AHRQ Patient Safety Network

The Collection > Hospital Medicine

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Safety Target

•Device-related Complications (52)

•Diagnostic Errors (26)

•Identification Errors (26)

•Discontinuities, Gaps, and Hand-Off Problems (225)

•Fatigue and Sleep Deprivation (34)

•Medication Safety (295)

•Medical Complications (227)

•Nonsurgical Procedural Complications (16)

•Surgical Complications (73)

•Transfusion Complications (9)

•Psychological and Social Complications (53)

Origin/Sponsor

•Africa (2)

•Asia (16)

•Australia and New Zealand (41)

•Europe (206)

•North America (1032)

Resource Types

•Audiovisual (18)

•Award (7)

•Book/Report (105)

•Journal Article (918)

•Legislation/Regulation (11)

•Meeting/Conference (6)

•Newspaper/Magazine Article (173)

•Press Release/Announcement (2)

•Special or Theme Issue (11)

•Tools/Toolkit (19)

•Web Resource (28)

•Grant (1)

Error Types

•Epidemiology of Errors and Adverse Events (346)

•Active Errors (154)

•Latent Errors (109)

•Near Miss (17)

Approach to Improving Safety

•Quality Improvement Strategies (330)

•Legal and Policy Approaches (158)

•Error Reporting and Analysis (376)

•Communication Improvement (334)

•Human Factors Engineering (133)

•Teamwork (83)

•Specialization of Care (102)

•Logistical Approaches (105)

•Culture of Safety (234)

•Technologic Approaches (202)

•Education and Training (231)

Clinical Areas
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Hospital Medicine

Target Audience

•Health Care Providers (699)

•Health Care Executives and Administrators (1056)

•Non-Health Care Professionals (501)

•Patients (121)

Setting of Care

•Hospitals (1280)

•Psychiatric Facilities (4)

•Residential Facilities (7)

•Ambulatory Care (31)

•Outpatient Surgery (4)

•Patient Transport (2)

1 - 20 of 1299

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STUDY

'Global Trigger Tool' shows that adverse events in hospitals may be ten times greater than previously measured.

Classen DC, Resar R, Griffin F, et al. Health Aff (Millwood). 2011;30:581-589.

BOOK/REPORT

IBEAS: A Pioneer Study on Patient Safety in Latin America: Towards Safer Hospital Care.

Geneva, Switzerland: World Health Organization; 2011.

STUDY

A comprehensive overview of medical error in hospitals using incident-reporting systems, patient complaints and chart review of inpatient deaths.

de Feijter JM, de Grave WS, Muijtjens AM, Scherpbier AJ, Koopmans RP. PLoS One. 2012;7:e31125.

NEWSPAPER/MAGAZINE ARTICLE

Diagnostic error in acute care.

PA-PSRS Patient Saf Advis. 2010;7:76-86.

STUDY

Temporal trends in rates of patient harm resulting from medical care.

Landrigan CP, Parry GJ, Bones CB, Hackbarth AD, Goldmann DA, Sharek PJ. N Engl J Med. 2010;363:2124-2134.

STUDY

Early readmissions to the department of medicine as a screening tool for monitoring quality of care problems.

Balla U, Malnick S, Schattner A. Medicine (Baltimore). 2008;87:294-300.

STUDY

Hospital patients' reports of medical errors and undesirable events in their health care.

Davis RE, Sevdalis N, Neale G, Massey R, Vincent CA. J Eval Clin Pract. 2012 Jun 12; [Epub ahead of print].

STUDY

National estimates of adverse events during nonpsychiatric hospitalizations for persons with schizophrenia.

Khaykin E, Ford DE, Pronovost PJ, Dixon L, Daumit GL. Gen Hosp Psychiatry. 2010;32:419-425.

STUDY

Patient safety, satisfaction, and quality of hospital care: cross sectional surveys of nurses and patients in 12 countries in Europe and the United States.

Aiken LH, Sermeus W, Van den Heede K, et al. BMJ. 2012;344:e1717.

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.

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.

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.

STUDY

Adverse event rates as measures of hospital performance.

Hauck K, Zhao X, Jackson T. Health Policy. 2012;104:146-154.

NEWSPAPER/MAGAZINE ARTICLE

Most adverse events at hospitals still go unreported.

Shaw G. The Hospitalist. August 2012.

BOOK/REPORT

HealthGrades Quality Study: Fourth Annual Patient Safety in American Hospitals Study.

Golden, CO: HealthGrades, Inc.; April 2007.

REVIEW

Adverse events in hospitals: the patient's point of view.

Massó Guijarro P, Aranaz Andrés JM, Mira JJ, Perdiguero E, Aibar C. Qual Saf Health Care. 2010;19:144-147.

BOOK/REPORT

Hospital-acquired infections in Pennsylvania.

Harrisburg, PA: Pennsylvania Health Care Cost Containment Council; November 2006.

STUDY

Contemporary evidence about hospital strategies for reducing 30-day readmissions: a national study.

Bradley EH, Curry L, Horwitz LI, et al. J Am Coll Cardiol. 2012;60:607-614.

STUDY

Anticoagulation-associated adverse drug events.

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

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.

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