AHRQ Patient Safety Network

The Collection > Hospital Medicine

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Safety Target

•Device-related Complications (50)

•Diagnostic Errors (26)

•Identification Errors (25)

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

•Fatigue and Sleep Deprivation (33)

•Medication Safety (288)

•Medical Complications (223)

•Nonsurgical Procedural Complications (16)

•Surgical Complications (71)

•Transfusion Complications (9)

•Psychological and Social Complications (53)

Origin/Sponsor

•Africa (2)

•Asia (17)

•Australia and New Zealand (39)

•Europe (203)

•North America (1006)

Resource Types

•Audiovisual (17)

•Award (7)

•Book/Report (105)

•Journal Article (896)

•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 (338)

•Active Errors (143)

•Latent Errors (98)

•Near Miss (16)

Approach to Improving Safety

•Quality Improvement Strategies (326)

•Legal and Policy Approaches (156)

•Error Reporting and Analysis (365)

•Communication Improvement (323)

•Human Factors Engineering (132)

•Teamwork (80)

•Specialization of Care (100)

•Logistical Approaches (103)

•Culture of Safety (231)

•Technologic Approaches (197)

•Education and Training (226)

Clinical Areas
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Hospital Medicine

Target Audience

•Health Care Providers (682)

•Health Care Executives and Administrators (1032)

•Non-Health Care Professionals (485)

•Patients (119)

Setting of Care

•Hospitals (1251)

•Psychiatric Facilities (4)

•Residential Facilities (7)

•Ambulatory Care (30)

•Outpatient Surgery (4)

•Patient Transport (2)

1 - 20 of 1270

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BOOK/REPORT

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

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

STUDY

How do black-serving hospitals perform on patient safety indicators?: Implications for national public reporting and pay-for-performance.

Ly DP, Lopez L, Isaac T, Jha AK. Med Care. 2010;48:1133-1137.

BOOK/REPORT

HealthGrades Sixth Annual Patient Safety in American Hospitals Study.

Golden, CO: HealthGrades, Inc.; April 2009.

STUDY

Examining the impact of the AHRQ Patient Safety Indicators (PSIs) on the Veterans Health Administration: the case of readmissions.

Rosen AK, Loveland S, Shin M, et al. Med Care. 2013;51:37-44.

NEWSPAPER/MAGAZINE ARTICLE

CPOE: it don't come easy.

Anderson HJ. Health Data Manag. January 1, 2009;17:18.

STUDY

Standard practices for computerized clinical decision support in community hospitals: a national survey.

Ash JS, McCormack JL, Sittig DF, Wright A, McMullen C, Bates DW. J Am Med Inform Assoc. 2012;19:980-987.

NEWSPAPER/MAGAZINE ARTICLE

Piecing together medication administration.

Anderson HJ. Health Data Manage. May 1, 2009;17:22.

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

Patient Safety in Canada: An Update.

Ottawa, ON, Canada: Canadian Institute for Health Information; August 14, 2007.

MULTI-USE WEBSITE

HAC Posting on Hospital Compare.

Centers for Medicare & Medicaid Services.

BOOK/REPORT

Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2009.

Oakbrook Terrace, IL: The Joint Commission; January 2010.

BOOK/REPORT

HealthGrades Seventh Annual Patient Safety in American Hospitals Study.

Golden, CO: HealthGrades, Inc.; March 2010.

NEWSPAPER/MAGAZINE ARTICLE

Effective use of medication-related decision support in CPOE.

Metzger JB, Welebob E, Turisco F, Classen DC. Patient Saf Qual Healthc. Sept/Oct 2008;5:16-24.

NEWSPAPER/MAGAZINE ARTICLE

As industry automates, adverse events continue to haunt caregivers.

Wetzel TG. Health Data Manage. 2011 Feb;19:86, 88, 90 passim.

STUDY

Smartphone use during inpatient attending rounds: prevalence, patterns and potential for distraction.

Katz-Sidlow RJ, Ludwig A, Miller S, Sidlow R. J Hosp Med. 2012;7:595-599.

SPECIAL OR THEME ISSUE

Do HSMRs really measure patient safety?

Leatt P, ed. Healthcare Papers. 2008;8:4-75.

STUDY

Hospital performance trends on national quality measures and the association with Joint Commission accreditation.

Schmaltz SP, Williams SC, Chassin MR, Loeb JM, Wachter RM. J Hosp Med. 2011;6:458-465.

NEWSPAPER/MAGAZINE ARTICLE

Medicare releases patient safety ratings for hospitals.

Rau J. Kaiser Health News. October 17, 2011.

STUDY

Relationship between medication event rates and the Leapfrog computerized physician order entry evaluation tool.

Leung AA, Keohane C, Lipsitz S, et al. J Am Med Inform Assoc. 2013 Apr 18; [Epub ahead of print].

STUDY

Using inpatient hospital discharge data to monitor patient safety events.

Taylor JA, Pandian RS, Mao L, Michael YL. J Healthc Risk Manag. 2013;32:26-33.

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