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 (245)

•Fatigue and Sleep Deprivation (35)

•Medication Safety (351)

•Medical Complications (229)

•Nonsurgical Procedural Complications (16)

•Surgical Complications (69)

•Transfusion Complications (9)

•Psychological and Social Complications (62)

Origin/Sponsor

•Australia and New Zealand (42)

•Europe (236)

•North America (1144)

Resource Types

•Audiovisual (20)

•Book/Report (111)

•Clinical Guideline (1)

•Journal Article (1042)

•Legislation/Regulation (11)

•Meeting/Conference (6)

•Newspaper/Magazine Article (175)

•Press Release/Announcement (2)

•Special or Theme Issue (11)

•Tools/Toolkit (24)

•Web Resource (27)

Error Types

•Epidemiology of Errors and Adverse Events (389)

•Active Errors (165)

•Latent Errors (99)

•Near Miss (19)

Approach to Improving Safety

•Quality Improvement Strategies (357)

•Legal and Policy Approaches (167)

•Error Reporting and Analysis (412)

•Communication Improvement (382)

•Human Factors Engineering (139)

•Teamwork (96)

•Specialization of Care (101)

•Logistical Approaches (116)

•Culture of Safety (246)

•Technologic Approaches (248)

•Education and Training (253)

Clinical Areas
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General Internal Medicine

Target Audience

•Health Care Providers (814)

•Health Care Executives and Administrators (1136)

•Non-Health Care Professionals (561)

•Patients (125)

Setting of Care

•Hospitals (1261)

•Psychiatric Facilities (5)

•Residential Facilities (9)

•Ambulatory Care (174)

•Outpatient Surgery (4)

•Patient Transport (2)

1 - 20 of 1438

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NEWSPAPER/MAGAZINE ARTICLE

10 things your hospital won't tell you.

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

ORGANIZATIONAL POLICY/GUIDELINES

Preventing errors relating to commonly used anticoagulants.

Sentinel Event Alert. September 24, 2008;(41):1-4.

STUDY

A reengineered hospital discharge program to decrease rehospitalization: a randomized trial.

Jack BW, Chetty VK, Anthony D, et al. Ann Intern Med. 2009;150:178-187.

STUDY

classic

The relationship between patients' perception of care and measures of hospital quality and safety.

Isaac T, Zaslavsky AM, Cleary PD, Landon BE. Health Serv Res. 2010;45:1024-1040.

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.

COMMENTARY

Making inpatient medication reconciliation patient centered, clinically relevant and implementable: a consensus statement on key principles and necessary first steps.

Greenwald JL, Halasyamani L, Greene J, et al. J Hosp Med. 2010;5:477-485.

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.

BOOK/REPORT

Managing Patients' Medicines after Discharge from Hospital.

London, UK: Care Quality Commission; October 2009. CQC-039-500-ESP-102009. ISBN: 9781845622442.

STUDY

classic

Communication discrepancies between physicians and hospitalized patients.

Olson DP, Windish DM. Arch Intern Med. 2010;170:1302-1307.

STUDY

Lack of patient knowledge regarding hospital medications.

Cumbler E, Wald H, Kutner J. J Hosp Med. 2010;5-83-86.

AUDIOVISUAL

How a simple checklist can dramatically reduce medical errors.

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

AWARD RECIPIENT

2011 John M. Eisenberg Patient Safety and Quality Award Recipients.

The Joint Commission. March 13, 2012.

STUDY

Impact of electronic prescribing in a hospital setting: a process-focused evaluation.

Cunningham TR, Geller ES, Clarke SW. Int J Med Inform. 2008;77:546-554.

STUDY

Using Lean to improve medication administration safety: in search of the "perfect dose."

Ching JM, Long C, Williams BL, Blackmore CC. Jt Comm J Qual Patient Saf. 2013;39:195-204.

NEWSPAPER/MAGAZINE ARTICLE

Rounding to influence.

Reinertsen JL, Johnson KM. Healthc Exec. Sept/Oct 2010;25:72-75.

STUDY

Implementing SBAR across a large multihospital health system.

Compton J, Copeland K, Flanders S, et al. Jt Comm J Qual Patient Saf. 2012;38:261-268.

STUDY

It's not all about me: motivating hand hygiene among health care professionals by focusing on patients.

Grant AM, Hofmann DA. Psychol Sci. 2011;22:1494-1499.

STUDY

The association between night or weekend admission and hospitalization-relevant patient outcomes.

Khanna R, Wachsberg K, Marouni A, Feinglass J, Williams MV, Wayne DB. J Hosp Med. 2011;6:10-14.

STUDY

Medication administration quality and health information technology: a national study of US hospitals.

Appari A, Carian EK, Johnson ME, Anthony DL. J Am Med Inform Assoc. 2012;19:360-367.

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