AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (50)

•Diagnostic Errors (26)

•Identification Errors (24)

•Discontinuities, Gaps, and Hand-Off Problems (221)

•Fatigue and Sleep Deprivation (34)

•Medication Safety (289)

•Medical Complications (221)

•Nonsurgical Procedural Complications (16)

•Surgical Complications (71)

•Transfusion Complications (9)

•Psychological and Social Complications (53)

Origin/Sponsor

•Australia and New Zealand (39)

•Europe (204)

•North America (1011)

Resource Types

•Audiovisual (17)

•Book/Report (105)

•Journal Article (900)

•Legislation/Regulation (11)

•Meeting/Conference (6)

•Newspaper/Magazine Article (169)

•Press Release/Announcement (2)

•Special or Theme Issue (11)

•Tools/Toolkit (19)

•Web Resource (27)

Error Types

•Epidemiology of Errors and Adverse Events (341)

•Active Errors (147)

•Latent Errors (101)

•Near Miss (16)

Approach to Improving Safety

•Quality Improvement Strategies (326)

•Legal and Policy Approaches (155)

•Error Reporting and Analysis (370)

•Communication Improvement (325)

•Human Factors Engineering (132)

•Teamwork (80)

•Specialization of Care (100)

•Logistical Approaches (104)

•Culture of Safety (231)

•Technologic Approaches (198)

•Education and Training (226)

Clinical Areas
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Hospital Medicine

Target Audience

•Health Care Providers (687)

•Health Care Executives and Administrators (1036)

•Non-Health Care Professionals (489)

•Patients (119)

Setting of Care

•Hospitals (1257)

•Psychiatric Facilities (4)

•Residential Facilities (6)

•Ambulatory Care (30)

•Outpatient Surgery (4)

•Patient Transport (2)

1 - 20 of 1275

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SPECIAL OR THEME ISSUE

Elderly Falls.

J Safety Res. 2011;42:415-542.

BOOK/REPORT

Meeting the Joint Commission's 2013 National Patient Safety Goals.

Oakbrook Terrace, IL: The Joint Commission; September 2012. ISBN: 9781599407555.

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.

MULTI-USE WEBSITE

Harm Free Care.

National Health Service.

STUDY

Development of a checklist of safe discharge practices for hospital patients.

Soong C, Daub S, Lee J, et al. J Hosp Med. 2013 Mar 29; [Epub ahead of print].

BOOK/REPORT

Inspiring Ideas and Celebrating Successes: A Guidebook to Leading Patient Safety Practices in Ontario Hospitals.

OHA Patient Safety Support Service. Toronto, Ontario, Canada: Ontario Hospital Association; 2006.

TOOLKIT

Preventing Falls in Hospitals: A Toolkit for Improving Quality of Care.

Ganz DA, Huang C, Saliba D, et al. Rockville, MD: Agency for Healthcare Research and Quality; January 2013. AHRQ Publication No. 13-0015-EF.

REVIEW

Inpatient fall prevention programs as a patient safety strategy: a systematic review.

Miake-Lye IM, Hempel S, Ganz DA, Shekelle PG. Ann Intern Med. 2013;158(5 Pt 2):390-396.

STUDY

Effect of medication reconciliation at hospital admission on medication discrepancies during hospitalization and at discharge for geriatric patients.

Cornu P, Steurbaut S, Leysen T, et al. Ann Pharmacother. 2012;46:484-494.

MULTI-USE WEBSITE

BOOSTing Care Transitions Resource Room.

Project BOOST (Better Outcomes for Older adults through Safe Transitions), Society of Hospital Medicine.

REVIEW

Fall prevention in hospitals: an integrative review.

Spoelstra SL, Given BA, Given CW. Clin Nurs Res. 2012;21:92-112.

BOOK/REPORT

Patient Safety Authority Annual Reports.

Harrisburg, PA: Patient Safety Authority; April 2013.

BOOK/REPORT

Promoting Safety and Quality Through Human Resource Practices: Executive Summary.

McAlearney AS, Song P, Garman A, McHugh M, Caputo N. Rockville, MD: Agency for Healthcare Research and Quality; August 2011. AHRQ Publication No. 11-0080-EF.

COMMENTARY

As she lay dying: how I fought to stop medical errors from killing my mom.

Welch JR. Health Aff (Millwood). 2012;31:2817-2820.

BOOK/REPORT classic

classic

Adverse Events in Hospitals: National Incidence Among Medicare Beneficiaries.

Levinson DR. Washington, DC: US Department of Health and Human Services, Office of the Inspector General; November 2010. Report No. OEI-06-09-00090.

MULTI-USE WEBSITE

African Partnerships for Patient Safety.

Geneva, Switzerland: WHO Patient Safety, World Health Organization.

STUDY

Inpatient fall prevention: use of in-room Webcams.

Hardin SR, Dienemann J, Rudisill P, Mills KK. J Patient Saf. 2013;9:29-35.

STUDY

Improving patient safety using the sterile cockpit principle during medication administration: a collaborative, unit-based project.

Fore AM, Sculli GL, Albee D, Neily J. J Nurs Manag. 2013;21:106-111.

NEWSPAPER/MAGAZINE ARTICLE

Strengthening the core. Middle managers play a vital role in improving safety.

Federico F, Bonacum D. Healthc Exec. January/February 2010;25:68-70.

COMMENTARY

Assessing hospital safety on nights and weekends: the SWAN tool.

Shulkin DJ. J Patient Saf. 2009;5:75-78.

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