AHRQ Patient Safety Network

The Collection > Pulmonology

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Safety Target

•Device-related Complications (4)

•Diagnostic Errors (2)

•Discontinuities, Gaps, and Hand-Off Problems (3)

•Medication Safety (1)

•Medical Complications (8)

•Nonsurgical Procedural Complications (2)

•Surgical Complications (1)

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•Europe (1)

•North America (13)

Resource Types

•Journal Article (14)

•Newspaper/Magazine Article (1)

Error Types

•Active Errors (3)

•Latent Errors (2)

Approach to Improving Safety

•Quality Improvement Strategies (8)

•Legal and Policy Approaches (1)

•Error Reporting and Analysis (3)

•Communication Improvement (5)

•Human Factors Engineering (6)

•Teamwork (2)

•Specialization of Care (2)

•Culture of Safety (1)

•Technologic Approaches (2)

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Pulmonology

Target Audience

•Health Care Providers (14)

•Health Care Executives and Administrators (11)

•Non-Health Care Professionals (4)

Setting of Care

•Hospitals (14)

•Residential Facilities (2)

•Patient Transport (1)

1 - 15 of 15

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STUDY

The value of adding a verbal report to written handoffs on early readmission following prolonged respiratory failure.

Hess DR, Tokarczyk A, O’Malley M, Gavaghan S, Sullivan J, Schmidt U. Chest. 2010;138:1475-1479.

STUDY

Collaborative cohort study of an intervention to reduce ventilator-associated pneumonia in the intensive care unit.

Berenholtz SM, Pham JC, Thompson DA, et al. Infect Control Hosp Epidemiol. 2011;32:305-314.

STUDY

Is there a benefit to multidisciplinary rounds in an open trauma intensive care unit regarding ventilator-associated pneumonia?

Johnson V, Mangram A, Mitchell C, Lorenzo M, Howard D, Dunn E. Am Surg. 2009;75:1171-1174.

COMMENTARY

All in the History

Fee C. AHRQ WebM&M [serial online]. February/March 2009.

STUDY

Prevention of ventilator-associated pneumonia: an evidence-based systematic review.

Collard HR, Saint S, Matthay MA. Ann Intern Med. 2003;138:494-501.

COMMENTARY

Central Line Clot.

Randolph AG. AHRQ WebM&M [serial online]. May 2003.

STUDY

Detection of postoperative respiratory failure: how predictive is the Agency for Healthcare Research and Quality's Patient Safety Indicator?

Utter GH, Cuny J, Sama P, et al. J Am Coll Surg. 2010;211:347-354.e1-29.

STUDY

Improving reliability of clinical care practices for ventilated patients in the context of a patient safety improvement initiative.

Pinto A, Burnett S, Benn J, et al. J Eval Clin Pract. 2011;17:180-187.

COMMENTARY

Thin Air.

Gaba DM. AHRQ WebM&M [serial online]. October 2004.

STUDY

Clinical and economic outcomes attributable to health care–associated sepsis and pneumonia.

Eber MR, Laxminarayan R, Perencevich EN, Malani A. Arch Intern Med. 2010;170:347-353.

NEWSPAPER/MAGAZINE ARTICLE

Shared MDIs: can cross-contamination be avoided?

ISMP Medication Safety Alert! Acute Care Edition. April 9, 2009;14:1-3.

COMMENTARY

Poor medication history plus slow symptom onset delays a diagnosis.

Wilkin T, Hale LS, Claiborne RA. JAAPA. October 2009;22:39-41.

STUDY

Dropping the baton during the handoff from emergency department to primary care: pediatric asthma continuity errors.

Hsiao AL, Shiffman RN. Jt Comm J Qual Patient Saf. 2009;35:467-474.

STUDY

Time trends in pulmonary embolism in the United States: evidence of overdiagnosis.

Wiener RS, Schwartz LM, Woloshin S. Arch Intern Med. 2011;171:831-837.

COMMENTARY

A practical framework for patient care teams to prospectively identify and mitigate clinical hazards.

Herzer KR, Rodriguez-Paz JM, Doyle PA, et al. Jt Comm J Qual Patient Saf. 2009;35:72-81.