AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (41)

•Diagnostic Errors (10)

•Identification Errors (3)

•Discontinuities, Gaps, and Hand-Off Problems (8)

•Medication Safety (25)

•Medical Complications (135)

•Nonsurgical Procedural Complications (4)

•Surgical Complications (26)

•Transfusion Complications (1)

•Psychological and Social Complications (3)

Origin/Sponsor

•Australia and New Zealand (1)

•Central and South America (1)

•North America (143)

Resource Types

•Audiovisual (4)

•Book/Report (15)

•Clinical Guideline (2)

•Journal Article (107)

•Legislation/Regulation (2)

•Newsletter/Journal (1)

•Newspaper/Magazine Article (18)

•Press Release/Announcement (7)

•Special or Theme Issue (3)

•Tools/Toolkit (4)

•Web Resource (10)

Error Types

•Epidemiology of Errors and Adverse Events (45)

•Active Errors (32)

•Latent Errors (10)

•Near Miss (1)

Approach to Improving Safety

•Quality Improvement Strategies (84)

•Legal and Policy Approaches (19)

•Error Reporting and Analysis (44)

•Communication Improvement (23)

•Human Factors Engineering (39)

•Teamwork (11)

•Specialization of Care (8)

•Logistical Approaches (7)

•Culture of Safety (22)

•Technologic Approaches (13)

•Education and Training (26)

Clinical Areas
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Infectious Diseases

Target Audience

•Health Care Providers (129)

•Health Care Executives and Administrators (130)

•Non-Health Care Professionals (39)

•Patients (23)

Setting of Care

•Hospitals (139)

•Psychiatric Facilities (1)

•Residential Facilities (4)

•Ambulatory Care (14)

•Outpatient Surgery (5)

1 - 20 of 174

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NEWSPAPER/MAGAZINE ARTICLE

DTaP–Tdap mix-ups now affecting hundreds of patients.

ISMP Medication Safety Alert! Acute Care Edition. July 1, 2010;15:1-2.

COMMENTARY

Emerging infections: the contact precautions controversy.

Zastrow RL. Am J Nurs. 2011;111:47-53.

BOOK/REPORT

Hand Hygiene Project: Best Practices from Hospitals Participating in the Joint Commission Center for Transforming Healthcare Project.

Health Research and Educational Trust. Chicago, IL: American Hospital Association; 2010.

NEWSPAPER/MAGAZINE ARTICLE

Shared MDIs: can cross-contamination be avoided?

ISMP Medication Safety Alert! Acute Care Edition. April 9, 2009;14:1-3.

STUDY

Pediatric vaccination errors: application of the "5 rights" framework to a national error reporting database.

Bundy DG, Shore AD, Morlock LL, Miller MR. Vaccine. 2009;27:3890-3896.

NEWSPAPER/MAGAZINE ARTICLE

How American health care killed my father.

Goldhill D. The Atlantic. September 2009.

COMMENTARY

Inappropriate Antibiotic Use.

Babcock HM, Fraser VJ. AHRQ WebM&M [serial online]. June 2003.

MULTI-USE WEBSITE

On the CUSP: Stop HAI.

Health Research & Educational Trust, MHA Keystone Center.

STUDY

Effectiveness of an information technology intervention to improve prophylactic antibacterial use in the postoperative period.

Haynes K, Linkin DR, Fishman NO, et al. J Am Med Inform Assoc. 2011;18:164-168.

STUDY

Relationship between systems-level factors and hand hygiene adherence.

Dunn-Navarra AM, Cohen B, Stone PW, Pogorzelska M, Jordan S, Larson E. J Nurs Care Qual. 2011;26:30-38.

STUDY

Antimicrobial prescription errors in hospitalized children: role of antimicrobial stewardship program in detection and intervention.

Di Pentima MC, Chan S, Eppes SC, Klein JD. Clin Pediatr (Phila). 2009;53:715-723e1.

SPECIAL OR THEME ISSUE

Healthcare-Associated Infections.

Healthc Pap. 2009;9(3):1-62.

CLINICAL GUIDELINE

Surviving sepsis campaign: international guidelines for management of severe sepsis and septic shock: 2012.

Dellinger RP, Levy MM, Rhodes A, et al; Surviving Sepsis Campaign Guidelines Committee including the Pediatric Subgroup. Crit Care Med. 2013;41:580-637.

SPECIAL OR THEME ISSUE

Infection Control in the Intensive Care Unit.

Crit Care Med. 2010;38:S265-S404.

STUDY

Infection control hazards and near misses reported by nursing students.

Geller NF, Bakken S, Currie LM, Schnall R, Larson EL. Am J Infect Control. 2010;38:811-816.

STUDY

Reduction of central line infections in Veterans Administration intensive care units: an observational cohort using a central infrastructure to support learning and improvement.

Render ML, Hasselbeck R, Freyberg RW, Hofer TP, Sales AE, Almenoff PL; VA ICU Clinical Advisory Group. BMJ Qual Saf. 2011;20:725-732.

STUDY

Impact of a hospital-wide hand hygiene initiative on healthcare-associated infections: results of an interrupted time series.

Kirkland KB, Homa KA, Lasky RA, Ptak JA, Taylor EA, Splaine ME. BMJ Qual Saf. 2012;21:1019-1026.

STUDY

Infection control assessment of ambulatory surgical centers.

Schaefer MK, Jhung M, Dahl M, et al. JAMA. 2010;303:2273-2279.

STUDY

Patient safety climate: variation in perceptions by infection preventionists and quality directors.

Nelson S, Stone PW, Jordan S, et al. Interdiscip Perspect Infect Dis. 2011;2011:357121.

COMMENTARY

Staggered Sensitivity Results

Guglielmo BJ. AHRQ WebM&M [serial online]. March 2007.

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