AHRQ Patient Safety Network

The Collection > Critical Care

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Safety Target

•Device-related Complications (48)

•Diagnostic Errors (11)

•Identification Errors (1)

•Discontinuities, Gaps, and Hand-Off Problems (47)

•Fatigue and Sleep Deprivation (4)

•Medication Safety (83)

•Medical Complications (131)

•Nonsurgical Procedural Complications (5)

•Surgical Complications (14)

•Transfusion Complications (2)

•Psychological and Social Complications (3)

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•Africa (1)

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Resource Types

•Clinical Guideline (2)

•Journal Article (323)

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•Newspaper/Magazine Article (28)

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•Special or Theme Issue (3)

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Error Types

•Epidemiology of Errors and Adverse Events (110)

•Active Errors (45)

•Latent Errors (17)

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Approach to Improving Safety

•Quality Improvement Strategies (84)

•Legal and Policy Approaches (18)

•Error Reporting and Analysis (79)

•Communication Improvement (55)

•Human Factors Engineering (59)

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•Specialization of Care (122)

•Logistical Approaches (21)

•Culture of Safety (51)

•Technologic Approaches (53)

•Education and Training (54)

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Critical Care

Target Audience

•Health Care Providers (253)

•Health Care Executives and Administrators (296)

•Non-Health Care Professionals (95)

•Patients (24)

Setting of Care

•Hospitals (360)

•Psychiatric Facilities (1)

•Ambulatory Care (1)

•Patient Transport (1)

1 - 20 of 376

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AWARD RECIPIENT

The Leapfrog Group Announces the 2008 Leapfrog Top Hospitals.

Washington, DC: Leapfrog Group; September 24, 2008.

STUDY

Does the Leapfrog program help identify high-quality hospitals?

Jha AK, Orav EJ, Ridgway AB, Zheng J, Epstein AM. Jt Comm J Qual Patient Saf. 2008;34:318-325.

NEWSPAPER/MAGAZINE ARTICLE

Perfect is possible.

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

COMMENTARY

The growth of rapid response systems.

Steel AC, Reynolds SF. Jt Comm J Qual Patient Saf. 2008;34:489-495.

COMMENTARY

Reducing methicillin-resistant Staphylococcus aureus (MRSA) infections.

Griffin FA. Jt Comm J Qual Patient Saf. 2007;33:726-731.

STUDY

The effects of computerized provider order entry implementation on communication in intensive care units.

Hoonakker PL, Carayon P, Walker JM, Brown RL, Cartmill RS. Int J Med Inform. 2013;82:e107-e117.

COMMENTARY

Early warning systems: the next level of rapid response.

Duncan KD, McMullan C, Mills BM. Nursing. 2012;42:38-44.

STUDY

Sustained effectiveness of a primary-team-based rapid response system.

Howell MD, Ngo L, Folcarelli P, et al. Crit Care Med. 2012;40:2562-2568.

STUDY

Improving situation awareness to reduce unrecognized clinical deterioration and serious safety events.

Brady PW, Muething S, Kotagal U, et al. Pediatrics. 2013;131:e298-e308.

STUDY

Rapid response teams and failure to rescue: one community's experience.

Hammer JA, Jones TL, Brown SA. J Nurs Care Qual. 2012;27:352-358.

COMMENTARY

Smart pumps: advanced capabilities and continuous quality improvement.

Vanderveen T. Patient Saf Quality Healthc. January/February 2007.

STUDY

Rapid response team in a rural hospital.

Brown S, Anderson MA, Hill PD. Clin Nurse Spec. 2012;26:95-102.

COMMENTARY

Improving sepsis care through systems change: the impact of a medical emergency team.

Sarani B, Brenner SR, Gabel B, et al. Jt Comm J Qual Patient Saf. 2008;34:179-182.

AWARD RECIPIENT

22 California hospitals earn top status for outstanding patient safety & health care quality.

San Francisco, CA: The Leapfrog Group; May 2, 2006.

STUDY

Differences in outcomes between ICU attending and senior resident physician led medical emergency team responses.

Morris DS, Schweickert W, Holena D, et al. Resuscitation. 2012;83:1434-1437.

COMMENTARY

Eliminating preventable death at Ascension Health.

Tolchin S, Brush R, Lange P, Bates P, Garbo JJ. Jt Comm J Qual Patient Saf. 2007;33:145-154.

COMMENTARY

Check the Bags.

Caldwell M, Dracup KA. AHRQ WebM&M [serial online]. September 2003.

NEWSPAPER/MAGAZINE ARTICLE

How American health care killed my father.

Goldhill D. The Atlantic. September 2009.

STUDY

What’s past is prologue: organizational learning from a serious patient injury.

Tamuz M, Franchois KE, Thomas EJ. Safety Sci. 2011;49:75-82.

NEWSPAPER/MAGAZINE ARTICLE

Patient safety: the synergy of technology and behavior.

Yarbrough C, Rypkema S. Patient Safety & Quality Healthcare. January-February 2008;5:32-35.

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