AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (50)

•Diagnostic Errors (26)

•Identification Errors (25)

•Discontinuities, Gaps, and Hand-Off Problems (218)

•Fatigue and Sleep Deprivation (33)

•Medication Safety (287)

•Medical Complications (222)

•Nonsurgical Procedural Complications (16)

•Surgical Complications (71)

•Transfusion Complications (9)

•Psychological and Social Complications (53)

Origin/Sponsor

•Australia and New Zealand (39)

•Europe (203)

•North America (1007)

Resource Types

•Audiovisual (17)

•Book/Report (105)

•Journal Article (896)

•Legislation/Regulation (11)

•Meeting/Conference (6)

•Newspaper/Magazine Article (167)

•Press Release/Announcement (2)

•Special or Theme Issue (11)

•Tools/Toolkit (19)

•Web Resource (27)

Error Types

•Epidemiology of Errors and Adverse Events (338)

•Active Errors (143)

•Latent Errors (98)

•Near Miss (17)

Approach to Improving Safety

•Quality Improvement Strategies (324)

•Legal and Policy Approaches (155)

•Error Reporting and Analysis (364)

•Communication Improvement (323)

•Human Factors Engineering (132)

•Teamwork (80)

•Specialization of Care (99)

•Logistical Approaches (103)

•Culture of Safety (230)

•Technologic Approaches (196)

•Education and Training (226)

Clinical Areas
< All

Hospital Medicine

Target Audience

•Health Care Providers (682)

•Health Care Executives and Administrators (1030)

•Non-Health Care Professionals (486)

•Patients (119)

Setting of Care

•Hospitals (1250)

•Psychiatric Facilities (4)

•Residential Facilities (7)

•Ambulatory Care (30)

•Outpatient Surgery (4)

•Patient Transport (2)

1 - 20 of 1269

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NEWSPAPER/MAGAZINE ARTICLE

More states shred bills for awful medical errors: patients in 23 states will no longer pay for certain mistakes, hospitals say.

Aleccia J. MSNBC News. August 12, 2008.

COMMENTARY

Toward improving patient safety through voluntary peer-to-peer assessment.

Hudson DW, Holzmueller CG, Pronovost PJ, et al. Am J Med Qual. 2012;27:201-220.

STUDY

To make or buy patient safety solutions: a resource dependence and transaction cost economics perspective.

Fareed N, Mick SS. Health Care Manage Rev. 2011;36:288-298.

NEWSPAPER/MAGAZINE ARTICLE

Many Mass. hospitals will pay for errors.

Kowalczyk L. Boston Globe. September 17, 2007;Metro section:1A.

STUDY

classic

Medicare's policy not to pay for treating hospital-acquired conditions: the impact.

McNair PD, Luft HS, Bindman AB. Health Aff (Millwood). 2009;28:1485-1493.

NEWSPAPER/MAGAZINE ARTICLE

Driving out errors, with mom in mind.

Weinstock M. Hosp Health Netw. April 2011.

NEWSPAPER/MAGAZINE ARTICLE

Minnesota is first state with policy to stop billing after medical errors.

Lerner M. Star Tribune. September 18, 2007;News section:5B.

COMMENTARY

Financial incentives to promote health care quality: the hospital acquired conditions nonpayment policy.

Kavanagh KT. Soc Work Public Health. 2011;26:524-541.

NEWSPAPER/MAGAZINE ARTICLE

Hospital safety records, CEO pay increasingly linked.

Wilson B. Am Med News. November 26, 2007:50:16.

NEWSPAPER/MAGAZINE ARTICLE

NY Medicaid ups the ante: by refusing to pay for 14 'never events,' the nation's biggest Medicaid program could propel other states into action.

DerGurahian J. Mod Healthc. June 16, 2008;38:6.

NEWSPAPER/MAGAZINE ARTICLE

Transparency and public reporting are essential for a safe health care system.

Leape LL. Perspect Health Reform. New York, NY: The Commonwealth Fund; March 17, 2010.

STUDY

Venous thromboembolism after trauma: a never event?

Thorson CM, Ryan ML, Van Haren RM, et al. Crit Care Med. 2012;40:2967-2973.

NEWSPAPER/MAGAZINE ARTICLE

The pursuit of perfection: hospitals take heightened actions to reduce adverse events.

May EL. Healthc Exec. 2012;27:26-28,30-33.

COMMENTARY

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

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

COMMENTARY

Revisiting duty-hour limits — IOM recommendations for patient safety and resident education.

Iglehart JK. N Engl J Med. 2008;359:2633-2635.

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.

COMMENTARY

The economics of health care quality and medical errors.

Andel C, Davidow SL, Hollander M, Moreno DA. J Health Care Finance. 2012;39:39-50.

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.

NEWSPAPER/MAGAZINE ARTICLE

Hospitals boost patients' power as advisers.

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

REVIEW

Interdisciplinary teamwork in hospitals: a review and practical recommendations for improvement.

O'Leary KJ, Sehgal NL, Terrell G, Williams MV; High Performance Teams and the Hospital of the Future Project Team. J Hosp Med. 2011 Oct 31; [Epub ahead of print].

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