AHRQ Patient Safety Network

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Venous Thrombosis and Thromboembolism

Origin/Sponsor

Resource Types

•Journal Article (18)

•Newspaper/Magazine Article (4)

•Special or Theme Issue (1)

•Web Resource (1)

Error Types

•Epidemiology of Errors and Adverse Events (5)

•Active Errors (3)

Approach to Improving Safety

•Quality Improvement Strategies (14)

•Legal and Policy Approaches (5)

•Error Reporting and Analysis (13)

•Communication Improvement (3)

•Human Factors Engineering (8)

•Teamwork (1)

•Specialization of Care (4)

•Culture of Safety (2)

•Technologic Approaches (4)

•Education and Training (2)

Clinical Areas

•Medicine (25)

•Nursing (1)

•Pharmacy (1)

Target Audience

•Health Care Providers (12)

•Health Care Executives and Administrators (23)

•Non-Health Care Professionals (7)

•Patients (2)

Setting of Care

•Hospitals (25)

•Outpatient Surgery (1)

1 - 20 of 27

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MULTI-USE WEBSITE

Harm Free Care.

National Health Service.

COMMENTARY

What is the NHS Safety Thermometer?

Power M, Stewart K, Brotherton A. Clin Risk. 2012;18:163-169.

BOOK/REPORT

HealthGrades Sixth Annual Patient Safety in American Hospitals Study.

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

STUDY

Development of trigger tools for surveillance of adverse events in ambulatory surgery.

Kaafarani HM, Rosen AK, Nebeker JR, et al. Qual Saf Health Care. 2010;19:425-429.

COMMENTARY

Introducing the patient safety professional: why, what, who, how, and where?

Saint S, Krein SL, Manojlovich M, Kowalski CP, Zawol D, Shojania KG. J Patient Saf. 2011;7:175-180.

AWARD RECIPIENT

Hospitals win safety award for simple changes.

Sipkoff M. Drug Topics (Health-System Edition). January 22, 2007.

STUDY

How valid is the ICD-9-CM based AHRQ Patient Safety Indicator for postoperative venous thromboembolism?

White RH, Sadeghi B, Tancredi DJ, et al. Med Care. 2009;47:1237-1243.

BOOK/REPORT

To Err Is Human—But Don't Expect to Get Paid For It.

ASQ Quarterly Quality Report. Milwaukee, WI: American Society of Quality; October 2008.

STUDY

National estimates of adverse events during nonpsychiatric hospitalizations for persons with schizophrenia.

Khaykin E, Ford DE, Pronovost PJ, Dixon L, Daumit GL. Gen Hosp Psychiatry. 2010;32:419-425.

STUDY

Hospital process compliance and surgical outcomes in Medicare beneficiaries.

Nicholas LH, Osborne NH, Birkmeyer JD, Dimick JB. Arch Surg. 2010;145:999-1004.

COMMENTARY

Understanding national coverage policies. Navigating the maze of HACs, serious reportable events, and wrong surgical sites.

Cook J, D'Amato C, Garrett G, Ruhnau-Gee B, Hyde L, Novak N. J AHIMA. 2009;80:62-64.

NEWSPAPER/MAGAZINE ARTICLE

Driving out errors, with mom in mind.

Weinstock M. Hosp Health Netw. April 2011.

STUDY

Do the AHRQ Patient Safety Indicators flag conditions that are present at the time of hospital admission?

Bahl V, Thompson MA, Kau T-Y, Hu HM, Campbell DA Jr. Med Care. 2008;46:516-522.

STUDY

Do patient safety events increase readmissions?

Friedman B, Encinosa W, Jiang HJ, Mutter R. Med Care. 2009;47:583-590.

STUDY

Implementation of a mandatory checklist of protocols and objectives improves compliance with a wide range of evidence-based intensive care unit practices.

Byrnes MC, Schuerer DJ, Schallom ME, et al. Crit Care Med. 2009; 37:2775-2781.

STUDY

Venous thromboembolism after trauma: a never event?

Thorson CM, Ryan ML, Van Haren RM, et al. Crit Care Med. 2012;40:2967-2973.

STUDY

A model for increasing patient safety in the intensive care unit: increasing the implementation rates of proven safety measures.

Krimsky WS, Mroz IB, McIlwaine JK, et al. Qual Saf Health Care. 2009;18:74-80.

STUDY

Deficits in discharge documentation in patients transferred to rehabilitation facilities on anticoagulation: results of a systemwide evaluation.

Gandara E, Moniz TT, Ungar J, et al. Jt Comm J Qual Patient Saf. 2008;34:460-463.

SPECIAL OR THEME ISSUE

Patient Safety.

Plastic Surg Nurs. 2006;26:111-170.

NEWSPAPER/MAGAZINE ARTICLE

As industry automates, adverse events continue to haunt caregivers.

Wetzel TG. Health Data Manage. 2011 Feb;19:86, 88, 90 passim.

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