AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (19)

•Diagnostic Errors (18)

•Identification Errors (31)

•Discontinuities, Gaps, and Hand-Off Problems (25)

•Fatigue and Sleep Deprivation (4)

•Medication Safety (86)

•Medical Complications (54)

•Nonsurgical Procedural Complications (8)

•Surgical Complications (109)

•Transfusion Complications (3)

•Psychological and Social Complications (15)

Origin/Sponsor

Resource Types

•Journal Article (46)

•Legislation/Regulation (3)

•Newsletter/Journal (1)

•Newspaper/Magazine Article (135)

•Press Release/Announcement (5)

•Special or Theme Issue (1)

•Tools/Toolkit (31)

•Web Resource (28)

Error Types

•Epidemiology of Errors and Adverse Events (24)

•Active Errors (62)

•Latent Errors (17)

•Near Miss (1)

Approach to Improving Safety

•Quality Improvement Strategies (70)

•Legal and Policy Approaches (59)

•Error Reporting and Analysis (80)

•Communication Improvement (178)

•Human Factors Engineering (38)

•Teamwork (8)

•Specialization of Care (10)

•Logistical Approaches (10)

•Culture of Safety (25)

•Technologic Approaches (24)

•Education and Training (125)

Clinical Areas

•Medicine (209)

•Nursing (6)

•Pharmacy (35)

Target Audience
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Patients

Setting of Care

•Hospitals (181)

•Ambulatory Care (33)

•Outpatient Surgery (8)

1 - 20 of 307

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COMMENTARY

Surgical site verification: A through Z.

Dunn D. J Perianesth Nurs. 2006;21:317-328.

FACT SHEET/FAQS

Having Surgery? What You Need to Know.

Rockville, MD: Agency for Healthcare Research and Quality; 2005. AHRQ Publication No. 05(06)-0074.

FACT SHEET/FAQS

Ensuring Correct Surgery.

Ann Arbor, MI: VA National Center for Patient Safety; 2006.

MULTI-USE WEBSITE

Hydraulic Fluid Facts.

Duke University Health System.

BOOK/REPORT

Better: A Surgeon's Notes on Performance.

Gawande A. New York, NY: Metropolitan Books; 2007. ISBN: 0805082115.

NEWSPAPER/MAGAZINE ARTICLE

A towel with a safety message.

Lerner M. Minneapolis Star Tribune. January 25, 2009:B1.

NEWSPAPER/MAGAZINE ARTICLE

Medical mistakes unhappy reality.

Young A. The Atlanta Journal-Constitution. May 3, 2009:B1.

AUDIOVISUAL

Limiting medical mistakes.

Maminta J. News 8 WTNH. February 3, 2012.

NEWSPAPER/MAGAZINE ARTICLE

'Wrong-site' surgical mistakes are rare, preventable.

Stein L. St. Petersburg Times. June 21, 2010.

ORGANIZATIONAL POLICY/GUIDELINES classic

Universal Protocol for Preventing Wrong Site, Wrong Procedure, Wrong Person Surgery.

The Joint Commission.

STUDY

Effects of an educational patient safety campaign on patients' safety behaviours and adverse events.

Schwappach DLB, Frank O, Buschmann U, Babst R. J Eval Clin Pract. 2013;19:285-291.

NEWSPAPER/MAGAZINE ARTICLE

Doctor uses 'pre-flight' checklist.

Bernhard B. The Orange County Register. April 19, 2006.

AUDIOVISUAL

Checklist Manifesto author pairs simplicity with lifesaving.

Bowser BA. PBS News Hour. February 8, 2010.

FACT SHEET/FAQS

Tips for Safer Surgery.

Surgical Care Improvement Project.

NEWSPAPER/MAGAZINE ARTICLE

Doctor removes ovaries from wrong patient.

Bramson K, Mooney T. Providence Journal. August 18, 2006.

NEWSPAPER/MAGAZINE ARTICLE

In just a flash, simple surgery can turn deadly.

Landro L. Wall Street Journal. February 18, 2009:D1.

FACT SHEET/FAQS

Check Your Medicines: Tips for Taking Medicines Safely.

Rockville, MD: Agency for Healthcare Research and Quality; September 2010. AHRQ Publication No. 10-M052-C.

NEWSPAPER/MAGAZINE ARTICLE

Learning to ask tough questions of your surgeon.

Landro L. Wall Street Journal. January 9, 2008:D1.

NEWSPAPER/MAGAZINE ARTICLE

Personal best.

Gawande A. New Yorker. October 3, 2011.

MULTI-USE WEBSITE

Patient Safety First.

AORN, Inc., 2170 South Parker Rd, Suite 300, Denver, CO 80231-5711.

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