AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (18)

•Diagnostic Errors (15)

•Identification Errors (22)

•Discontinuities, Gaps, and Hand-Off Problems (25)

•Fatigue and Sleep Deprivation (3)

•Medication Safety (99)

•Medical Complications (34)

•Nonsurgical Procedural Complications (9)

•Surgical Complications (44)

•Transfusion Complications (1)

•Psychological and Social Complications (12)

Origin/Sponsor

•Australia and New Zealand (5)

Resource Types

•Journal Article (60)

•Legislation/Regulation (6)

•Newsletter/Journal (1)

•Newspaper/Magazine Article (125)

•Press Release/Announcement (15)

•Special or Theme Issue (1)

•Tools/Toolkit (2)

•Web Resource (24)

•Grant (2)

Error Types

•Epidemiology of Errors and Adverse Events (29)

•Active Errors (40)

•Latent Errors (18)

Approach to Improving Safety

•Quality Improvement Strategies (84)

•Legal and Policy Approaches (77)

•Error Reporting and Analysis (113)

•Communication Improvement (86)

•Human Factors Engineering (31)

•Teamwork (12)

•Specialization of Care (10)

•Logistical Approaches (11)

•Culture of Safety (43)

•Technologic Approaches (47)

•Education and Training (58)

Clinical Areas

•Allied Health Services (1)

•Medicine (172)

•Nursing (9)

•Pharmacy (42)

Target Audience
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Patients

Setting of Care

•Hospitals (157)

•Psychiatric Facilities (1)

•Residential Facilities (5)

•Ambulatory Care (25)

•Outpatient Surgery (5)

•Patient Transport (1)

1 - 20 of 308

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NEWSPAPER/MAGAZINE ARTICLE

Nurse error spotlights drug's danger.

Greene L. St. Petersburg Times. June 15, 2006:A1.

NEWSPAPER/MAGAZINE ARTICLE

When surgery goes wrong: weighing up the risks.

Feinmann J. The Independent. November 14, 2006.

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

Doctor administered fatal dose of calcium to baby, inquest told.

Morris S. Guardian. February 13, 2007.

BOOK/REPORT

Breast Cancer Services in Trafford and North Manchester. An Investigation Into The Circumstances Surrounding A Serious Clinical Incident In Symptomatic Breast Services – The Baker Report.

Baker M. Manchester, England: NHS North West; February 2007.

GRANT RECIPIENT

Improving Patient Safety Through Simulation Research.

Rockville, MD: Agency for Healthcare Research and Quality; June 2008.

NEWSPAPER/MAGAZINE ARTICLE

Nurse is charged in death of patient.

Wahlberg D, Treleven E. Wisconsin State Journal. November 3, 2006:A1.

NEWSPAPER/MAGAZINE ARTICLE

Fatal drug mix-up exposes hospital flaws.

Davies T. Washington Post. September 22, 2006.

NEWSPAPER/MAGAZINE ARTICLE

Maternity ward at Highland under fire from patients.

Vesely R. Inside Bay Area. December 28, 2006.

COMMENTARY classic

A 38-year-old woman with fetal loss and hysterectomy.

Sachs BP. JAMA. 2005;294:833-840.

STUDY

Major congenital malformations after first-trimester exposure to ACE inhibitors.

Cooper WO, Hernandez-Diaz S, Arbogast PG, et al. N Engl J Med. 2006;354:2443-2451.

BOOK/REPORT

How Safe Is Your Hospital?

Dr Foster Intelligence Unit. London, UK: Imperial College London; 2009.

NEWSPAPER/MAGAZINE ARTICLE

Reused devices, surgery's deadly suspects.

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

AWARD RECIPIENT

Beth Israel cited for improving obstetrics care.

Kowalczyk L. Boston Globe. March 29, 2007:4B.

STUDY

Availability of Spanish prescription labels.

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

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

UK government to set up small claims scheme for medical mishaps.

Dyer C. BMJ. 2005;330:1228.

NEWSPAPER/MAGAZINE ARTICLE

Buying the wrong medicine overseas.

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

NEWSPAPER/MAGAZINE ARTICLE

Wrist tag 'offers drug warning.'

BBC News. August 9, 2005.

NEWSPAPER/MAGAZINE ARTICLE

In just a flash, simple surgery can turn deadly.

Landro L. Wall Street Journal. February 18, 2009:D1.

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