AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (3)

•Diagnostic Errors (7)

•Identification Errors (1)

•Discontinuities, Gaps, and Hand-Off Problems (7)

•Fatigue and Sleep Deprivation (1)

•Medication Safety (8)

•Medical Complications (11)

•Nonsurgical Procedural Complications (3)

•Surgical Complications (3)

•Psychological and Social Complications (1)

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•Australia and New Zealand (4)

•North America (42)

Resource Types

•Book/Report (1)

•Journal Article (48)

•Legislation/Regulation (1)

•Newspaper/Magazine Article (5)

•Web Resource (1)

Error Types

•Epidemiology of Errors and Adverse Events (17)

•Active Errors (12)

•Latent Errors (3)

Approach to Improving Safety

•Quality Improvement Strategies (13)

•Legal and Policy Approaches (1)

•Error Reporting and Analysis (11)

•Communication Improvement (16)

•Human Factors Engineering (7)

•Teamwork (3)

•Specialization of Care (16)

•Logistical Approaches (6)

•Culture of Safety (3)

•Technologic Approaches (10)

•Education and Training (10)

Clinical Areas
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Emergency Medicine

Target Audience

•Health Care Providers (43)

•Health Care Executives and Administrators (33)

•Non-Health Care Professionals (11)

•Patients (1)

Setting of Care

•Hospitals (53)

•Ambulatory Care (3)

•Patient Transport (3)

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COMMENTARY

Discharge Fumbles.

Forster A. AHRQ WebM&M [serial online]. December 2004.

COMMENTARY

Lost in the Black Hole.

Wachter RM. AHRQ WebM&M [serial online]. October 2003.

COMMENTARY

A Little Shuteye.

Farion KJ. AHRQ WebM&M [serial online]. July 2003.

COMMENTARY

ISMP medication error report analysis.

Cohen MR. Hosp Pharm. 2008;43:696–698.

STUDY

An objective study of the impact of the electronic medical record on outcomes in trauma patients.

Schenarts PJ, Goettler CE, White MA, Waibel BH. Am Surg. 2012;78:1249-1254.

COMMENTARY

Profiles in patient safety: confirmation bias in emergency medicine.

Pines JM. Acad Emerg Med. 2006;13:90-94.

NEWSPAPER/MAGAZINE ARTICLE

Is your code cart ready?

Cohen ML. Med Econ. 2005 Sep 16;82:45-46, 48.

BOOK/REPORT

Training of Hospital Staff To Respond to a Mass Casualty Incident. Summary, Evidence Report/Technology Assessment.

Hsu EB, Jenckes MW, Catlett CL, et al. Summary, Evidence Report/Technology Assessment: Number 95. Rockville, MD: Agency for Healthcare Research and Quality; April 2004. AHRQ Publication Number 04-E015-1.

NEWSPAPER/MAGAZINE ARTICLE

A case that shook medicine.

Lerner BH. The Washington Post. November 28, 2006:HE01.

ORGANIZATIONAL POLICY/GUIDELINES

Joint Policy Statement—Guidelines for Care of Children in the Emergency Department.

American Academy of Pediatrics Committee on Pediatric Emergency Medicine; American College of Emergency Physicians Pediatric Committee; Emergency Nurses Association Pediatric Committee. Pediatrics. 2009;124:1233-1243.

NEWSPAPER/MAGAZINE ARTICLE

Fallible medicine: responding to errors in emergency care.

Whitehead S. Emergency Medical Services. July 2007.

COMMENTARY

Procedural safety in emergency care: a conceptual model and recommendations.

Pines JM, Kelly JJ, Meisl H, et al. Jt Comm J Qual Patient Saf. 2012;38:516-526.

STUDY

Characteristics and outcomes of patients receiving a medical emergency team review for respiratory distress or hypotension.

Quach JL, Downey AW, Haase M, et al. J Crit Care. 2008;23:325-331.

STUDY

Assessment of healthcare professionals' knowledge of managing emergency complications in patients with a tracheostomy.

Casserly P, Lang E, Fenton JE, Walsh M. Br J Anaesth. 2007;99:380-383.

NEWSPAPER/MAGAZINE ARTICLE

Patient safety in the ED.

Scalise D, Lazar C. Hosp Health Netw. May 2006:80:5,48,2.

STUDY

Medication prescribing errors in the prehospital setting and in the ED.

Lifshitz AE, Goldstein LH, Sharist M, et al. Am J Emerg Med. 2012;30:726-731.

REVIEW

classic

Effects of rapid response systems on clinical outcomes: systematic review and meta-analysis.

Ranji SR, Auerbach AD, Hurd CJ, O'Rourke K, Shojania KG. J Hosp Med. 2007;2:422-432.

STUDY

A survey of the use of time-out protocols in emergency medicine.

Kelly JJ, Farley H, O'Cain C, et al. Jt Comm J Qual Patient Saf. 2011;37:285-288.

COMMENTARY

Studying the technical work of emergency care.

Nemeth CP, Cook RI, Wears RL. Ann Emerg Med. 2007;50:384-386.

COMMENTARY

Capturing more emergency department errors via an anonymous web-based reporting system.

Khare RK, Uren B, Wears RL. Qual Manag Health Care. 2005;14:91-94.

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