AHRQ Patient Safety Network

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Identification Errors

•Wrong Patient (32)

•Wrong-Site Surgery (20)

Origin/Sponsor

•Australia and New Zealand (2)

Resource Types

•Journal Article (78)

•Legislation/Regulation (4)

•Meeting/Conference (1)

•Newsletter/Journal (2)

•Newspaper/Magazine Article (24)

•Special or Theme Issue (1)

•Tools/Toolkit (3)

•Web Resource (8)

Error Types

•Epidemiology of Errors and Adverse Events (29)

•Active Errors (43)

•Latent Errors (23)

•Near Miss (11)

Approach to Improving Safety

•Quality Improvement Strategies (46)

•Legal and Policy Approaches (11)

•Error Reporting and Analysis (39)

•Communication Improvement (50)

•Human Factors Engineering (40)

•Teamwork (8)

•Specialization of Care (2)

•Logistical Approaches (23)

•Culture of Safety (14)

•Technologic Approaches (40)

•Education and Training (24)

Clinical Areas

•Medicine (105)

•Nursing (11)

•Pharmacy (5)

Target Audience

•Health Care Providers (92)

•Health Care Executives and Administrators (104)

•Non-Health Care Professionals (37)

•Patients (28)

Setting of Care

•Hospitals (89)

•Psychiatric Facilities (1)

•Residential Facilities (2)

•Ambulatory Care (9)

•Outpatient Surgery (7)

1 - 20 of 134

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NEWSPAPER/MAGAZINE ARTICLE

Get me out alive.

Feldman R. The Washington Post. May 2, 2006:HE01.

STUDY

Effects of technological interventions on the safety of a medication-use system.

Skibinski KA, White BA, Lin LI, Dong Y, Wu W. Am J Health Syst Pharm. 2007;64:90-96.

STUDY

Identification of inpatient DNR status: a safety hazard begging for standardization.

Sehgal NL, Wachter RM. J Hosp Med. 2007;2:366-371.

BOOK/REPORT

Improving America's Hospitals: A Report on Quality and Safety.

Oakbrook Terrace, IL: The Joint Commission; March 2007.

MEETING/CONFERENCE PROCEEDINGS

Safety in the NICU: preventing medical errors.

Stokowski LA. Highlights of the National Association of Neonatal Nurses 22nd Annual Conference [Medscape.com]. March 8, 2007.

NEWSPAPER/MAGAZINE ARTICLE

This isn't my information! The impact of accurate identity management on patient safety.

Garcia R. Health Manag Technol. 2013;34:10-11.

NEWSPAPER/MAGAZINE ARTICLE

Five hospitals release data on inspections.

Kowalczyk L. Boston Globe. April 21, 2007:B1.

STUDY

Patient misidentification in Papanicolaou tests: a systems-based approach to reducing errors.

Meyer E, Underwood RS, Padmanabhan V. Arch Pathol Lab Med. 2009;133:1297-1300.

FACT SHEET/FAQS

Eliminating Serious, Preventable, and Costly Medical Errors - Never Events.

Baltimore, MD: Centers for Medicare & Medicaid Services (CMS) Office of Public Affairs; May 18, 2006.

NEWSPAPER/MAGAZINE ARTICLE

Hospitals target risks of color wristbands.

Landro L. Wall Street Journal. April 4, 2007:D5.

BOOK/REPORT

Meeting the Joint Commission's 2013 National Patient Safety Goals.

Oakbrook Terrace, IL: The Joint Commission; September 2012. ISBN: 9781599407555.

SPECIAL OR THEME ISSUE

Cognitive Factors in Health Care.

Rogers WA, ed. J Exp Psychol Appl. 2011;17:191-302.

MULTI-USE WEBSITE

"Save Lives Now" project.

Hospitals and Health Networks.

AUDIOVISUAL

Avoiding medical error.

Colvin G. "The Colvin Interview." CNN. February 5, 2007.

COMMENTARY

ISMP medication error report analysis.

Cohen MR. Hosp Pharm. 2005;40:844-847.

NEWSPAPER/MAGAZINE ARTICLE

Commanding safety.

Huff C. Trustee Magazine. October 2011.

COMMENTARY

Patient Mix-Up.

Shojania KG. AHRQ WebM&M [serial online]. February 2003.

STUDY

The effectiveness of inking needle core prostate biopsies for preventing patient specimen identification errors: a technique to address Joint Commission patient safety goals in specialty laboratories.

Raff LJ, Engel G, Beck KR, O'Brien AS, Bauer ME. Arch Pathol Lab Med. 2009;133:295-297.

NEWSPAPER/MAGAZINE ARTICLE

Hospital bracelets face hurdles as they fix hazard.

Hartocollis A. New York Times. September 25, 2008; Metropolitan Desk section: A1.

NEWSPAPER/MAGAZINE ARTICLE

Empowered to improve.

Gardner E. Mod Healthc. May 18, 2009;39:28-31.

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