AHRQ Patient Safety Network

The Collection > Patients

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Safety Target

•Device-related Complications (40)

•Diagnostic Errors (47)

•Identification Errors (49)

•Discontinuities, Gaps, and Hand-Off Problems (55)

•Fatigue and Sleep Deprivation (11)

•Medication Safety (175)

•Medical Complications (93)

•Nonsurgical Procedural Complications (16)

•Surgical Complications (118)

•Transfusion Complications (3)

•Psychological and Social Complications (37)

Origin/Sponsor

•Australia and New Zealand (7)

Resource Types

•Journal Article (77)

•Legislation/Regulation (10)

•Meeting/Conference (1)

•Newsletter/Journal (4)

•Newspaper/Magazine Article (362)

•Press Release/Announcement (9)

•Special or Theme Issue (1)

•Tools/Toolkit (26)

•Web Resource (64)

•Grant (3)

Error Types

•Epidemiology of Errors and Adverse Events (64)

•Active Errors (135)

•Latent Errors (52)

•Near Miss (1)

Approach to Improving Safety

•Quality Improvement Strategies (146)

•Legal and Policy Approaches (206)

•Error Reporting and Analysis (210)

•Communication Improvement (209)

•Human Factors Engineering (69)

•Teamwork (20)

•Specialization of Care (23)

•Logistical Approaches (33)

•Culture of Safety (62)

•Technologic Approaches (94)

•Education and Training (141)

Clinical Areas

•Allied Health Services (2)

Target Audience
< All

Patients

Setting of Care

•Hospitals (399)

•Psychiatric Facilities (3)

•Residential Facilities (9)

•Ambulatory Care (64)

•Outpatient Surgery (13)

•Patient Transport (2)

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MULTI-USE WEBSITE

HAC Posting on Hospital Compare.

Centers for Medicare & Medicaid Services.

BOOK/REPORT

Patient Safety in Canada: An Update.

Ottawa, ON, Canada: Canadian Institute for Health Information; August 14, 2007.

BOOK/REPORT

HealthGrades Seventh Annual Patient Safety in American Hospitals Study.

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

BOOK/REPORT

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

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

NEWSPAPER/MAGAZINE ARTICLE

Medicare releases patient safety ratings for hospitals.

Rau J. Kaiser Health News. October 17, 2011.

BOOK/REPORT

HealthGrades Eighth Annual Patient Safety in American Hospitals Study.

Reed K, May R. Denver, CO: HealthGrades, Inc.; March 2011.

BOOK/REPORT

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

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

BOOK/REPORT

2009 National Healthcare Quality Report.

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

NEWSPAPER/MAGAZINE ARTICLE

New York City puts hospital error data online.

Kershaw S. New York Times. Sepember 7, 2007;Metro Desk section:B1.

NEWSPAPER/MAGAZINE ARTICLE

Never events: Utah hospitals saw nearly 60 serious errors in 2007.

May H. Salt Lake Tribune. August 18, 2008.

NEWSPAPER/MAGAZINE ARTICLE

Medicare says it won't cover hospital errors.

Pear R. New York Times. August 19, 2007.

NEWSPAPER/MAGAZINE ARTICLE

Perfect is possible.

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

NEWSPAPER/MAGAZINE ARTICLE

Don't let a hospital make you sick.

Mishori R. Parade Magazine. February 8, 2009.

AWARD RECIPIENT

2006 Quest for Quality Prize.

Runy LA. Hosp Health Netw. September 2006.

AUDIOVISUAL

Chasing Zero: Winning the War on Healthcare Harm.

Austin, TX: Texas Medical Institute for Technology and the Quaid Foundation; 2010.

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.

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.

NEWSPAPER/MAGAZINE ARTICLE

Many Mass. hospitals will pay for errors.

Kowalczyk L. Boston Globe. September 17, 2007;Metro section:1A.

NEWSPAPER/MAGAZINE ARTICLE

Hospital safety: your responsibility or theirs?

Teegardin C. Atlanta Journal-Constitution. April 28, 2013.

NEWSPAPER/MAGAZINE ARTICLE

Far more could be done to stop the deadly bacteria C. diff.

Eisler P. USA Today. August 16, 2012.

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