AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (35)

•Diagnostic Errors (46)

•Identification Errors (44)

•Discontinuities, Gaps, and Hand-Off Problems (55)

•Fatigue and Sleep Deprivation (11)

•Medication Safety (157)

•Medical Complications (85)

•Nonsurgical Procedural Complications (15)

•Surgical Complications (110)

•Transfusion Complications (4)

•Psychological and Social Complications (32)

Origin/Sponsor

•Australia and New Zealand (3)

Resource Types

•Journal Article (68)

•Legislation/Regulation (5)

•Meeting/Conference (1)

•Newsletter/Journal (4)

•Newspaper/Magazine Article (354)

•Press Release/Announcement (2)

•Special or Theme Issue (1)

•Tools/Toolkit (25)

•Web Resource (51)

•Grant (3)

Error Types

•Epidemiology of Errors and Adverse Events (55)

•Active Errors (131)

•Latent Errors (48)

•Near Miss (1)

Approach to Improving Safety

•Quality Improvement Strategies (133)

•Legal and Policy Approaches (195)

•Error Reporting and Analysis (192)

•Communication Improvement (199)

•Human Factors Engineering (65)

•Teamwork (20)

•Specialization of Care (23)

•Logistical Approaches (30)

•Culture of Safety (61)

•Technologic Approaches (90)

•Education and Training (130)

Clinical Areas

•Allied Health Services (1)

Target Audience
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Patients

Setting of Care

•Hospitals (388)

•Psychiatric Facilities (3)

•Residential Facilities (9)

•Ambulatory Care (63)

•Outpatient Surgery (13)

•Patient Transport (2)

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NEWSPAPER/MAGAZINE ARTICLE

To reduce risks, hospitals enlist 'proceduralists.'

Landro L. Wall Street Journal. July 11, 2007:D1.

BOOK/REPORT classic

Josie's Story.

King S. New York, NY: Atlantic Monthly Press; 2009. ISBN: 9780802119209.

AUDIOVISUAL

Good News: How Hospitals Heal Themselves [documentary].

Washington, DC: CCM, Inc.; 2006. Crawford-Mason C (producer), Dobyns L (reporter); Management Wisdom Video Series.

AUDIOVISUAL

Obama Administration introduces plan to reduce preventable medical errors.

PBS News Hour. April 12, 2011.

NEWSPAPER/MAGAZINE ARTICLE

The phantom menace of sleep-deprived doctors.

Sanghavi D. New York Times Magazine. August 5, 2011.

NEWSPAPER/MAGAZINE ARTICLE

Medical errors harm huge number of patients. What will it take to make America's hospitals safer?

Sternberg S. US News & World Report. August 28, 2012.

NEWSPAPER/MAGAZINE ARTICLE

Doctor uses 'pre-flight' checklist.

Bernhard B. The Orange County Register. April 19, 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

How safe do patients feel?

Wolosin R, Vercler L, Matthews J. Patient Safety & Quality Healthcare. November/December 2005;2:40-44.

STUDY

Patient safety, satisfaction, and quality of hospital care: cross sectional surveys of nurses and patients in 12 countries in Europe and the United States.

Aiken LH, Sermeus W, Van den Heede K, et al. BMJ. 2012;344:e1717.

NEWSPAPER/MAGAZINE ARTICLE

Practicing on patients, real and otherwise.

Chen PW. New York Times. January 28, 2010.

STUDY

Needlestick injuries among surgeons in training.

Makary MA, Al-Attar A, Holzmueller CG, et al. N Engl J Med. 2007;356:2693-2699.

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.

AUDIOVISUAL

Eye to eye: Donald Berwick.

"Eye to Eye with Katie Couric." CBS News Video. February 6, 2007.

NEWSPAPER/MAGAZINE ARTICLE

Saving lives: hospitals have signed on to a six-part plan to avoid a multitude of unnecessary deaths.

Comarow A. US News & World Report. July 18, 2005;139:74,76,79.

NEWSPAPER/MAGAZINE ARTICLE

Plan aims to cut hospital deaths.

Appleby J. USA Today. June 6, 2005.

BOOK/REPORT

Charting the Course: Launching Patient-Centric Healthcare.

Nance JJ, Bartholomew KM. Boseman, MT: Second River Healthcare Press; 2012. ISBN: 9781936406128.

NEWSPAPER/MAGAZINE ARTICLE

Get me out alive.

Feldman R. The Washington Post. May 2, 2006:HE01.

NEWSPAPER/MAGAZINE ARTICLE

Doctors fear work caps for residents may be bad medicine.

Shapira I. Washington Post. March 18, 2010;B01.

NEWSPAPER/MAGAZINE ARTICLE

Human costs of training doctors.

Dunklin R, Goetinck Ambrose S, Egerton B. Dallas Morning News. August 1, 2010:A01.

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