AHRQ Patient Safety Network

The Collection > Medical Complications

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Medical Complications

•Nosocomial Infections (225)

•Pressure Ulcers (25)

•Delirium (4)

•Venous Thrombosis and Thromboembolism (26)

•Patient Falls (61)

Origin/Sponsor

•Africa (2)

•Asia (5)

•Australia and New Zealand (13)

•Central and South America (1)

Resource Types

•Clinical Guideline (3)

•Journal Article (384)

•Legislation/Regulation (11)

•Meeting/Conference (1)

•Newsletter/Journal (1)

•Newspaper/Magazine Article (70)

•Press Release/Announcement (3)

•Special or Theme Issue (19)

•Tools/Toolkit (8)

•Web Resource (18)

•Grant (5)

Error Types

•Epidemiology of Errors and Adverse Events (159)

•Active Errors (59)

•Latent Errors (25)

•Near Miss (6)

Approach to Improving Safety

•Quality Improvement Strategies (217)

•Legal and Policy Approaches (94)

•Error Reporting and Analysis (184)

•Communication Improvement (84)

•Human Factors Engineering (84)

•Teamwork (49)

•Specialization of Care (82)

•Logistical Approaches (40)

•Culture of Safety (92)

•Technologic Approaches (63)

•Education and Training (105)

Clinical Areas

•Allied Health Services (4)

•Medicine (479)

•Nursing (53)

•Pharmacy (12)

Target Audience

•Health Care Providers (372)

•Health Care Executives and Administrators (479)

•Non-Health Care Professionals (188)

•Patients (76)

Setting of Care

•Hospitals (498)

•Psychiatric Facilities (3)

•Residential Facilities (13)

•Ambulatory Care (30)

•Outpatient Surgery (9)

•Patient Transport (2)

1 - 20 of 594

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NEWSPAPER/MAGAZINE ARTICLE

Hospital safety records, CEO pay increasingly linked.

Wilson B. Am Med News. November 26, 2007:50:16.

AWARD RECIPIENT

Announcing 2009 Leapfrog top hospitals.

Washington, DC: Leapfrog Group; December 4, 2009.

BOOK/REPORT

IBEAS: A Pioneer Study on Patient Safety in Latin America: Towards Safer Hospital Care.

Geneva, Switzerland: World Health Organization; 2011.

BOOK/REPORT

Health Care Leaders Action Guide: Hospital Strategies for Reducing Preventable Mortality.

Chicago, IL: Health Research & Educational Trust; March 2011.

BOOK/REPORT

Tennessee Center for Patient Safety Annual Report 2010.

Nashville, TN: Tennessee Center for Patient Safety; August 2011.

AUDIOVISUAL

Chasing Zero: Winning the War on Healthcare Harm.

Austin, TX: Texas Medical Institute for Technology and the Quaid Foundation; 2010.

STUDY

Impact of a statewide intensive care unit quality improvement initiative on hospital mortality and length of stay: retrospective comparative analysis.

Lipitz-Snyderman A, Steinwachs D, Needham DM, Colantuoni E, Morlock LL, Pronovost PJ. BMJ. 2011;342:d219.

STUDY

Effect of nonpayment for hospital-acquired, catheter–associated urinary tract infection: a statewide analysis.

Meddings JA, Reichert H, Rogers MA, Saint S, Stephansky J, McMahon LF. Ann Intern Med. 2012;157:305-312.

BOOK/REPORT

Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2009.

Oakbrook Terrace, IL: The Joint Commission; January 2010.

NEWSPAPER/MAGAZINE ARTICLE

Minnesota is first state with policy to stop billing after medical errors.

Lerner M. Star Tribune. September 18, 2007;News section:5B.

BOOK/REPORT

Improving America's Hospitals: The Joint Commission's Report on Quality and Safety 2008.

Oakbrook Terrace, IL: The Joint Commission; November 2008.

NEWSPAPER/MAGAZINE ARTICLE

Many Mass. hospitals will pay for errors.

Kowalczyk L. Boston Globe. September 17, 2007;Metro section:1A.

STUDY

Medicare's policy not to pay for treating hospital-acquired conditions: the impact.

McNair PD, Luft HS, Bindman AB. Health Aff (Millwood). 2009;28:1485-1493.

STUDY

Prolonged hospital stay and the resident duty hour rules of 2003.

Silber JH, Rosenbaum PR, Rosen AK, et al. Med Care. 2009;47:1191-1200.

NEWSPAPER/MAGAZINE ARTICLE

Driving out errors, with mom in mind.

Weinstock M. Hosp Health Netw. April 2011.

STUDY

Association between hospital-reported Leapfrog Safe Practices scores and inpatient mortality.

Kernisan LP, Lee SJ, Boscardin WJ, Landefeld CS, Dudley RA. JAMA. 2009;301:1341-1348.

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.

STUDY

Tracking rates of patient safety indicators over time: lessons from the Veterans Administration.

Rosen AK, Zhao S, Rivard P, et al. Med Care. 2006;44:850-861.

NEWSPAPER/MAGAZINE ARTICLE

CMS seeks to add 9 hospital-acquired conditions to no-pay list.

O'Reilly KB. American Medical News. May 12, 2008.

STUDY

Impact of diagnosis-timing indicators on measures of safety, comorbidity, and case mix groupings from administrative data sources.

Naessens JM, Campbell CR, Berg B, Williams AR, Culbertson R. Med Care. 2007;45:781-788.

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