AHRQ Patient Safety Network

The Collection > Hospital Medicine

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Safety Target

•Device-related Complications (50)

•Diagnostic Errors (26)

•Identification Errors (26)

•Discontinuities, Gaps, and Hand-Off Problems (219)

•Fatigue and Sleep Deprivation (33)

•Medication Safety (289)

•Medical Complications (222)

•Nonsurgical Procedural Complications (15)

•Surgical Complications (72)

•Transfusion Complications (9)

•Psychological and Social Complications (53)

Origin/Sponsor

•Africa (2)

•Asia (17)

•Australia and New Zealand (39)

•Europe (203)

•North America (1008)

Resource Types

•Audiovisual (17)

•Award (6)

•Book/Report (105)

•Journal Article (900)

•Legislation/Regulation (11)

•Meeting/Conference (6)

•Newspaper/Magazine Article (168)

•Press Release/Announcement (2)

•Special or Theme Issue (11)

•Tools/Toolkit (19)

•Web Resource (27)

•Grant (1)

Error Types

•Epidemiology of Errors and Adverse Events (339)

•Active Errors (146)

•Latent Errors (100)

•Near Miss (17)

Approach to Improving Safety

•Quality Improvement Strategies (326)

•Legal and Policy Approaches (156)

•Error Reporting and Analysis (366)

•Communication Improvement (325)

•Human Factors Engineering (131)

•Teamwork (81)

•Specialization of Care (101)

•Logistical Approaches (104)

•Culture of Safety (231)

•Technologic Approaches (201)

•Education and Training (226)

Clinical Areas
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Hospital Medicine

Target Audience

•Health Care Providers (684)

•Health Care Executives and Administrators (1034)

•Non-Health Care Professionals (488)

•Patients (118)

Setting of Care

•Hospitals (1253)

•Psychiatric Facilities (4)

•Residential Facilities (7)

•Ambulatory Care (31)

•Outpatient Surgery (4)

•Patient Transport (2)

1 - 20 of 1273

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STUDY

Quality improvement initiative to reduce serious safety events and improve patient safety culture.

Muething SE, Goudie A, Schoettker PJ, et al. Pediatrics. 2012;130:e423-e431.

COMMENTARY

The Preventable Harm Index: an effective motivator to facilitate the drive to zero.

Brilli RJ, McClead RE Jr, Davis T, Stoverock L, Rayburn A, Berry JC. J Pediatr. 2010;157:681-683.

BOOK/REPORT

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

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

NEWSPAPER/MAGAZINE ARTICLE

Perfect is possible.

Berwick DM, Leape LL. Newsweek. October 16, 2006:70-71.

NEWSPAPER/MAGAZINE ARTICLE

Hospitals boost patients' power as advisers.

Landro L. Wall Street Journal. August 8, 2007:D1.

BOOK/REPORT

Tennessee Center for Patient Safety Annual Report 2010.

Nashville, TN: Tennessee Center for Patient Safety; August 2011.

COMMENTARY

Learning accountability for patient outcomes.

Pronovost PJ. JAMA. 2010;304:204-205.

NEWSPAPER/MAGAZINE ARTICLE

Empowered to improve.

Gardner E. Mod Healthc. May 18, 2009;39:28-31.

STUDY

Organisational culture: variation across hospitals and connection to patient safety climate.

Speroff T, Nwosu S, Greevy R, et al. Qual Saf Health Care. 2010;19:592-596.

STUDY

Patient Safety Dialogue: evaluation of an intervention aimed at achieving an improved patient safety culture.

Öhrn A, Rutberg H, Nilsen P. J Patient Saf. 2011;7:185-192.

STUDY

Tracking rates of patient safety indicators over time: lessons from the Veterans Administration.

Rosen AK, Zhao S, Rivard P, et al. Med Care. 2006;44:850-861.

STUDY

Patient readmissions, emergency visits, and adverse events after software-assisted discharge from hospital: cluster randomized trial.

Graumlich JF, Novotny NL, Nace GS, et al. J Hosp Med. 2009;4:E11-E19.

STUDY

Association between hospital-reported Leapfrog Safe Practices scores and inpatient mortality.

Kernisan LP, Lee SJ, Boscardin WJ, Landefeld CS, Dudley RA. JAMA. 2009;301:1341-1348.

BOOK/REPORT

Patient-Centered Care Improvement Guide.

Frampton S, Guastello S, Brady C, et al. Derby, CT: Planetree; Camden, ME: Picker Institute; 2008.

STUDY

Professionalism: a necessary ingredient in a culture of safety.

DuPree E, Anderson R, McEvoy MD, Brodman M. Jt Comm J Qual Patient Saf. 2011;37:447-455.

NEWSPAPER/MAGAZINE ARTICLE

10 things your hospital won't tell you.

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

NEWSPAPER/MAGAZINE ARTICLE

Cause for concern: drug shortages disrupt operations, tax hospitalists' treatment patterns.

Collins TR. The Hospitalist. July 2011.

COMMENTARY

Implementing patient safety initiatives in rural hospitals.

Klingner J, Moscovice I, Tupper J, Coburn A, Wakefield M. J Rural Health. 2009;25:352-357.

AUDIOVISUAL

How a simple checklist can dramatically reduce medical errors.

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

STUDY

Lack of patient knowledge regarding hospital medications.

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

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