AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (51)

•Diagnostic Errors (52)

•Identification Errors (27)

•Discontinuities, Gaps, and Hand-Off Problems (246)

•Fatigue and Sleep Deprivation (34)

•Medication Safety (362)

•Medical Complications (229)

•Nonsurgical Procedural Complications (16)

•Surgical Complications (69)

•Transfusion Complications (9)

•Psychological and Social Complications (62)

Origin/Sponsor

•Australia and New Zealand (43)

•Europe (251)

•North America (1143)

Resource Types

•Audiovisual (20)

•Book/Report (111)

•Clinical Guideline (1)

•Journal Article (1060)

•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 (405)

•Active Errors (163)

•Latent Errors (96)

•Near Miss (19)

Approach to Improving Safety

•Quality Improvement Strategies (359)

•Legal and Policy Approaches (168)

•Error Reporting and Analysis (421)

•Communication Improvement (384)

•Human Factors Engineering (138)

•Teamwork (96)

•Specialization of Care (102)

•Logistical Approaches (116)

•Culture of Safety (245)

•Technologic Approaches (249)

•Education and Training (259)

Clinical Areas
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General Internal Medicine

Target Audience

•Health Care Providers (822)

•Health Care Executives and Administrators (1140)

•Non-Health Care Professionals (558)

•Patients (124)

Setting of Care

•Hospitals (1256)

•Psychiatric Facilities (5)

•Residential Facilities (9)

•Ambulatory Care (191)

•Outpatient Surgery (4)

•Patient Transport (2)

1 - 20 of 1456

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NEWSPAPER/MAGAZINE ARTICLE

Anticoagulant safety practices call for pharmacist supervision.

Scott A. Drug Topics (Health-System Edition). November 10, 2008.

COMMENTARY

Preparing your hospital for compliance with The Joint Commission's National Patient Safety Goals.

Murdaugh L, Jordin R. Hosp Pharm. 2008;43:728-733.

ORGANIZATIONAL POLICY/GUIDELINES

Preventing errors relating to commonly used anticoagulants.

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

STUDY

classic

The care transitions intervention: translating from efficacy to effectiveness.

Voss R, Gardner R, Baier R, Butterfield K, Lehrman S, Gravenstein S. Arch Intern Med. 2011;171:1232-1237.

NEWSPAPER/MAGAZINE ARTICLE

Reduce readmissions with pharmacy programs that focus on transitions from the hospital to the community.

ISMP Medication Safety Alert! Acute Care Edition. November 15, 2012;17:1-3.

NEWSPAPER/MAGAZINE ARTICLE

Proper positioning of pharmacy label on Hospira PCA vials will avoid interference with scanning.

ISMP Medication Safety Alert! Acute Care Edition. August 14, 2008;13:1-3.

REVIEW

Hospital-initiated transitional care interventions as a patient safety strategy: a systematic review.

Rennke S, Nguyen OK, Shoeb MH, Magan Y, Wachter RM, Ranji SR. Ann Intern Med. 2013;158(5 Pt 2):433-440.

NEWSPAPER/MAGAZINE ARTICLE

Survey results: community liaison programs to decrease hospital readmissions.

ISMP Medication Safey Alert! Acute Care Edition. March 7, 2013;18:1-3.

STUDY

classic

Racial disparities in the frequency of patient safety events: results from the National Medicare Patient Safety Monitoring System.

Metersky ML, Hunt DR, Kliman R, et al. Med Care. 2011;49:504-510.

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

Anticoagulation-associated adverse drug events.

Piazza G, Nguyen TN, Cios D, et al. Am J Med. 2011;124:1136-1142.

NEWSPAPER/MAGAZINE ARTICLE

Medication errors: when pharmacy is closed.

PA-PSRS Patient Saf Advis. March 2012;9:11-17.

STUDY

The effect of medication reconciliation in elderly patients at hospital discharge.

Midlöv P, Bahrani L, Seyfali M, Höglund P, Rickhag E, Eriksson T. Int J Clin Pharm. 2012;34:113-119.

COMMENTARY

Anatomy of an incident disclosure: the importance of dialogue.

Iedema R, Allen S. Jt Comm J Qual Patient Saf. 2012;38:435-442.

NEWSPAPER/MAGAZINE ARTICLE

Raising the index of suspicion: red flags that represent credible threats to patient safety.

ISMP Medication Safety Alert! Acute Care Edition. July 26, 2012;17:1-3.

STUDY

Intravenous infusion safety technology: return on investment.

Danello SH, Maddox RR, Schaack GJ. Hosp Pharm. 2009;44:680-687, 696.

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.

STUDY

Using Healthcare Failure Mode and Effect Analysis to reduce medication errors in the process of drug prescription, validation and dispensing in hospitalised patients.

Vélez-Díaz-Pallarés M, Delgado-Silveira E, Carretero-Accame ME, Bermejo-Vicedo T. BMJ Qual Saf. 2013;22:42-52.

STUDY

An exploratory study measuring verbal order content and context.

Wakefield DS, Brokel J, Ward MM, Schwichtenberg T, Groath D, Kolb M, Davis JW, Crandall D. Qual Saf Health Care. 2009;18:169-173.

BOOK/REPORT

Patient Safety Authority Annual Reports.

Harrisburg, PA: Patient Safety Authority; April 2012.

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