider quality?: Evidence from survey data.

Helmchen LA, Richards MR, McDonald TB. Med Care. 2010;48:955-961.

COMMENTARY

What 'patient-centered' should mean: confessions of an extremist.

Berwick DM. Health Aff (Millwood). 2009;28:w555-w565.

REVIEW

Narrative review: do state laws make it easier to say "I'm sorry?"

McDonnell WM, Guenther E. Ann Intern Med. 2008;149:811-815.

STUDY

Risk managers, physicians, and disclosure of harmful medical errors.

Loren DJ, Garbutt J, Dunagan WC, et al. Jt Comm J Qual Patient Saf. 2010;36:101-108.

COMMENTARY

Health information technology is a vehicle, not a destination: a conversation with David J. Brailer.

Milstein A. Health Aff (Millwood). 2007;26:w236-w241.

BOOK/REPORT

Tennessee Center for Patient Safety Annual Report 2010.

Nashville, TN: Tennessee Center for Patient Safety; August 2011.

COMMENTARY

The Patient Safety and Quality Improvement Act of 2005: provisions and potential opportunities.

Liang BA, Riley W, Rutherford W, Hamman W. Am J Med Qual. 2007;22:8-12.

COMMENTARY

Organizational Change in the Face of Highly Public Errors—I. The Dana-Farber Cancer Institute Experience

Conway JB, Weingart SN. AHRQ WebM&M [serial online]. May 2005.

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.

AWARD RECIPIENT

Announcing 2009 Leapfrog top hospitals.

Washington, DC: Leapfrog Group; December 4, 2009.

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