AHRQ Patient Safety Network

The Collection > Patients

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Safety Target

•Device-related Complications (43)

•Diagnostic Errors (46)

•Identification Errors (48)

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

•Fatigue and Sleep Deprivation (11)

•Medication Safety (187)

•Medical Complications (89)

•Nonsurgical Procedural Complications (16)

•Surgical Complications (114)

•Transfusion Complications (4)

•Psychological and Social Complications (36)

Origin/Sponsor

•Australia and New Zealand (7)

Resource Types

•Journal Article (78)

•Legislation/Regulation (9)

•Meeting/Conference (1)

•Newsletter/Journal (4)

•Newspaper/Magazine Article (358)

•Press Release/Announcement (19)

•Special or Theme Issue (1)

•Tools/Toolkit (25)

•Web Resource (71)

•Grant (3)

Error Types

•Epidemiology of Errors and Adverse Events (62)

•Active Errors (138)

•Latent Errors (52)

•Near Miss (1)

Approach to Improving Safety

•Quality Improvement Strategies (148)

•Legal and Policy Approaches (204)

•Error Reporting and Analysis (208)

•Communication Improvement (211)

•Human Factors Engineering (72)

•Teamwork (21)

•Specialization of Care (23)

•Logistical Approaches (31)

•Culture of Safety (59)

•Technologic Approaches (95)

•Education and Training (146)

Clinical Areas

•Allied Health Services (2)

Target Audience
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Patients

Setting of Care

•Hospitals (394)

•Psychiatric Facilities (3)

•Residential Facilities (9)

•Ambulatory Care (67)

•Outpatient Surgery (13)

•Patient Transport (2)

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NEWSPAPER/MAGAZINE ARTICLE

Hospitals' bid to heal selves saves thousands.

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

NEWSPAPER/MAGAZINE ARTICLE

Fixing America's hospitals.

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

NEWSPAPER/MAGAZINE ARTICLE

Health for life. Keys to safer hospitals.

Berwick DM. Newsweek. December 12, 2005;46:75-78.

NEWSPAPER/MAGAZINE ARTICLE

Health-care industry agrees on patient safety rules.

Landro L. Wall Street Journal (Eastern Edition). November 1, 2006:D1. [reprinted on Post-gazette.com].

NEWSPAPER/MAGAZINE ARTICLE

Inquiry into reporter's death finds multiple failures in care.

Stout D. New York Times. June 17, 2006;National desk:9.

MULTI-USE WEBSITE

National Patient Safety Awareness Week.

National Patient Safety Foundation.

NEWSPAPER/MAGAZINE ARTICLE

Perfect is possible.

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

NEWSPAPER/MAGAZINE ARTICLE

Hospitals boost patients' power as advisers.

Landro L. Wall Street Journal. August 8, 2007:D1.

NEWSPAPER/MAGAZINE ARTICLE

Get me out alive.

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

AWARD RECIPIENT

2006 Quest for Quality Prize.

Runy LA. Hosp Health Netw. September 2006.

BOOK/REPORT

Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2010.

Oakbrook Terrace, IL: The Joint Commission; September 2010.

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.

AUDIOVISUAL

Eye to eye: Donald Berwick.

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

NEWSPAPER/MAGAZINE ARTICLE

Hospital takes a page from Toyota.

Connolly C. MSNBC News. June 3, 2005.

NEWSPAPER/MAGAZINE ARTICLE

How safe do patients feel?

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

NEWSPAPER/MAGAZINE ARTICLE

Health literacy—a quality and patient safety imperative.

Foubister V. Quality Matters. November/December 2006.

AWARD RECIPIENT

22 California hospitals earn top status for outstanding patient safety & health care quality.

San Francisco, CA: The Leapfrog Group; May 2, 2006.

NEWSPAPER/MAGAZINE ARTICLE

10 things your hospital won't tell you.

Kapadia R. Smart Money. October 2006;15:112-114.

BOOK/REPORT

The Best Practice: How the New Quality Movement Is Transforming Medicine.

Kenney C. New York, NY: Public Affairs; 2008. ISBN: 9781586486198.

BOOK/REPORT

Adverse Health Events in Minnesota: Ninth Annual Public Report.

St. Paul, MN: Minnesota Department of Health; January 2013.

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