AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (2)

•Diagnostic Errors (8)

•Discontinuities, Gaps, and Hand-Off Problems (3)

•Fatigue and Sleep Deprivation (2)

•Medication Safety (6)

•Medical Complications (5)

•Nonsurgical Procedural Complications (2)

•Surgical Complications (2)

•Psychological and Social Complications (1)

Origin/Sponsor

•North America (23)

Resource Types

•Clinical Guideline (1)

•Journal Article (18)

•Newspaper/Magazine Article (1)

•Press Release/Announcement (4)

•Web Resource (1)

Error Types

•Epidemiology of Errors and Adverse Events (10)

•Active Errors (9)

•Latent Errors (4)

Approach to Improving Safety

•Quality Improvement Strategies (9)

•Legal and Policy Approaches (2)

•Error Reporting and Analysis (7)

•Communication Improvement (4)

•Human Factors Engineering (1)

•Teamwork (1)

•Specialization of Care (4)

•Logistical Approaches (4)

•Culture of Safety (1)

•Technologic Approaches (3)

•Education and Training (6)

Clinical Areas
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Neurology

Target Audience

•Health Care Providers (22)

•Health Care Executives and Administrators (13)

•Non-Health Care Professionals (7)

•Patients (2)

Setting of Care

•Hospitals (15)

•Ambulatory Care (2)

1 - 20 of 25

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COMMENTARY

"Just like EKGs!" Should EEGs undergo a confirmatory interpretation by a clinical neurophysiologist?

Benbadis SR. Neurology. 2013;80(suppl 1):S47-S51.

STUDY

The impact of resident duty hour reform on hospital readmission rates among Medicare beneficiaries.

Press MJ, Silber JH, Rosen AK, et al. J Gen Intern Med. 2011;26:405-411.

STUDY

Residents' perceptions of professionalism in training and practice: barriers, promoters, and duty hour requirements.

Ratanawongsa N, Bolen S, Howell EE, Kern DE, Sisson SD, Larriviere D. J Gen Intern Med. 2006;21:758-763.

PRESS RELEASE/ANNOUNCEMENT

Morphine sulfate oral solution 100 mg per 5 mL (20 mg/mL): medication use error—reports of accidental overdose.

MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; January 10, 2011.

STUDY

Medication-error reporting and pharmacy resident experience during implementation of computerized prescriber order entry.

Weant KA, Cook AM, Armitstead JA. Am J Health Syst Pharm. 2007;64:526-530.

PRESS RELEASE/ANNOUNCEMENT

CT brain perfusion scans safety investigation: initial notification.

MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; October 9, 2009.

STUDY

Comprehensive stroke centers overcome the weekend versus weekday gap in stroke treatment and mortality.

McKinney JS, Deng Y, Kasner SE, Kostis JB; Myocardial Infarction Data Acquisition System (MIDAS 15) Study Group. Stroke. 2011;42:2403-2409.

STUDY

Did duty hour reform lead to better outcomes among the highest risk patients?

Volpp KG, Rosen AK, Rosenbaum PR, et al. J Gen Intern Med. 2009;10:1149-1155.

STUDY

Medication errors in the homes of children with chronic conditions.

Walsh KE, Mazor KM, Stille CJ, et al. Arch Dis Child. 2011;96:581-586.

COMMENTARY

Neuroscience critical care: the role of the advanced practice nurse in patient safety.

Phillips J. AACN Clin Issues. 2005;16:581-592.

STUDY

The safety of hospital stroke care.

Holloway RG, Tuttle D, Baird T, Skelton WK. Neurology. 2007;68:550-555.

STUDY

Is there a "July phenomenon" in pediatric neurosurgery at teaching hospitals?

Smith ER, Butler WE, Barker FG 2nd. J Neurosurg. 2006;105(suppl 3):169-176.

PRESS RELEASE/ANNOUNCEMENT

Nimodipine Capsules (marketed as Nimotop).

FDA Alert for Healthcare Professionals [US Food and Drug Administration Web site]. January 2006.

CLINICAL GUIDELINE classic

classic

Medication errors in acute cardiovascular and stroke patients. A scientific statement from the American Heart Association.

Michaels AD, Spinler SA, Leeper B, et al; American Heart Association Acute Cardiac Care Committee of the Council on Clinical Cardiology, Council on Quality of Care and Outcomes Research, Council on Cardiopulmonary, Critical Care, Perioperative, and Resuscitation, Council on Cardiovascular Nursing, Stroke Council. Circulation. 2010;121:1664-1682.

PRESS RELEASE/ANNOUNCEMENT

FDA public health notification: MRI-caused injuries in patients with implanted neurological stimulators.

Schultz DG. Rockville, MD: Center for Devices and Radiological Health, Food and Drug Administration; May 10, 2005.

STUDY

Measuring inappropriate medical diagnosis and treatment in survey data: the case of ADHD among school-age children.

Evans WN, Morrill MS, Parente ST. J Health Econ. 2010;29:657-673.

COMMENTARY

Lethal Vertigo.

Furman JM. AHRQ WebM&M [serial online]. June 2004.

STUDY

Bedside detection of awareness in the vegetative state: a cohort study.

Cruse D, Chennu S, Chatelle C, et al. Lancet. 2012;378:2088-2094.

NEWSPAPER/MAGAZINE ARTICLE

Four patients say Cedars-Sinai did not tell them they had received a radiation overdose.

Zarembo A. Los Angeles Times. October 15, 2009:A1.

MULTI-USE WEBSITE

American Pain Foundation.

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