AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (43)

•Diagnostic Errors (45)

•Identification Errors (48)

•Discontinuities, Gaps, and Hand-Off Problems (57)

•Fatigue and Sleep Deprivation (11)

•Medication Safety (191)

•Medical Complications (86)

•Nonsurgical Procedural Complications (15)

•Surgical Complications (117)

•Transfusion Complications (4)

•Psychological and Social Complications (35)

Origin/Sponsor

•Australia and New Zealand (6)

•North America (673)

Resource Types

•Audiovisual (68)

•Book/Report (77)

•Journal Article (80)

•Legislation/Regulation (10)

•Meeting/Conference (1)

•Newsletter/Journal (4)

•Newspaper/Magazine Article (352)

•Press Release/Announcement (20)

•Special or Theme Issue (1)

•Tools/Toolkit (28)

•Web Resource (72)

Error Types

•Epidemiology of Errors and Adverse Events (59)

•Active Errors (138)

•Latent Errors (50)

•Near Miss (1)

Approach to Improving Safety

•Quality Improvement Strategies (149)

•Legal and Policy Approaches (198)

•Error Reporting and Analysis (208)

•Communication Improvement (219)

•Human Factors Engineering (74)

•Teamwork (20)

•Specialization of Care (23)

•Logistical Approaches (32)

•Culture of Safety (62)

•Technologic Approaches (96)

•Education and Training (151)

Clinical Areas

•Allied Health Services (2)

•Dentistry (1)

•Medicine (400)

•Nursing (16)

•Pharmacy (92)

Target Audience
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Patients

Setting of Care

•Hospitals (383)

•Psychiatric Facilities (3)

•Residential Facilities (9)

•Ambulatory Care (69)

•Outpatient Surgery (13)

•Patient Transport (2)

1 - 20 of 723

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STUDY

How experiencing preventable medical problems changed patients' interactions with primary health care.

Elder NC, Jacobson CJ, Zink T, Hasse L. Ann Fam Med. 2005;3:537-544.

COMMENTARY classic

classic

Healthcare in a land called PeoplePower: nothing about me without me.

Delbanco T, Berwick DM, Boufford JI, et al. Health Expect. 2001;4:144-150.

BOOK/REPORT

Patient Safety Handbook, Second Edition.

Youngberg BJ, ed. Jones & Bartlett Learning: Sudbuery MA; 2013. ISBN: 9780763774042.

MULTI-USE WEBSITE

Collaborating and Acting Responsibly to Ensure Safety (CARES) Alliance.

Covidien.

COMMENTARY classic

classic

Guilty, afraid, and alone — struggling with medical error.

Delbanco T, Bell SK. N Engl J Med. 2007;357:1682-1683.

NEWSPAPER/MAGAZINE ARTICLE

Medical errors still claiming many lives.

Weise E. USA Today. May 18, 2005.

MULTI-USE WEBSITE

The National Report Card on the State of Emergency Medicine.

Dallas, TX: American College of Emergency Physicians.

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.

TOOLKIT

Strategies for Leadership: Patient- and Family-Centered Care.

Chicago, IL: American Hospital Association; 2004.

STUDY

Am I safe here? Improving patients' perceptions of safety in hospitals.

Wolosin RJ, Vercler L, Matthews JL. J Nurs Care Qual. 2006;21:30-38.

TOOLKIT

Partnering with Patients and Families to Enhance Safety and Quality: A Mini Toolkit.

Bethesda, MD: Institute for Patient- and Family-Centered Care; 2011.

BOOK/REPORT classic

classic

When Things Go Wrong: Responding to Adverse Events.

A Consensus Statement of the Harvard Hospitals. Burlington: Massachusetts Coalition for the Prevention of Medical Errors; 2006.

NEWSLETTER/JOURNAL

Patient Safety and Quality Healthcare.

Marietta, GA: Lionheart Publishing, Inc. ISSN: 1553-6637.

STUDY

Risk of mistaken DNR orders.

Rohrer JE, Esler WV, Saeed Q, et al. Support Care Cancer. 2006;14:871-873.

MULTI-USE WEBSITE

Medically Induced Trauma Support Services (MITSS).

830 Boylston Street, Suite 206, Chestnut Hill, MA 02467. Phone: 617-232-0090, Toll free: 1-888-36MITSS (1-888-366-4877), Fax: 617-232-7181.

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.

SPECIAL OR THEME ISSUE

Improving Health Care Quality.

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

NEWSPAPER/MAGAZINE ARTICLE

Finding a way to ask doctors tough questions.

Landro L. Wall Street Journal. March 4, 2009:D1.

TOOLKIT

Massachusetts Coalition for the Prevention of Medical Errors, Betsy Lehman Center for Patient Safety and Medical Error Reduction, Massachusetts Medical Society.

NEWSPAPER/MAGAZINE ARTICLE

When a heart attack goes undiagnosed.

Davis R. USA Today. October 25, 2006.

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