AHRQ Patient Safety Network

The Collection > Medical Complications

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Medical Complications

•Nosocomial Infections (237)

•Pressure Ulcers (28)

•Delirium (6)

•Venous Thrombosis and Thromboembolism (27)

•Patient Falls (71)

Origin/Sponsor

•Africa (1)

•Asia (1)

•Australia and New Zealand (22)

Resource Types

•Clinical Guideline (2)

•Journal Article (433)

•Legislation/Regulation (7)

•Meeting/Conference (2)

•Newspaper/Magazine Article (74)

•Press Release/Announcement (6)

•Special or Theme Issue (16)

•Tools/Toolkit (7)

•Web Resource (18)

•Grant (4)

Error Types

•Epidemiology of Errors and Adverse Events (209)

•Active Errors (59)

•Latent Errors (17)

•Near Miss (6)

Approach to Improving Safety

•Quality Improvement Strategies (217)

•Legal and Policy Approaches (84)

•Error Reporting and Analysis (186)

•Communication Improvement (83)

•Human Factors Engineering (97)

•Teamwork (58)

•Specialization of Care (95)

•Logistical Approaches (46)

•Culture of Safety (99)

•Technologic Approaches (64)

•Education and Training (109)

Clinical Areas

•Allied Health Services (2)

Target Audience

•Health Care Providers (396)

•Health Care Executives and Administrators (517)

•Non-Health Care Professionals (187)

•Patients (76)

Setting of Care

•Hospitals (535)

•Psychiatric Facilities (3)

•Residential Facilities (13)

•Ambulatory Care (31)

•Outpatient Surgery (7)

•Patient Transport (3)

1 - 20 of 632

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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.

BOOK/REPORT

HealthGrades Eighth Annual Patient Safety in American Hospitals Study.

Reed K, May R. Denver, CO: HealthGrades, Inc.; March 2011.

STUDY

Patient risk factors for medical injury: a case–control study.

Marbella AM, Laud PW, Brasel KJ, Layde PM. BMJ Qual Saf. 2011;20:187-193.

STUDY

Lessons learned: use of event reporting by nurses to improve patient safety and quality.

Hession-Laband E, Mantell P. J Pediatr Nurs. 2011;26:149-155.

STUDY

Prevalence of adverse events in pediatric intensive care units in the United States.

Agarwal S, Classen D, Larsen G, et al. Pediatr Crit Care Med. 2010;11:568-578.

STUDY

Large scale organisational intervention to improve patient safety in four UK hospitals: mixed method evaluation.

Benning A, Ghaleb M, Suokas A, et al. BMJ. 2011;342:d195.

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

Validating the Patient Safety Indicators in the Veterans Health Administration: do they accurately identify true safety events?

Rosen AK, Itani KM, Cevasco M, et al. Med Care. 2012;50:74-85.

STUDY

Triangulating case-finding tools for patient safety surveillance: a cross-sectional case study of puncture/laceration.

Taylor JA, Gerwin D, Morlock L, Miller MR. Inj Prev. 2011;17:388-393.

STUDY

Airway carts: a systems-based approach to airway safety.

Kane BG, Bond WF, Worrilow CC, Richardson DM, on behalf of the Lehigh Valley Hospital Airway Task Force. J Patient Saf. 2006;2:154-161.

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

Measuring communication in the surgical ICU: better communication equals better care.

Williams M, Hevelone N, Alban RF, et al. J Am Coll Surg. 2010;210:17-22.

REVIEW

Developing a patient safety surveillance system to identify adverse events in the intensive care unit.

Stockwell DC, Kane-Gill SL. Crit Care Med. 2010;38(suppl 6):S117-S125.

STUDY

Nurses' work schedule characteristics, nurse staffing, and patient mortality.

Trinkoff AM, Johantgen M, Storr CL, Gurses AP, Liang Y, Han K. Nurs Res. 2011;60:1-8.

NEWSPAPER/MAGAZINE ARTICLE

Medicare releases patient safety ratings for hospitals.

Rau J. Kaiser Health News. October 17, 2011.

STUDY

Maintaining and sustaining the On the CUSP: Stop BSI model in Hawaii.

Lin DM, Weeks K, Holzmueller CG, Pronovost PJ, Pham JC. Jt Comm J Qual Patient Saf. 2013;39:51-60.

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.

STUDY

Review of patient safety incidents submitted from critical care units in England & Wales to the UK National Patient Safety Agency.

Thomas AN, Panchagnula U, Taylor RJ. Anaesthesia. 2009;64:1178-1185.

REVIEW

Incidence and preventability of adverse events requiring intensive care admission: a systematic review.

Vlayen A, Verelst S, Bekkering GE, et al. J Eval Clin Pract. 2012;18:485-497.

STUDY

Eradicating central line–associated bloodstream infections statewide: the Hawaii experience.

Lin DM, Weeks K, Bauer L, et al. Am J Med Qual. 2012;27:124-129.

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