AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (43)

•Diagnostic Errors (47)

•Identification Errors (48)

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

•Fatigue and Sleep Deprivation (11)

•Medication Safety (193)

•Medical Complications (89)

•Nonsurgical Procedural Complications (16)

•Surgical Complications (116)

•Transfusion Complications (4)

•Psychological and Social Complications (36)

Origin/Sponsor

•Australia and New Zealand (7)

Resource Types

•Journal Article (80)

•Legislation/Regulation (9)

•Meeting/Conference (1)

•Newsletter/Journal (4)

•Newspaper/Magazine Article (360)

•Press Release/Announcement (20)

•Special or Theme Issue (1)

•Tools/Toolkit (29)

•Web Resource (70)

•Grant (3)

Error Types

•Epidemiology of Errors and Adverse Events (64)

•Active Errors (140)

•Latent Errors (53)

•Near Miss (1)

Approach to Improving Safety

•Quality Improvement Strategies (152)

•Legal and Policy Approaches (204)

•Error Reporting and Analysis (211)

•Communication Improvement (220)

•Human Factors Engineering (76)

•Teamwork (21)

•Specialization of Care (23)

•Logistical Approaches (32)

•Culture of Safety (59)

•Technologic Approaches (95)

•Education and Training (151)

Clinical Areas

•Allied Health Services (2)

Target Audience
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Patients

Setting of Care

•Hospitals (398)

•Psychiatric Facilities (3)

•Residential Facilities (9)

•Ambulatory Care (70)

•Outpatient Surgery (13)

•Patient Transport (2)

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AWARD RECIPIENT

2006 Quest for Quality Prize.

Runy LA. Hosp Health Netw. September 2006.

BOOK/REPORT

Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2010.

Oakbrook Terrace, IL: The Joint Commission; September 2010.

NEWSPAPER/MAGAZINE ARTICLE

Fixing America's hospitals.

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

BOOK/REPORT

HealthGrades Seventh Annual Patient Safety in American Hospitals Study.

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

NEWSPAPER/MAGAZINE ARTICLE

Perfect is possible.

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

NEWSPAPER/MAGAZINE ARTICLE

10 things your hospital won't tell you.

Kapadia R. Smart Money. October 2006;15:112-114.

BOOK/REPORT

HealthGrades Quality Study: Fourth Annual Patient Safety in American Hospitals Study.

Golden, CO: HealthGrades, Inc.; April 2007.

AUDIOVISUAL

Battling hospital-acquired infections.

Gross T. "Fresh Air." National Public Radio. January 9, 2008.

AUDIOVISUAL

Hospital-acquired infections.

Moss-Coane M, O'Connell K, Fishman N. Radio Times. April 28, 2011.

NEWSPAPER/MAGAZINE ARTICLE

How safe do patients feel?

Wolosin R, Vercler L, Matthews J. Patient Safety & Quality Healthcare. November/December 2005;2:40-44.

REVIEW

An examination of opportunities for the active patient in improving patient safety.

Davis RE, Sevdalis N, Jacklin R, Vincent CA. J Patient Saf. 2012;8:36-43.

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].

NEWSPAPER/MAGAZINE ARTICLE

Pressing for better quality across healthcare.

Levey NN. Los Angeles Times. October 4, 2011.

STUDY

Patient safety, satisfaction, and quality of hospital care: cross sectional surveys of nurses and patients in 12 countries in Europe and the United States.

Aiken LH, Sermeus W, Van den Heede K, et al. BMJ. 2012;344:e1717.

AUDIOVISUAL classic

The faces of medical error...from tears to transparency.

The Empowered Patient Coalition; 2010.

BOOK/REPORT

2009 National Healthcare Quality Report.

Rockville, MD: Agency for Healthcare Research and Quality; March 2010. AHRQ Publication No. 10-0003.

COMMENTARY

The Role of the Patient in Improving Patient Safety

Gibson R. AHRQ WebM&M [serial online]. March 2007.

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

The First Annual HealthGrades Pediatric Patient Safety in American Hospitals Study.

Reed K, May R. Golden, CO: Health Grades, Inc; 2010.

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