AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (41)

•Diagnostic Errors (47)

•Identification Errors (47)

•Discontinuities, Gaps, and Hand-Off Problems (58)

•Fatigue and Sleep Deprivation (11)

•Medication Safety (200)

•Medical Complications (89)

•Nonsurgical Procedural Complications (16)

•Surgical Complications (117)

•Transfusion Complications (4)

•Psychological and Social Complications (37)

Origin/Sponsor

•Australia and New Zealand (6)

•Central and South America (1)

•North America (673)

Resource Types

•Audiovisual (72)

•Book/Report (68)

•Journal Article (82)

•Legislation/Regulation (5)

•Meeting/Conference (1)

•Newsletter/Journal (3)

•Newspaper/Magazine Article (359)

•Press Release/Announcement (12)

•Special or Theme Issue (1)

•Tools/Toolkit (38)

•Web Resource (68)

Error Types

•Epidemiology of Errors and Adverse Events (59)

•Active Errors (136)

•Latent Errors (52)

•Near Miss (1)

Approach to Improving Safety

•Quality Improvement Strategies (149)

•Legal and Policy Approaches (199)

•Error Reporting and Analysis (199)

•Communication Improvement (230)

•Human Factors Engineering (70)

•Teamwork (21)

•Specialization of Care (23)

•Logistical Approaches (33)

•Culture of Safety (60)

•Technologic Approaches (96)

•Education and Training (170)

Clinical Areas

•Allied Health Services (2)

•Dentistry (1)

•Medicine (407)

•Nursing (18)

•Pharmacy (91)

Target Audience
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Patients

Setting of Care

•Hospitals (385)

•Psychiatric Facilities (3)

•Residential Facilities (8)

•Ambulatory Care (69)

•Outpatient Surgery (12)

•Patient Transport (2)

1 - 20 of 719

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NEWSPAPER/MAGAZINE ARTICLE

The consumer: and now, a warning about labels.

Franklin D. New York Times. October 25, 2005:F1.

TOOLKIT

POP (Paul O’Neill Pledge) Patient Safety Campaign.

Florida Health Care Coalition.

NEWSPAPER/MAGAZINE ARTICLE

To be safe, keep track of pills.

Foreman J. Los Angeles Times. September 4, 2006:F3.

NEWSPAPER/MAGAZINE ARTICLE

Five hospitals release data on inspections.

Kowalczyk L. Boston Globe. April 21, 2007:B1.

STUDY

Engaging patients and family members in patient safety—the experience of the New York City Health and Hospitals Corporation.

Wale JB, Moon RR. Psychiatr Q. Spring 2005;76:85-95.

STUDY

Availability of Spanish prescription labels.

Sharif I, Lo S, Ozuah PO. J Health Care Poor Underserved. 2006;17:65-69.

NEWSPAPER/MAGAZINE ARTICLE

New practices reduce childbirth risks.

Landro L. Wall Street Journal. July 12, 2006:D1. [Reprinted on Post-gazette.com].

NEWSPAPER/MAGAZINE ARTICLE

Get me out alive.

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

NEWSPAPER/MAGAZINE ARTICLE

What's the trouble? How doctors think.

Groopman J. The New Yorker. January 29, 2007;47:36-41.

NEWSPAPER/MAGAZINE ARTICLE

To protect against drug errors, ask questions.

Brody JE. New York Times. January 2, 2007:F7.

NEWSPAPER/MAGAZINE ARTICLE

M.R.I.'s strong magnets cited in accidents.

McNeil DG Jr. New York Times. August 19, 2005;National Desk section:1.

NEWSPAPER/MAGAZINE ARTICLE

Perfect is possible.

Berwick DM, Leape LL. Newsweek. October 16, 2006:70-71.

MULTI-USE WEBSITE

The Center for Improving Medication Management.

American Academy of Family Physicians, BlueCross BlueShield Association, Intel Corporation, Humana, Inc., Medical Group Management Association, and SureScripts, Inc., Alexandria, VA.

STUDY

Patient misidentification in the neonatal intensive care unit: quantification of risk.

Gray JE, Suresh G, Ursprung R, et al. Pediatrics. 2006;117:e43-e47.

NEWSPAPER/MAGAZINE ARTICLE

Buying the wrong medicine overseas.

Chase M. Wall Street Journal. August 16, 2005:D1.

NEWSPAPER/MAGAZINE ARTICLE

Dose of technology helps Shands at UF avoid drug errors.

Chun D. Gainsville Sun. August 21, 2006.

STUDY

Parents as partners in obtaining the medication history.

Porter SC, Kohane IS, Goldmann DA. J Am Med Inform Assoc. 2005;12:299-305.

TOOLKIT

Developing a Community-Based Patient Safety Advisory Council.

Leonhardt K, Bonin K, Pagel P. Rockville, MD: Agency for Healthcare Research and Quality; April 2008. AHRQ Publication Nos. 080048.

NEWSPAPER/MAGAZINE ARTICLE

Reused devices, surgery's deadly suspects.

Klein A. The Washington Post. December 30, 2005:A3.

AUDIOVISUAL

How to Make Your Hospital Stay Safer and Cheaper: A Checklist.

Kane J. PBS NewsHour. October 23, 2012.

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