AHRQ Patient Safety Network

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Identification Errors

•Wrong Patient (39)

•Wrong-Site Surgery (55)

Origin/Sponsor

•Asia (2)

•Australia and New Zealand (3)

Resource Types

•Journal Article (101)

•Legislation/Regulation (5)

•Meeting/Conference (1)

•Newsletter/Journal (2)

•Newspaper/Magazine Article (39)

•Special or Theme Issue (2)

•Tools/Toolkit (5)

•Web Resource (5)

Error Types

•Epidemiology of Errors and Adverse Events (57)

•Active Errors (70)

•Latent Errors (19)

•Near Miss (10)

Approach to Improving Safety

•Quality Improvement Strategies (49)

•Legal and Policy Approaches (18)

•Error Reporting and Analysis (57)

•Communication Improvement (68)

•Human Factors Engineering (50)

•Teamwork (12)

•Specialization of Care (2)

•Logistical Approaches (25)

•Culture of Safety (14)

•Technologic Approaches (42)

•Education and Training (30)

Clinical Areas

•Medicine (144)

•Nursing (12)

•Pharmacy (6)

Target Audience

•Health Care Providers (114)

•Health Care Executives and Administrators (125)

•Non-Health Care Professionals (41)

•Patients (46)

Setting of Care

•Hospitals (125)

•Psychiatric Facilities (1)

•Residential Facilities (2)

•Ambulatory Care (13)

•Outpatient Surgery (9)

1 - 20 of 175

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BOOK/REPORT

Adverse Events in Hospitals: Care Study of Incidence Among Medicare Beneficiaries in Two Selected Counties.

Levinson DR. Washington, DC: US Department of Health and Human Services, Office of the Inspector General; December 2008. Report No. OEI-06-08-00220.

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

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.

NEWSPAPER/MAGAZINE ARTICLE

Scariest hospital risks.

Herper M, Lindner M. Forbes. August 25, 2008.

NEWSPAPER/MAGAZINE ARTICLE

10 things your hospital won't tell you.

Kapadia R. Smart Money. October 2006;15:112-114.

BOOK/REPORT

Adverse Health Events in Minnesota: Ninth Annual Public Report.

St. Paul, MN: Minnesota Department of Health; January 2013.

STUDY

He thought the "lady in the door" was the "lady in the window": a qualitative study of patient identification practices.

Phipps E, Turkel M, Mackenzie ER, Urrea C. Jt Comm J Qual Patient Saf. 2012;38:127-134.

ORGANIZATIONAL POLICY/GUIDELINES

Standardising wristbands improves patient safety.

Safe Practice Notice 24. London, England: National Patient Safety Agency; July 3, 2007.

NEWSPAPER/MAGAZINE ARTICLE

Get me out alive.

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

STUDY

Reduction in pediatric identification band errors: a quality collaborative.

Phillips SC, Saysana M, Worley S, Hain PD. Pediatrics. 2012;129:e1587-e1593.

BOOK/REPORT

Consumer Guide to Adverse Health Events.

St. Paul, MN: Minnesota Department of Health; January 2009.

BOOK/REPORT

Patient Safety Authority Annual Reports.

Harrisburg, PA: Patient Safety Authority; April 2013.

BOOK/REPORT

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

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

STUDY

Closing the safety loop: evaluation of the National Patient Safety Agency's guidance regarding wristband identification of hospital inpatients.

Sevdalis N, Norris B, Ranger C, Bothwell S; Wristband Project Team. J Eval Clin Pract. 2009;15:311-315.

COMMENTARY

2009 National Patient Safety Goals.

Saufl NM. J Perianesth Nurs. 2009;24:114-118.

NEWSPAPER/MAGAZINE ARTICLE

Empowered to improve.

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

MULTI-USE WEBSITE

"Save Lives Now" project.

Hospitals and Health Networks.

STUDY

Automated identification of extreme-risk events in clinical incident reports.

Ong MS, Magrabi F, Coiera E. J Am Med Inform Assoc. 2012;19:e110-e118.

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.

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