AHRQ Patient Safety Network

The Collection > Medical Complications

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Medical Complications

•Nosocomial Infections (173)

•Pressure Ulcers (19)

•Delirium (5)

•Venous Thrombosis and Thromboembolism (21)

•Patient Falls (58)

Origin/Sponsor

•Africa (1)

•Asia (4)

•Australia and New Zealand (19)

•Central and South America (1)

Resource Types

•Clinical Guideline (3)

•Journal Article (388)

•Legislation/Regulation (6)

•Newsletter/Journal (1)

•Newspaper/Magazine Article (67)

•Press Release/Announcement (4)

•Special or Theme Issue (22)

•Tools/Toolkit (4)

•Web Resource (10)

•Grant (3)

Error Types

•Epidemiology of Errors and Adverse Events (197)

•Active Errors (70)

•Latent Errors (20)

•Near Miss (5)

Approach to Improving Safety

•Quality Improvement Strategies (190)

•Legal and Policy Approaches (75)

•Error Reporting and Analysis (155)

•Communication Improvement (81)

•Human Factors Engineering (92)

•Teamwork (59)

•Specialization of Care (92)

•Logistical Approaches (43)

•Culture of Safety (86)

•Technologic Approaches (60)

•Education and Training (108)

Clinical Areas

•Allied Health Services (4)

•Medicine (456)

•Nursing (73)

•Pharmacy (9)

Target Audience

•Health Care Providers (376)

•Health Care Executives and Administrators (459)

•Non-Health Care Professionals (168)

•Patients (69)

Setting of Care

•Hospitals (463)

•Psychiatric Facilities (2)

•Residential Facilities (13)

•Ambulatory Care (29)

•Outpatient Surgery (11)

•Patient Transport (3)

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STUDY

Intensive care unit readmissions in U.S. hospitals: patient characteristics, risk factors, and outcomes.

Kramer AA, Higgins TL, Zimmerman JE. Crit Care Med. 2012;40:3-10.

STUDY

Selected medical errors in the intensive care unit: results of the IATROREF study: parts I and II.

Garrouste-Orgeas M, Timsit JF, Vesin A, et al; OUTCOMEREA Study Group. Am J Respir Crit Care Med. 2010:181:134-142.

STUDY

Intensive care unit nurses' perceptions of safety after a highly specific safety intervention.

Elder NC, Brungs SM, Nagy M, Kudel I, Render ML. Qual Saf Health Care. 2008;17:25-30.

COMMENTARY

Failure to rescue in neonatal care.

Gephart SM, McGrath JM, Effken JA. J Perinat Neonatal Nurs. 2011;25:275-282.

STUDY

Nurses' perceptions of error communication and reporting in the intensive care unit.

Elder NC, Brungs SM, Nagy M, Kudel I, Render ML. J Patient Saf. 2008;4:162-168.

STUDY

Injection practices among clinicians in United States health care settings.

Pugliese G, Gosnell C, Bartley JM, Robinson S. Am J Infect Control. 2010;38:789-798.

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.

COMMENTARY

Clinical nurse specialists as leaders in rapid response.

Jenkins SD, Lindsey PL. Clin Nurse Spec. 2010;24:24-30.

STUDY

Rapid response teams seen through the eyes of the nurse.

Shapiro SE, Donaldson NE, Scott MB. Am J Nurs. 2010;110:28-34.

STUDY

Intensive care units, communication between nurses and physicians, and patients' outcomes.

Manojlovich M, Antonakos CL, Ronis DL. Am J Crit Care. 2009;18:21-30.

STUDY

Effect of illness severity and comorbidity on patient safety and adverse events.

Naessens J, Campbell CR, Shah N, et al. Am J Med Qual. 2012;27:48-57.

STUDY

Nurses' perceptions of how rapid response teams affect the nurse, team, and system.

Williams DJ, Newman A, Jones C, Woodard B. J Nurs Care Qual. 2011;26:265-272.

STUDY

Worries and concerns experienced by nurse specialists during inter-hospital transports of critically ill patients: a critical incident study.

Gustafsson M, Wennerholm S, Fridlund B. Intensive Crit Care Nurs. 2010;26:138-145.

STUDY

Reducing catheter-associated bloodstream infections in the pediatric intensive care unit: business case for quality improvement.

Nowak JE, Brilli RJ, Lake MR, et al. Pediatr Crit Care Med. 2010;11:579-587.

STUDY

Voluntary electronic reporting of medical errors and adverse events.

Milch CE, Salem DN, Pauker SG, Lundquist TG, Kumar S, Chen J. J Gen Intern Med. 2006;21:165-170.

COMMENTARY

Where’s the Feeding Tube?

Metheny MA., Meert KL, AHRQ WebM&M [serial online]. September 2008.

STUDY

Team situation awareness and the anticipation of patient progress during ICU rounds.

Reader TW, Flin R, Mearns K, Cuthbertson BH. BMJ Qual Saf. 2011;20:1035-1042.

STUDY

Evaluation of an evidence-based, nurse-driven checklist to prevent hospital-acquired catheter-associated urinary tract infections in intensive care units.

Fuchs MA, Sexton DJ, Thornlow DK, Champagne MT. J Nurs Care Qual. 2011;26:101-109.

STUDY

How RNs rescue patients: a qualitative study of RNs' perceived involvement in rapid response teams.

Leach LS, Mayo A, O'Rourke M. Qual Saf Health Care. 2010;19:e13.

NEWSPAPER/MAGAZINE ARTICLE

Parents can detect, contribute to, or be affected by critical events during a child’s hospitalization.

ISMP Medication Safety Alert! Acute Care Edition. June 16, 2011;16:1-3.

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