AHRQ Patient Safety Network

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PATIENT SAFETY PRIMERS
Health Care-Associated Infections

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Nosocomial Infections

Origin/Sponsor

•Africa (2)

•Asia (4)

•Australia and New Zealand (4)

•Central and South America (1)

Resource Types

•Clinical Guideline (2)

•Journal Article (153)

•Legislation/Regulation (5)

•Meeting/Conference (1)

•Newsletter/Journal (1)

•Newspaper/Magazine Article (21)

•Press Release/Announcement (5)

•Special or Theme Issue (9)

•Tools/Toolkit (3)

•Web Resource (15)

•Grant (1)

Error Types

•Epidemiology of Errors and Adverse Events (61)

•Active Errors (30)

•Latent Errors (14)

•Near Miss (2)

Approach to Improving Safety

•Quality Improvement Strategies (122)

•Legal and Policy Approaches (44)

•Error Reporting and Analysis (77)

•Communication Improvement (36)

•Human Factors Engineering (49)

•Teamwork (16)

•Specialization of Care (13)

•Logistical Approaches (19)

•Culture of Safety (62)

•Technologic Approaches (29)

•Education and Training (35)

Clinical Areas

Target Audience

•Health Care Providers (148)

•Health Care Executives and Administrators (222)

•Non-Health Care Professionals (91)

•Patients (18)

Setting of Care

•Hospitals (195)

•Residential Facilities (6)

•Ambulatory Care (14)

•Outpatient Surgery (4)

1 - 20 of 250

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MULTI-USE WEBSITE

1000 Lives Plus.

NHS Wales.

COMMENTARY

Unintended transplantation of three organs from an HIV-positive donor: report of the analysis of an adverse event in a regional health care service in Italy.

Bellandi T, Albolino S, Tartaglia R, Filipponi F. Transplant Proc. 2010;42:2187-2189.

BOOK/REPORT

Tennessee Center for Patient Safety Annual Report 2010.

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

STUDY

Chronic kidney disease adversely influences patient safety.

Seliger SL, Zhan M, Hsu VD, Walker LD, Fink JC. J Am Soc Nephrol. 2008;19:2414-2419.

NEWSPAPER/MAGAZINE ARTICLE

How hospital design saves lives.

Blum A. Business Week. August 15, 2006.

REVIEW

Patient safety in dermatology: a review of the literature.

Cao LY, Taylor JS, Vidimos A. Dermatol Online J. 2010;16:3.

BOOK/REPORT

Focus on Patient Safety.

Fitzpatrick J, Stone P, Hinton-Walker P, eds. Annual Review of Nursing Research. New York, NY: Springer; 2006. ISBN: 0826141366.

BOOK/REPORT

2009 National Healthcare Quality Report.

Rockville, MD: Agency for Healthcare Research and Quality; March 2010. AHRQ Publication No. 10-0003.

STUDY

Racial disparities in the frequency of patient safety events: results from the National Medicare Patient Safety Monitoring System.

Metersky ML, Hunt DR, Kliman R, et al. Med Care. 2011;49:504-510.

BOOK/REPORT

Inspiring Ideas and Celebrating Successes: A Guidebook to Leading Patient Safety Practices in Ontario Hospitals.

OHA Patient Safety Support Service. Toronto, Ontario, Canada: Ontario Hospital Association; 2006.

BOOK/REPORT

Back to Basics.

Gima Z, Gosselar P, Levine A, Lincoln T, Ramirez A. Washington, DC: Public Citizen; August 6, 2009.

BOOK/REPORT

To Err Is Human — To Delay Is Deadly.

Jewell K, McGiffert L. Austin, TX: Consumers Union; 2009.

BOOK/REPORT

Patient Safety Authority Annual Reports.

Harrisburg, PA: Patient Safety Authority; April 2013.

MULTI-USE WEBSITE

HAC Posting on Hospital Compare.

Centers for Medicare & Medicaid Services.

BOOK/REPORT

HealthGrades Sixth Annual Patient Safety in American Hospitals Study.

Golden, CO: HealthGrades, Inc.; April 2009.

MULTI-USE WEBSITE

African Partnerships for Patient Safety.

Geneva, Switzerland: WHO Patient Safety, World Health Organization.

BOOK/REPORT

MHA Keystone Center for Patient Safety & Quality 2010 Annual Report.

Lansing, MI: Michigan Health & Hospital Association; October 2010.

STUDY

Perceptions of the impact of a large-scale collaborative improvement programme: experience in the UK Safer Patients Initiative.

Benn J, Burnett S, Parand A, Pinto A, Iskander S, Vincent C. J Eval Clin Pract. 2009;15:524-540.

BOOK/REPORT

Health-Care-Associated Infections in Hospitals: An Overview of State Reporting Programs and Individual Hospital Initiatives to Reduce Certain Infections.

Washington, DC: United States Government Accountability Office; September 2008. Publication GAO-08-808.

STUDY

Application of AHRQ patient safety indicators to English hospital data.

Bottle A, Aylin P. Qual Saf Health Care. 2009;18:303-308.

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