AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (42)

•Diagnostic Errors (46)

•Identification Errors (47)

•Discontinuities, Gaps, and Hand-Off Problems (53)

•Fatigue and Sleep Deprivation (10)

•Medication Safety (179)

•Medical Complications (82)

•Nonsurgical Procedural Complications (15)

•Surgical Complications (111)

•Transfusion Complications (4)

•Psychological and Social Complications (34)

Origin/Sponsor

•Australia and New Zealand (5)

Resource Types

•Journal Article (75)

•Legislation/Regulation (9)

•Meeting/Conference (1)

•Newsletter/Journal (4)

•Newspaper/Magazine Article (352)

•Press Release/Announcement (19)

•Special or Theme Issue (1)

•Tools/Toolkit (25)

•Web Resource (68)

•Grant (3)

Error Types

•Epidemiology of Errors and Adverse Events (59)

•Active Errors (135)

•Latent Errors (49)

•Near Miss (1)

Approach to Improving Safety

•Quality Improvement Strategies (141)

•Legal and Policy Approaches (195)

•Error Reporting and Analysis (197)

•Communication Improvement (202)

•Human Factors Engineering (70)

•Teamwork (20)

•Specialization of Care (23)

•Logistical Approaches (32)

•Culture of Safety (57)

•Technologic Approaches (94)

•Education and Training (143)

Clinical Areas

•Allied Health Services (2)

Target Audience
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Patients

Setting of Care

•Hospitals (373)

•Psychiatric Facilities (3)

•Residential Facilities (9)

•Ambulatory Care (62)

•Outpatient Surgery (12)

•Patient Transport (2)

1 - 20 of 694

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MULTI-USE WEBSITE

The Patient Safety Group.

Boston, MA.

COMMENTARY

Safe use of cellular telephones in hospitals: fundamental principles and case studies.

Cohen T, Ellis WS, Morrissey JJ, Bakuzonis C, David Y, Paperman WD. J Healthc Inf Manag. Fall 2005;19:38-48.

BOOK/REPORT classic

Set Phasers on Stun: And Other True Tales of Design, Technology, and Human Error.

Casey SM. Santa Barbara, CA: Aegean Publishing Company; 1993.

BOOK/REPORT classic

Normal Accidents: Living with High-Risk Technologies.

Perrow C. Princeton, NJ: Princeton University Press; 1999. ISBN: 0691004129.

NEWSPAPER/MAGAZINE ARTICLE

Fixing America's hospitals.

Newsweek. October 16, 2006:44-68, 72.

BOOK/REPORT classic

Human Error in Medicine.

Bogner MSE. Mahwah, NJ: Lawrence Erlbaum Associates; 1994.

NEWSPAPER/MAGAZINE ARTICLE

This man wants to heal health care.

Mullaney TJ. Business Week. October 31, 2005;3957:74.

NEWSPAPER/MAGAZINE ARTICLE

Parents asking hospital for answers in death of infant.

News 3 Las Vegas (KVBC/DT). December 7, 2006.

MULTI-USE WEBSITE

Institute for Healthcare Improvement.

20 University Road, 7th Floor, Cambridge, MA 02138.

AWARD RECIPIENT

2006 Quest for Quality Prize.

Runy LA. Hosp Health Netw. September 2006.

COMMENTARY

The Agency for Healthcare Research and Quality's Patient Safety Network.

Clancy CM, Keyes MA. J Patient Saf. 2005;1:124-125.

SPECIAL OR THEME ISSUE

Improving Health Care Quality.

Wisc Med J. 2006:105;1-86.

AUDIOVISUAL

Health agency: drug errors still common.

Knox R. "All Things Considered." National Public Radio. July 20, 2006.

AWARD RECIPIENT

The Safe RX Awards.

SureScripts.

BOOK/REPORT classic

A Tale of Two Stories: Contrasting Views of Patient Safety.

Cook RI, Woods DD, Miller C. Chicago, IL: National Patient Safety Foundation; 1998.

AUDIOVISUAL

Avoiding medical error.

Colvin G. "The Colvin Interview." CNN. February 5, 2007.

AUDIOVISUAL PRESENTATION

Improving Health Care.

Schiff G. "Eight Forty-Eight." Chicago Public Radio. October 16, 2004.

NEWSPAPER/MAGAZINE ARTICLE

Hospitals' bid to heal selves saves thousands.

P-I Staff and News Services. Seattle Post-Intelligencer. June 15, 2006:A1.

AUDIOVISUAL

Remaking American Medicine.

Public Broadcasting Service. Thursdays, October 5–26, 2006, 10:00–11:00 PM (Eastern).

NEWSPAPER/MAGAZINE ARTICLE

When a heart attack goes undiagnosed.

Davis R. USA Today. October 25, 2006.

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