AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (16)

•Diagnostic Errors (7)

•Identification Errors (9)

•Discontinuities, Gaps, and Hand-Off Problems (39)

•Fatigue and Sleep Deprivation (14)

•Medication Safety (176)

•Medical Complications (51)

•Nonsurgical Procedural Complications (12)

•Surgical Complications (23)

•Transfusion Complications (1)

•Psychological and Social Complications (26)

Origin/Sponsor

•Asia (14)

•Australia and New Zealand (20)

•Central and South America (1)

Resource Types

•Clinical Guideline (1)

•Journal Article (353)

•Legislation/Regulation (2)

•Meeting/Conference (5)

•Newsletter/Journal (1)

•Newspaper/Magazine Article (34)

•Press Release/Announcement (1)

•Special or Theme Issue (11)

•Tools/Toolkit (3)

•Web Resource (3)

•Grant (1)

Error Types

•Epidemiology of Errors and Adverse Events (77)

•Active Errors (95)

•Latent Errors (56)

•Near Miss (17)

Approach to Improving Safety

•Quality Improvement Strategies (89)

•Legal and Policy Approaches (28)

•Error Reporting and Analysis (119)

•Communication Improvement (102)

•Human Factors Engineering (65)

•Teamwork (49)

•Specialization of Care (24)

•Logistical Approaches (77)

•Culture of Safety (101)

•Technologic Approaches (68)

•Education and Training (103)

Clinical Areas
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Nursing

•Medical/Surgical/Psychiatric Nursing (22)

•Critical Care Nursing (16)

•Anesthesia Nursing (4)

•Obstetrical Nursing (4)

•Emergency Nursing (11)

•Home Nursing (5)

Target Audience

•Health Care Providers (358)

•Health Care Executives and Administrators (376)

•Non-Health Care Professionals (147)

•Patients (16)

Setting of Care

•Hospitals (299)

•Psychiatric Facilities (2)

•Residential Facilities (17)

•Ambulatory Care (22)

•Outpatient Surgery (4)

1 - 20 of 427

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NEWSPAPER/MAGAZINE ARTICLE

Fixing America's hospitals.

Newsweek. October 16, 2006:44-68, 72.

COMMENTARY

ISMP medication error report analysis.

Cohen MR. Hosp Pharm. 2006;41:405-406.

NEWSPAPER/MAGAZINE ARTICLE

Reducing patient harm from opiates.

ISMP Medication Safety Alert! Acute Care Edition. February 22, 2007;12:1-3.

SPECIAL OR THEME ISSUE

The safety and quality of health care: where are we now?

Med J Aust. 2006;184:S37-S72.

COMMENTARY

Failure to Report

Spath PL. AHRQ WebM&M [serial online]. March 2007.

STUDY

The Safety Organizing Scale: development and validation of a behavioral measure of safety culture in hospital nursing units.

Vogus TJ, Sutcliffe KM. Med Care. 2007;45:46-54.

STUDY

Healthcare climate: a framework for measuring and improving patient safety.

Zohar D, Livne Y, Tenne-Gazit O, Admi H, Donchin Y. Crit Care Med. Crit Care Med. 2007;35:1312-1317.

COMMENTARY

Improving heparin safety: a multidisciplinary invited conference.

Peterson C, Ham CW, Vanderveen T. Hosp Pharm. 2008;43:491-497.

REVIEW

Medication communication: a concept analysis.

Manias E. J Adv Nurs. 2010;66:933-943.

COMMENTARY

Leading a highly visible hospital through a serious reportable event.

Erickson JI. J Nurs Adm. 2012;42:131-133.

STUDY

Attitudes of health sciences faculty members towards interprofessional teamwork and education.

Curran VR, Sharpe D, Forristall J. Med Educ. 2007;41:892-896.

NEWSPAPER/MAGAZINE ARTICLE

The five rights: a destination without a map.

ISMP Medication Safety Alert! Acute Care Edition. January 25, 2007;12:1.

FACT SHEET/FAQS

ISMP's List of High-Alert Medications.

Institute for Safe Medication Practices. 2012.

COMMENTARY classic

Shaping systems for better behavioral choices: lessons learned from a fatal medication error.

Smetzer J, Baker C, Byrne FD, Cohen MR. Jt Comm J Qual Patient Saf. 2010;36:152-163, 1AP-2AP.

COMMENTARY

Shake Well.

Flynn EA. AHRQ WebM&M [serial online]. September 2003.

COMMENTARY

Double Dosing, by the Rules

Cohen H. AHRQ WebM&M [serial online]. February/March 2009.

NEWSPAPER/MAGAZINE ARTICLE

Proper positioning of pharmacy label on Hospira PCA vials will avoid interference with scanning.

ISMP Medication Safety Alert! Acute Care Edition. August 14, 2008;13:1-3.

COMMENTARY

Preparing your hospital for compliance with The Joint Commission's National Patient Safety Goals.

Murdaugh L, Jordin R. Hosp Pharm. 2008;43:728-733.

COMMENTARY

40 of K.

Lesar TS. AHRQ WebM&M [serial online]. November 2003.

COMMENTARY

Danger in Disruption

Fontaine DK. AHRQ WebM&M [serial online]. October 2009.

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