AHRQ Patient Safety Network

The Collection > Medical Complications

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Medical Complications

•Nosocomial Infections (170)

•Pressure Ulcers (17)

•Delirium (6)

•Venous Thrombosis and Thromboembolism (11)

•Patient Falls (51)

Origin/Sponsor

•Africa (2)

•Asia (5)

•Australia and New Zealand (22)

•Central and South America (1)

Resource Types

•Clinical Guideline (2)

•Journal Article (367)

•Legislation/Regulation (7)

•Meeting/Conference (2)

•Newsletter/Journal (1)

•Newspaper/Magazine Article (49)

•Press Release/Announcement (4)

•Special or Theme Issue (19)

•Tools/Toolkit (6)

•Web Resource (16)

•Grant (4)

Error Types

•Epidemiology of Errors and Adverse Events (200)

•Active Errors (62)

•Latent Errors (17)

•Near Miss (7)

Approach to Improving Safety

•Quality Improvement Strategies (188)

•Legal and Policy Approaches (57)

•Error Reporting and Analysis (148)

•Communication Improvement (75)

•Human Factors Engineering (81)

•Teamwork (52)

•Specialization of Care (79)

•Logistical Approaches (33)

•Culture of Safety (79)

•Technologic Approaches (59)

•Education and Training (105)

Clinical Areas

•Allied Health Services (3)

Target Audience

•Health Care Providers (398)

•Health Care Executives and Administrators (455)

•Non-Health Care Professionals (151)

•Patients (49)

Setting of Care

•Hospitals (444)

•Psychiatric Facilities (2)

•Residential Facilities (9)

•Ambulatory Care (36)

•Outpatient Surgery (7)

•Patient Transport (4)

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STUDY

Patient perceptions of mistakes in ambulatory care.

Kistler CE, Walter LC, Mitchell CM, Sloane PD. Arch Intern Med. 2010;170:1480-1487.

STUDY

In-home medication reviews: a novel approach to improving patient care through coordination of care.

Willis JS, Hoy RH, Jenkins WD. J Community Health. 2011;36:1027-1031.

REVIEW

Patient safety systems in the primary health care of diabetes—a story of missed opportunities?

Taub N, Baker R, Khunti K, et al. Diabet Med. 2010;27:1322-1326.

BOOK/REPORT

Patient Safety: HHS Has Taken Steps to Address Unsafe Injection Practices, but More Action Is Needed.

Kohn LT. Washington, DC: United States Government Accountability Office; July 2012. Publication GAO-12-712.

STUDY

Incident reporting practices in the preanalytical phase: low reported frequencies in the primary health care setting.

Söderberg J, Grankvist K, Brulin C, Wallin O. Scand J Clin Lab Invest. 2009;69:731-735.

MULTI-USE WEBSITE

Getting Safer Care.

Agency for Healthcare Research and Quality.

CLINICAL GUIDELINE

Primary care–relevant interventions to prevent falling in older adults: a systematic evidence review for the U.S. Preventive Services Task Force.

Michael YL, Whitlock EP, Lin JS, Fu R, O'Connor EA, Gold R; US Preventive Services Task Force. Ann Intern Med. 2010;153:815-825.

NEWSPAPER/MAGAZINE ARTICLE

Nursing homes seen deficient on basic care.

Dembner A. Boston Globe. July 3, 2006;Health Science section:A1.

STUDY

The safety of hospital stroke care.

Holloway RG, Tuttle D, Baird T, Skelton WK. Neurology. 2007;68:550-555.

BOOK/REPORT

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

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

STUDY

The impact of resident duty hour reform on hospital readmission rates among Medicare beneficiaries.

Press MJ, Silber JH, Rosen AK, et al. J Gen Intern Med. 2011;26:405-411.

STUDY

What happens between visits? Adverse and potential adverse events among a low-income, urban, ambulatory population with diabetes.

Sarkar U, Handley MA, Gupta R, et al. Qual Saf Health Care. 2010;19:223-228.

STUDY

Incidence of potentially avoidable urgent readmissions and their relation to all-cause urgent readmissions.

van Walraven C, Jennings A, Taljaard M, et al. CMAJ. 2011;183:E1067-E1072.

STUDY

Inability of providers to predict unplanned readmissions.

Allaudeen N, Schnipper JL, Orav EJ, Wachter RM, Vidyarthi AR. J Gen Intern Med. 2011;26:771-776.

STUDY

Comprehensive stroke centers overcome the weekend versus weekday gap in stroke treatment and mortality.

McKinney JS, Deng Y, Kasner SE, Kostis JB; Myocardial Infarction Data Acquisition System (MIDAS 15) Study Group. Stroke. 2011;42:2403-2409.

BOOK/REPORT

A Patient Safety Handbook for Ambulatory Care Providers.

Oak Brook, IL: Joint Commission Resources; 2009. ISBN: 9781599403670.

STUDY

Using prospective clinical surveillance to identify adverse events in hospital.

Forster AJ, Worthington JR, Hawken S, et al. BMJ Qual Saf. 2011;20:756-763.

STUDY

Self-reported medical, medication and laboratory error in eight countries: risk factors for chronically ill adults.

Scobie A. Int J Qual Health Care. 2011;23:182-186.

STUDY

Improving situation awareness to reduce unrecognized clinical deterioration and serious safety events.

Brady PW, Muething S, Kotagal U, et al. Pediatrics. 2013;131:e298-e308.

STUDY

Iatrogenic events resulting in intensive care admission: frequency, cause, and disclosure to patients and institutions.

Lehmann LS, Puopolo AL, Shaykevich S, Brennan TA. Am J Med. 2005;118:409-413.

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