AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (44)

•Diagnostic Errors (47)

•Identification Errors (48)

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

•Fatigue and Sleep Deprivation (11)

•Medication Safety (187)

•Medical Complications (87)

•Nonsurgical Procedural Complications (16)

•Surgical Complications (114)

•Transfusion Complications (4)

•Psychological and Social Complications (37)

Origin/Sponsor

•Australia and New Zealand (7)

•North America (671)

Resource Types

•Audiovisual (68)

•Book/Report (77)

•Journal Article (81)

•Legislation/Regulation (10)

•Meeting/Conference (1)

•Newsletter/Journal (4)

•Newspaper/Magazine Article (357)

•Press Release/Announcement (19)

•Special or Theme Issue (1)

•Tools/Toolkit (26)

•Web Resource (71)

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 (202)

•Error Reporting and Analysis (209)

•Communication Improvement (211)

•Human Factors Engineering (72)

•Teamwork (21)

•Specialization of Care (23)

•Logistical Approaches (33)

•Culture of Safety (62)

•Technologic Approaches (97)

•Education and Training (149)

Clinical Areas

•Allied Health Services (2)

•Dentistry (1)

•Medicine (408)

•Nursing (18)

•Pharmacy (86)

Target Audience
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Patients

Setting of Care

•Hospitals (389)

•Psychiatric Facilities (3)

•Residential Facilities (9)

•Ambulatory Care (65)

•Outpatient Surgery (12)

•Patient Transport (2)

1 - 20 of 725

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NEWSPAPER/MAGAZINE ARTICLE

Sarasota Memorial Hospital reviewed after restrained patient dies.

Gulliver D. Sarasota Herald Tribune. November 7, 2006:BS1.

COMMENTARY

The Perruche case and the issue of compensation for the consequences of medical error.

Costich JF. Health Policy. 2006;78:8-16.

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.

BOOK/REPORT

A Call for Change: The 2011 Commonwealth Fund Survey of Public Views of the U.S. Health System.

Stremikis K, Schoen C, Fryer AK. 2011;6:1492.

NEWSPAPER/MAGAZINE ARTICLE

Hospitals save money, but safety is questioned.

Klein A. The Washington Post. December 11, 2005:A01.

COMMENTARY

Liability reform should make patients safer: "Avoidable classes of events" are a key improvement.

Bovbjerg RR, Tancredi LR. J Law Med Ethics. 2005;33:478-500.

NEWSPAPER/MAGAZINE ARTICLE

Preventing the tragedy of misdiagnosis.

Landro L. Wall Street Journal (Eastern edition). November 29, 2006: D1-D5. [Reprinted on Post-gazette.com].

COMMENTARY

Health information technology is a vehicle, not a destination: a conversation with David J. Brailer.

Milstein A. Health Aff (Millwood). 2007;26:w236-w241.

BOOK/REPORT

The Richard and Hinda Rosenthal Lecture 2011: New Frontiers in Patient Safety.

Institute of Medicine. Washington, DC: The National Academies Press; 2011. ISBN: 9780309218030.

NEWSPAPER/MAGAZINE ARTICLE

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

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

AUDIOVISUAL

Toward a High Performance Health System: Public-Private Efforts to Make Health Care Safer and More Effective.

Washington, DC: Alliance for Health Reform, The Commonwealth Fund; 2005.

NEWSPAPER/MAGAZINE ARTICLE

Health for life. Keys to safer hospitals.

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

NEWSPAPER/MAGAZINE ARTICLE

Hospitals combat errors at the 'hand-off.'

Landro L. Wall Street Journal (Eastern edition). June 28, 2006:D1. [reprinted on Post-gazette.com].

COMMENTARY

Our broken health care system and how to fix it: an essay on health law and policy.

Jost TS. Wake Forest Law Rev. 2006;41:537-618.

NEWSPAPER/MAGAZINE ARTICLE

Get me out alive.

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

COMMENTARY

Language Barrier

Flores G. AHRQ WebM&M [serial online]. April 2006.

STUDY

classic

The care transitions intervention: results of a randomized controlled trial.

Coleman EA, Parry C, Chalmers S, Min SJ. Arch Intern Med. 2006;166:1822-1828.

CONGRESSIONAL TESTIMONY

First, Do No Harm: Improving Health Quality and Patient Safety.

Full Committee Hearing. US Senate Committee on Health, Education, Labor and Pensions (May 5, 2011) (testimony of Carolyn Clancy, MD; Timothy Charles; Philip Mehler, MD).

NEWSPAPER/MAGAZINE ARTICLE

Malpractice makes perfect.

Berenson RA. The New Republic. October 10, 2005;233:17-21.

BOOK/REPORT

HealthGrades Seventh Annual Patient Safety in American Hospitals Study.

Golden, CO: HealthGrades, Inc.; March 2010.

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