AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (57)

•Diagnostic Errors (13)

•Identification Errors (2)

•Discontinuities, Gaps, and Hand-Off Problems (53)

•Fatigue and Sleep Deprivation (6)

•Medication Safety (113)

•Medical Complications (153)

•Nonsurgical Procedural Complications (11)

•Surgical Complications (20)

•Transfusion Complications (3)

•Psychological and Social Complications (5)

Origin/Sponsor

•Australia and New Zealand (41)

•Central and South America (5)

•North America (307)

Resource Types

•Audiovisual (3)

•Book/Report (5)

•Clinical Guideline (1)

•Journal Article (402)

•Legislation/Regulation (2)

•Newspaper/Magazine Article (26)

•Press Release/Announcement (3)

•Special or Theme Issue (3)

•Tools/Toolkit (2)

•Web Resource (2)

Error Types

•Epidemiology of Errors and Adverse Events (160)

•Active Errors (70)

•Latent Errors (23)

•Near Miss (6)

Approach to Improving Safety

•Quality Improvement Strategies (107)

•Legal and Policy Approaches (16)

•Error Reporting and Analysis (111)

•Communication Improvement (68)

•Human Factors Engineering (77)

•Teamwork (56)

•Specialization of Care (141)

•Logistical Approaches (25)

•Culture of Safety (59)

•Technologic Approaches (55)

•Education and Training (62)

Clinical Areas
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Critical Care

Target Audience

•Health Care Providers (308)

•Health Care Executives and Administrators (373)

•Non-Health Care Professionals (120)

•Patients (20)

Setting of Care

•Hospitals (435)

•Psychiatric Facilities (1)

•Residential Facilities (1)

•Ambulatory Care (3)

•Patient Transport (6)

1 - 20 of 452

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STUDY

Reduction in hospital mortality over time in a hospital without a pediatric medical emergency team: limitations of before-and-after study designs.

Joffe AR, Anton NR, Burkholder SC. Arch Pediatr Adolesc Med. 2011;165:419-423.

STUDY

A prospective observational study of physician handoff for intensive-care-unit-to-ward patient transfers.

Li P, Stelfox HT, Ghali WA. Am J Med. 2011;124:860-867.

STUDY

Attitudes and barriers to a medical emergency team system at a tertiary paediatric hospital.

Azzopardi P, Kinney S, Moulden A, Tibballs J. Resuscitation. 2011;82:167-174.

STUDY

A 5-year analysis of rapid response system activation at an in-hospital haemodialysis unit.

Galhotra S, Devita MA, Dew MA, Simmons RL. Qual Saf Health Care. 2010;19:e38.

STUDY

Changing cardiac arrest and hospital mortality rates through a medical emergency team takes time and constant review.

Santamaria J, Tobin A, Holmes J. Crit Care Med. 2010;38:445-450.

STUDY

Drug formulations that require potentially inaccurate volumes to prepare doses for infants and children.

Uppal N, Yasseen B, Seto W, Parshuram CS. CMAJ. 2011;183:E246-E248.

STUDY

Epidemiology and patient outcome after medical emergency team calls triggered by atrial fibrillation.

Schneider A, Calzavacca P, Jones D, Bellomo R. Resuscitation. 2011;82:410-414.

STUDY

Four years' experience with a hospitalist-led medical emergency team: an interrupted time series.

Rothberg MB, Belforti R, Fitzgerald J, Friderici J, Keyes M. J Hosp Med. 2012;7:98-103.

STUDY

A prospective controlled trial of the effect of a multi-faceted intervention on early recognition and intervention in deteriorating hospital patients.

Mitchell IA, McKay H, Van Leuvan C, et al. Resuscitation. 2010;81:658-666.

STUDY

Uncovering system errors using a rapid response team: cross-coverage caught in the crossfire.

Kaplan LJ, Maerz LL, Schuster K, et al. J Trauma. 2009;67:173-179.

STUDY

Trends in central line–associated bloodstream infections in a trauma-surgical intensive care unit.

Ong A, Dysert K, Herbert C, et al. Arch Surg. 2011;146:302-307.

STUDY

Patient safety measures in burn care: do national reporting systems accurately reflect quality of burn care?

Mandell SP, Robinson EF, Cooper CL, Klein MB, Gibran NS. J Burn Care Res. 2010;31:125-129.

COMMENTARY

An implementation strategy for a multicenter pediatric rapid response system in Ontario.

Lobos A, Costello J, Gilleland J, Gaiteiro R, Kotsakis A; The Ontario Pediatric Critical Care Response Team Collaborative. Jt Comm J Qual Patient Saf. 2010;36:271-280.

STUDY

A survey of nurses' beliefs about the medical emergency team system in a Canadian tertiary hospital.

Bagshaw SM, Mondor EE, Scouten C, et al; Capital Health Medical Emergency Team Investigators. Am J Crit Care. 2010;19:74-83.

STUDY

Retrospective review of emergency response activations during a 13-year period at a tertiary care children's hospital.

Wang GS, Erwin N, Zuk J, Henry DB, Dobyns EL. J Hosp Med. 2011;6:131-135.

STUDY

The relationship between early emergency team calls and serious adverse events.

Chen J, Bellomo R, Flabouris A, Hillman K, Finfer S; MERIT Study Investigators for the Simpson Centre and ANZICS Clinical Trials Group. Crit Care Med. 2009;37:148-153.

REVIEW

classic

Rapid response teams: a systematic review and meta-analysis.

Chan PS, Jain R, Nallmothu BK, Berg RA, Sasson C. Arch Intern Med. 2010;170:18-26.

STUDY

classic

Hospital-wide code rates and mortality before and after implementation of a rapid response team.

Chan PS, Khalid A, Longmore LS, Berg RA, Kosiborod M, Spertus JA. JAMA. 2008;300:2506-2513.

STUDY

Rapid response teams and continuous quality improvement.

Dailey MS, Durkin S, Gulczynski B, Kearney M, Loeb B, Pouliot J. Patient Saf Qual Healthc. Nov/Dec 2009;6:28-31.

REVIEW

The effect of medical emergency teams on patient outcome: a review of the literature.

Laurens NH, Dwyer TA. Int J Nurs Pract. 2010;16:533-544.

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