AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (23)

•Diagnostic Errors (18)

•Identification Errors (25)

•Discontinuities, Gaps, and Hand-Off Problems (28)

•Fatigue and Sleep Deprivation (3)

•Medication Safety (101)

•Medical Complications (42)

•Nonsurgical Procedural Complications (8)

•Surgical Complications (45)

•Transfusion Complications (2)

•Psychological and Social Complications (15)

Origin/Sponsor

•Australia and New Zealand (6)

Resource Types

•Journal Article (65)

•Legislation/Regulation (9)

•Meeting/Conference (1)

•Newsletter/Journal (3)

•Newspaper/Magazine Article (130)

•Press Release/Announcement (19)

•Special or Theme Issue (1)

•Tools/Toolkit (10)

•Web Resource (51)

•Grant (3)

Error Types

•Epidemiology of Errors and Adverse Events (36)

•Active Errors (47)

•Latent Errors (24)

Approach to Improving Safety

•Quality Improvement Strategies (102)

•Legal and Policy Approaches (94)

•Error Reporting and Analysis (135)

•Communication Improvement (108)

•Human Factors Engineering (34)

•Teamwork (10)

•Specialization of Care (13)

•Logistical Approaches (10)

•Culture of Safety (47)

•Technologic Approaches (48)

•Education and Training (82)

Clinical Areas

•Allied Health Services (2)

•Medicine (192)

•Nursing (5)

•Pharmacy (40)

Target Audience
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Patients

Setting of Care

•Hospitals (185)

•Psychiatric Facilities (1)

•Residential Facilities (5)

•Ambulatory Care (25)

•Outpatient Surgery (5)

1 - 20 of 385

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NEWSPAPER/MAGAZINE ARTICLE

Health literacy—a quality and patient safety imperative.

Foubister V. Quality Matters. November/December 2006.

MULTI-USE WEBSITE

Joint Commission International Center for Patient Safety.

The Joint Commission, Joint Commission Resources.

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.

BOOK/REPORT

State of Healthcare 2008.

Healthcare Commission. London, England: Commission for Healthcare Audit and Inspection; 2008. ISBN: 9780102958362.

BOOK/REPORT

Quarterly National Reporting and Learning System Data Summary.

National Patient Safety Agency. London, UK: National Health Service.

NEWSPAPER/MAGAZINE ARTICLE

Get me out alive.

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

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

Simple mistakes, serious consequences: positive ID is no laughing matter.

Edozien L. Saferhealthcare. June 2, 2006.

BOOK/REPORT

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

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

AWARD RECIPIENT

An interview with Donald Berwick.

Schyve PM. Jt Comm J Qual Patient Saf. 2006;32:661-666.

NEWSPAPER/MAGAZINE ARTICLE

Q: What scares doctors? A: Being the patient.

Gibbs N, Bower A. Time Magazine. May 1, 2006.

NEWSPAPER/MAGAZINE ARTICLE

NHS drug error 'crackdown' urged.

BBC News. August 11, 2006.

BOOK/REPORT classic

Learning from Bristol: The Report of the Public Inquiry into Children's Heart Surgery at the Bristol Royal Infirmary 1984–1995.

London, England: The Stationery Office; July 2001.

NEWSPAPER/MAGAZINE ARTICLE

Maternity ward at Highland under fire from patients.

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

NEWSPAPER/MAGAZINE ARTICLE

Scathing report on Kaiser kidney program. Transplant delays assailed -- Medicare threatens to end coverage.

Russell S. San Francisco Chronicle. June 24, 2006.

MULTI-USE WEBSITE

PreventInfection.org.

Association for Professionals in Infection Control and Epidemiology.

NEWSPAPER/MAGAZINE ARTICLE

Hospital takes a page from Toyota.

Connolly C. MSNBC News. June 3, 2005.

NEWSPAPER/MAGAZINE ARTICLE

Hospitals move to cut dangerous lab errors.

Landro L. Wall Street Journal (Eastern edition). June 14, 2006:D1. [Reprinted on Post-gazette.com].

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