AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (45)

•Diagnostic Errors (46)

•Identification Errors (48)

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

•Fatigue and Sleep Deprivation (11)

•Medication Safety (193)

•Medical Complications (91)

•Nonsurgical Procedural Complications (16)

•Surgical Complications (114)

•Transfusion Complications (4)

•Psychological and Social Complications (37)

Origin/Sponsor

•Australia and New Zealand (7)

Resource Types

•Journal Article (81)

•Legislation/Regulation (10)

•Meeting/Conference (1)

•Newsletter/Journal (4)

•Newspaper/Magazine Article (359)

•Press Release/Announcement (19)

•Special or Theme Issue (1)

•Tools/Toolkit (28)

•Web Resource (74)

•Grant (3)

Error Types

•Epidemiology of Errors and Adverse Events (62)

•Active Errors (137)

•Latent Errors (53)

•Near Miss (1)

Approach to Improving Safety

•Quality Improvement Strategies (149)

•Legal and Policy Approaches (206)

•Error Reporting and Analysis (214)

•Communication Improvement (212)

•Human Factors Engineering (74)

•Teamwork (21)

•Specialization of Care (23)

•Logistical Approaches (33)

•Culture of Safety (60)

•Technologic Approaches (95)

•Education and Training (152)

Clinical Areas

•Allied Health Services (2)

Target Audience
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Patients

Setting of Care

•Hospitals (394)

•Psychiatric Facilities (2)

•Residential Facilities (9)

•Ambulatory Care (67)

•Outpatient Surgery (12)

•Patient Transport (2)

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BOOK/REPORT

Consumer Guide to Adverse Health Events.

St. Paul, MN: Minnesota Department of Health; January 2009.

AUDIOVISUAL

Avoiding medical error.

Colvin G. "The Colvin Interview." CNN. February 5, 2007.

NEWSPAPER/MAGAZINE ARTICLE

Preventing fatal errors.

Bailey B, Sevrens Lyons J. The Mercury News. November 27, 2005.

BOOK/REPORT

Delivering Safer Health Care in Western Australia: The Second WA Sentinel Event Report 2005-2006.

East Perth, WA, Australia: Department of Health of Western Australia; 2006.

NEWSPAPER/MAGAZINE ARTICLE

Sarasota Memorial Hospital reviewed after restrained patient dies.

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

MULTI-USE WEBSITE

Organisation Patient Safety Incident Reports.

National Patient Safety Agency.

NEWSPAPER/MAGAZINE ARTICLE

Report: hospital errors cost 18 lives.

Rojas-Burke J. Oregonian. January 30, 2007:B01.

STUDY

Hospitalized patients' attitudes about and participation in error prevention.

Waterman AD, Gallagher TH, Garbutt J, Waterman BM, Fraser V, Burroughs TE. J Gen Intern Med. 2006;21:367-370.

BOOK/REPORT

National Priorities and Goals: Aligning Our Efforts to Transform America's Healthcare.

National Priorities Partnership. Washington, DC: National Quality Forum; 2008. ISBN: 1933875194.

NEWSPAPER/MAGAZINE ARTICLE

Fixing America's hospitals.

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

MULTI-USE WEBSITE

HAC Posting on Hospital Compare.

Centers for Medicare & Medicaid Services.

MULTI-USE WEBSITE

National Patient Safety Awareness Week.

National Patient Safety Foundation.

NEWSPAPER/MAGAZINE ARTICLE

Get me out alive.

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

NEWSPAPER/MAGAZINE ARTICLE

Medical malpractice: why is it so hard for doctors to apologize?

Sanghavi D. Boston Globe Magazine. January 27, 2013.

NEWSPAPER/MAGAZINE ARTICLE

Perfect is possible.

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

NEWSPAPER/MAGAZINE ARTICLE

Health for life. Keys to safer hospitals.

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

NEWSPAPER/MAGAZINE ARTICLE

Scant oversight of drug maker in fatal meningitis outbreak.

Grady D, Pollack A, Tavernise S. New York Times. October 6, 2012.

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

Health-care industry agrees on patient safety rules.

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

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.

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