AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (51)

•Diagnostic Errors (47)

•Identification Errors (27)

•Discontinuities, Gaps, and Hand-Off Problems (243)

•Fatigue and Sleep Deprivation (34)

•Medication Safety (351)

•Medical Complications (229)

•Nonsurgical Procedural Complications (16)

•Surgical Complications (68)

•Transfusion Complications (9)

•Psychological and Social Complications (62)

Origin/Sponsor

•Australia and New Zealand (42)

•Europe (238)

•North America (1138)

Resource Types

•Audiovisual (20)

•Book/Report (110)

•Clinical Guideline (1)

•Journal Article (1041)

•Legislation/Regulation (11)

•Meeting/Conference (6)

•Newspaper/Magazine Article (174)

•Press Release/Announcement (2)

•Special or Theme Issue (11)

•Tools/Toolkit (24)

•Web Resource (27)

Error Types

•Epidemiology of Errors and Adverse Events (387)

•Active Errors (162)

•Latent Errors (96)

•Near Miss (19)

Approach to Improving Safety

•Quality Improvement Strategies (359)

•Legal and Policy Approaches (167)

•Error Reporting and Analysis (406)

•Communication Improvement (379)

•Human Factors Engineering (138)

•Teamwork (97)

•Specialization of Care (101)

•Logistical Approaches (115)

•Culture of Safety (247)

•Technologic Approaches (248)

•Education and Training (254)

Clinical Areas
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General Internal Medicine

Target Audience

•Health Care Providers (809)

•Health Care Executives and Administrators (1134)

•Non-Health Care Professionals (559)

•Patients (124)

Setting of Care

•Hospitals (1255)

•Psychiatric Facilities (5)

•Residential Facilities (9)

•Ambulatory Care (177)

•Outpatient Surgery (4)

•Patient Transport (2)

1 - 20 of 1435

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BOOK/REPORT

Safer Hospital Care: Strategies for Continuous Innovation.

Raheja D. New York, NY: Productivity Press; 2011. ISBN: 9781439821022.

COMMENTARY

Learning accountability for patient outcomes.

Pronovost PJ. JAMA. 2010;304:204-205.

BOOK/REPORT

Tennessee Center for Patient Safety Annual Report 2010.

Nashville, TN: Tennessee Center for Patient Safety; August 2011.

STUDY

Impact of a statewide intensive care unit quality improvement initiative on hospital mortality and length of stay: retrospective comparative analysis.

Lipitz-Snyderman A, Steinwachs D, Needham DM, Colantuoni E, Morlock LL, Pronovost PJ. BMJ. 2011;342:d219.

AUDIOVISUAL

How a simple checklist can dramatically reduce medical errors.

Pronovost PJ. On Call. IHI Open School for Health Professionals. November 3, 2008.

COMMENTARY

Integrating CUSP and TRIP to improve patient safety.

Romig M, Goeschel C, Pronovost P, Berenholtz SM. Hosp Pract (Minneap). 2010;38:114-121.

STUDY

Professionalism: a necessary ingredient in a culture of safety.

DuPree E, Anderson R, McEvoy MD, Brodman M. Jt Comm J Qual Patient Saf. 2011;37:447-455.

BOOK/REPORT

Patient-Centered Care Improvement Guide.

Frampton S, Guastello S, Brady C, et al. Derby, CT: Planetree; Camden, ME: Picker Institute; 2008.

ORGANIZATIONAL POLICY/GUIDELINES

Transitions of Care Consensus Policy Statement American College of Physicians-Society of General Internal Medicine-Society of Hospital Medicine-American Geriatrics Society-American College of Emergency Physicians-Society of Academic Emergency Medicine.

Snow V, Beck D, Budnitz T, et al. J Gen Intern Med. 2009;24:971-976.

BOOK/REPORT

Health Care Leader Action Guide to Reduce Avoidable Readmissions.

Osei-Anto A, Joshi M, Audet AJ, Berman A, Jencks SF. New York, NY: The Commonwealth Fund, The John Hartford Foundation, Health Research and Educational Trust; January 25, 2010.

COMMENTARY

View the world through a different lens: shadowing another provider.

Thompson DA, Holzmueller CG, Lubomski L, Pronovost PJ. Jt Comm J Qual Patient Saf. 2008;34:614-618.

SPECIAL OR THEME ISSUE

Front-Line Ownership: Generating a Cure Mindset for Patient Safety.

Kitts J, ed. Healthcare Papers. 2013;13:1-82.

MEETING/CONFERENCE PROCEEDINGS

The Role of HR in Quality and Patient Safety.

The American Society for Healthcare Human Resources Administration. San Diego, CA: July 24, 2008.

BOOK/REPORT

The Patient Safety Initiative at America’s Public Hospitals: The Year One Overview.

Research Brief. Washington, DC: National Association of Public Hospitals and Health Systems; January 2011.

STUDY

Variations in surgical outcomes associated with hospital compliance with safety practices.

Brooke BS, Dominici F, Pronovost PJ, Makary MA, Schneider E, Pawlik TM. Surgery. 2012;151:651-659.

STUDY

Safety leadership: a meta-analytic review of transformational and transactional leadership styles as antecedents of safety behaviours.

Clarke S. J Occup Organ Psychol. 2013;86:22-49.

NEWSPAPER/MAGAZINE ARTICLE

Patient safety front and center.

Terry K. Hosp Health Netw. July 2011;85:38-40, 42.

MEASUREMENT TOOL/INDICATOR

Medication Safety Self Assessment for Automated Dispensing Cabinets.

Horsham, PA: Institute for Safe Medication Practices; 2009.

NEWSPAPER/MAGAZINE ARTICLE

10 things your hospital won't tell you.

Kapadia R. Smart Money. October 2006;15:112-114.

BOOK/REPORT

First, Do Less Harm: Confronting the Inconvenient Problems of Patient Safety.

Koppel R, Gordon S, ed. Ithaca, NY: Cornell University Press; 2012. ISBN: 9780801450778.

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