AHRQ Patient Safety Network

The Collection > Medical Complications

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Medical Complications

•Nosocomial Infections (113)

•Pressure Ulcers (9)

•Delirium (7)

•Venous Thrombosis and Thromboembolism (7)

•Patient Falls (27)

Origin/Sponsor

•Africa (2)

•Asia (5)

•Australia and New Zealand (20)

•Central and South America (1)

Resource Types

•Clinical Guideline (1)

•Journal Article (308)

•Legislation/Regulation (6)

•Meeting/Conference (2)

•Newsletter/Journal (1)

•Newspaper/Magazine Article (26)

•Press Release/Announcement (3)

•Special or Theme Issue (15)

•Tools/Toolkit (4)

•Web Resource (14)

•Grant (5)

Error Types

•Epidemiology of Errors and Adverse Events (122)

•Active Errors (73)

•Latent Errors (18)

•Near Miss (7)

Approach to Improving Safety

•Quality Improvement Strategies (146)

•Legal and Policy Approaches (41)

•Error Reporting and Analysis (98)

•Communication Improvement (78)

•Human Factors Engineering (69)

•Teamwork (65)

•Specialization of Care (71)

•Logistical Approaches (27)

•Culture of Safety (60)

•Technologic Approaches (47)

•Education and Training (117)

Clinical Areas

•Allied Health Services (3)

Target Audience

•Health Care Providers (351)

•Health Care Executives and Administrators (367)

•Non-Health Care Professionals (128)

•Patients (27)

Setting of Care

•Hospitals (338)

•Residential Facilities (7)

•Ambulatory Care (24)

•Outpatient Surgery (5)

•Patient Transport (4)

1 - 20 of 421

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ORGANIZATIONAL POLICY/GUIDELINES

Preventing maternal death.

Sentinel Event Alert. January 26, 2010;(44):1-4.

SPECIAL OR THEME ISSUE

Obstetric Issues.

PA-PSRS Patient Saf Advis. December 2009;6(suppl 1):1-32.

MULTI-USE WEBSITE

Patient Safety Toolkits & E-learning Packages.

National Patient Safety Agency.

STUDY

Development and usability of a behavioural marking system for performance assessment of obstetrical teams.

Tregunno D, Pittini R, Haley M, Morgan PJ. Qual Saf Health Care. 2009;18:393-396.

COMMENTARY

Building team and technical competency for obstetric emergencies: the mobile obstetric emergencies simulator (MOES) system.

Deering S, Rosen MA, Salas E, King HB. Simul Healthc. 2009;4:166-173.

REVIEW

Multidisciplinary team training in a simulation setting for acute obstetric emergencies: a systematic review.

Merién AER, van de Ven J, Mol BW, Houterman S, Oei SG. Obstet Gynecol. 2010;115:1021-1031.

STUDY

A comprehensive perinatal patient safety program to reduce preventable adverse outcomes and costs of liability claims.

Simpson KR, Kortz CC, Knox E. Jt Comm J Qual Patient Saf. 2009;35:565-574.

STUDY

Impact of a comprehensive patient safety strategy on obstetric adverse events.

Pettker CM, Thung SF, Norwitz ER, et al. Am J Obstet Gynecol. 2009 May;200:492.e1-8.

BOOK/REPORT

Toward Improving the Outcome of Pregnancy: Enhancing Perinatal Health Through Quality, Safety and Performance Initiatives (TIOP III).

Berns SD, ed. White Plains, NY: March of Dimes; December 2010.

REVIEW

The active components of effective training in obstetric emergencies.

Siassakos D, Crofts J, Winter C, Weiner C, Draycott T. BJOG. 2009;116:1028-1032.

STUDY

Challenges faced in providing safe care in rural perinatal settings.

Jukkala AM, Kirby RS. MCN Am J Matern Child Nurs. 2009;34:365-371.

STUDY

Ambulance personnel perceptions of near misses and adverse events in pediatric patients.

Cushman JT, Fairbanks RJ, O'Gara KG, et al. Prehosp Emerg Care. 2010;14:477-484.

COMMENTARY classic

A 38-year-old woman with fetal loss and hysterectomy.

Sachs BP. JAMA. 2005;294:833-840.

SPECIAL OR THEME ISSUE

Quality of Anesthesia Care.

Neuman MD, Martinez EA, eds. Anesthesiol Clin. 2011;29:1-178.

STUDY

Mobile in situ obstetric emergency simulation and teamwork training to improve maternal–fetal safety in hospitals.

Guise J, Lowe NK, Deering S, et al. Jt Comm J Qual Patient Saf. 2010;36:443-453:AP1-AP2.

STUDY

Code debriefing from the Department of Veterans Affairs (VA) Medical Team Training Program improves the cardiopulmonary resuscitation code process.

Percarpio KB, Harris FS, Hatfield BA, et al. Jt Comm J Qual Patient Saf. 2010;36:424-429:AP1.

STUDY

Nurse decision making in the prearrest period.

Gazarian PK, Henneman EA, Chandler GE. Clin Nurs Res. 2010;19:21-37.

REVIEW

Understanding factors that impact on health care professionals' risk perceptions and responses toward Clostridium difficile and methicillin-resistant Staphylococcus aureus: a structured literature review.

Burnett E, Kearney N, Johnston B, Corlett J, Macgillivray S. Am J Infect Control. 2013;41:394-400.

REVIEW

Patient safety and medical liability: current status and an agenda for the future.

Abuhamad A, Grobman WA. Obstet Gynecol. 2010;116:570-577.

STUDY

Potential unintended consequences due to Medicare's "No Pay for Errors Rule"? A randomized controlled trial of an educational intervention with internal medicine residents.

Mookherjee S, Vidyarthi AR, Ranji SR, Maselli J, Wachter RM, Baron RB. J Gen Intern Med. 2010;25:1097-1101.

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