AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (40)

•Diagnostic Errors (46)

•Identification Errors (44)

•Discontinuities, Gaps, and Hand-Off Problems (50)

•Fatigue and Sleep Deprivation (10)

•Medication Safety (170)

•Medical Complications (83)

•Nonsurgical Procedural Complications (16)

•Surgical Complications (112)

•Transfusion Complications (3)

•Psychological and Social Complications (35)

Origin/Sponsor

•Australia and New Zealand (5)

Resource Types

•Journal Article (73)

•Legislation/Regulation (5)

•Meeting/Conference (1)

•Newsletter/Journal (4)

•Newspaper/Magazine Article (355)

•Press Release/Announcement (12)

•Special or Theme Issue (1)

•Tools/Toolkit (24)

•Web Resource (53)

•Grant (3)

Error Types

•Epidemiology of Errors and Adverse Events (55)

•Active Errors (129)

•Latent Errors (50)

•Near Miss (1)

Approach to Improving Safety

•Quality Improvement Strategies (139)

•Legal and Policy Approaches (196)

•Error Reporting and Analysis (197)

•Communication Improvement (196)

•Human Factors Engineering (67)

•Teamwork (19)

•Specialization of Care (23)

•Logistical Approaches (32)

•Culture of Safety (60)

•Technologic Approaches (90)

•Education and Training (137)

Clinical Areas

•Allied Health Services (2)

Target Audience
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Patients

Setting of Care

•Hospitals (371)

•Psychiatric Facilities (3)

•Residential Facilities (8)

•Ambulatory Care (60)

•Outpatient Surgery (12)

•Patient Transport (2)

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GRANT RECIPIENT

Improving Patient Safety Through Simulation Research.

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

AUDIOVISUAL

Apology May Cut Medical Cost.

"The Early Show." CBS News Video. February 7, 2007.

NEWSPAPER/MAGAZINE ARTICLE

Software for symptoms.

Borzo J. Wall Street Journal. May 23, 2005:R10.

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

Delivering results.

Landro L. Wall Street Journal. March 28, 2011.

NEWSPAPER/MAGAZINE ARTICLE

A model patient: how simulators are changing the way doctors are trained.

Groopman J. The New Yorker. May 2, 2005;81:48-54.

STUDY

Risk of unintentional overdose with non-prescription acetaminophen products.

Wolf MS, King J, Jacobson K, et al. J Gen Intern Med. 2012;27:1587-1593.

NEWSPAPER/MAGAZINE ARTICLE

Confronting a colleague who covers up a medical error.

Brody H. Am Fam Physician. 2006;73:1272, 1274.

NEWSPAPER/MAGAZINE ARTICLE

Practicing on patients, real and otherwise.

Chen PW. New York Times. January 28, 2010.

NEWSPAPER/MAGAZINE ARTICLE

Cause of death: sloppy doctors.

Caplan J. Time.com. January 15, 2007.

COMMENTARY classic

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

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

NEWSPAPER/MAGAZINE ARTICLE

One group of doctors changes its ways.

Hallinan JT. Post-Gazette.com. June 21, 2005.

NEWSPAPER/MAGAZINE ARTICLE

IBM's Watson is learning its way to saving lives.

Gertner J. Fast Company. October 15, 2012.

COMMENTARY

Appropriate prescribing of medications: an eight-step approach.

Pollock M, Bazaldua OV, Dobbie AE. Am Fam Physician. 2007;75:231-236, 239-240.

NEWSPAPER/MAGAZINE ARTICLE

Personal best.

Gawande A. New Yorker. October 3, 2011.

NEWSPAPER/MAGAZINE ARTICLE

Reused devices, surgery's deadly suspects.

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

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.

STUDY

Availability of Spanish prescription labels.

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

NEWSPAPER/MAGAZINE ARTICLE

The best medical care in the U.S.

Arnst C. Business Week. July 17, 2006.

NEWSPAPER/MAGAZINE ARTICLE

A cure for scrawl: doctors being encouraged to switch to e-prescriptions.

Cohen R. Star-Ledger. August 12, 2007;Business section:1.

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