AHRQ Patient Safety Network

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Nonsurgical Procedural Complications

•Bedside Procedures (5)

•Cardiology (6)

•Interventional Radiology (15)

•Pulmonary Complications (3)

Origin/Sponsor

•Asia (3)

•Australia and New Zealand (1)

•Central and South America (1)

Resource Types

•Journal Article (89)

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•Newspaper/Magazine Article (13)

•Press Release/Announcement (4)

•Special or Theme Issue (1)

•Tools/Toolkit (1)

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Error Types

•Epidemiology of Errors and Adverse Events (20)

•Active Errors (31)

•Latent Errors (11)

•Near Miss (3)

Approach to Improving Safety

•Quality Improvement Strategies (39)

•Legal and Policy Approaches (10)

•Error Reporting and Analysis (30)

•Communication Improvement (17)

•Human Factors Engineering (26)

•Teamwork (16)

•Specialization of Care (7)

•Logistical Approaches (6)

•Culture of Safety (17)

•Technologic Approaches (4)

•Education and Training (35)

Clinical Areas

•Allied Health Services (1)

•Medicine (115)

•Nursing (11)

Target Audience

•Health Care Providers (102)

•Health Care Executives and Administrators (99)

•Non-Health Care Professionals (37)

•Patients (11)

Setting of Care

•Hospitals (90)

•Psychiatric Facilities (1)

•Ambulatory Care (11)

•Outpatient Surgery (3)

•Patient Transport (2)

1 - 20 of 124

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COMMENTARY

Improving patient safety in radiation oncology.

Hendee WR, Herman MG. Med Phys. 2011;38:78-82.

ORGANIZATIONAL POLICY/GUIDELINES

Safety considerations for IMRT.

Moran JM, Dempsey M, Eisbruch A, et al. Pract Radiat Oncol. 2011;1(suppl 1):1-33.

COMMENTARY

Safety strategies in an academic radiation oncology department and recommendations for action.

Terezakis SA, Pronovost P, Harris K, Deweese T, Ford E. Jt Comm J Qual Patient Saf. 2011;37:291-299.

STUDY

The use of human factors methods to identify and mitigate safety issues in radiation therapy.

Chan AJ, Islam MK, Rosewall T, Jaffray DA, Easty AC, Cafazzo JA. Radiother Oncol. 2010;97:596-600.

COMMENTARY

Decreasing patient misidentification before chemotherapy administration.

Spruill A, Eron B, Coghill A, Talbert G. Clin J Oncol Nurs. 2009;13:716-717.

COMMENTARY

Image Gently, Step Lightly: promoting radiation safety in pediatric interventional radiology.

Sidhu M, Goske MJ, Connolly B, et al. AJR Am J Roentgenol. 2010;195:W299-W301.

STUDY

Iatrogenic events contributing to ICU admission: a prospective study.

Mercier E, Giraudeau B, Giniès G, Perrotin D, Dequin PF. Intensive Care Med. 2010;36:1033-1037.

REVIEW

Body CT: technical advances for improving safety.

Marin D, Nelson RC, Rubin GD, Schindera ST. AJR Am J Roentgenol. 2011;197:33-41.

STUDY

Compliance to technical guidelines for radiotherapy treatment in relation to patient safety.

Simons PAM, Houben RMA, Backes HH, Pijls RFG, Groothuis S. Int J Qual Health Care. 2010;22:187-193.

REVIEW

How to develop an effective obstetric checklist.

Fausett MB, Propst A, Van Doren K, Clark BT. Am J Obstet Gynecol. 2011;205:165-170.

STUDY

Effect of computerized physician order entry on radiologic examination order indication quality.

Schneider E, Franz W, Spitznagel R, Bascom DA, Obuchowski NA. Arch Intern Med. 2011;171:1036-1038.

NEWSPAPER/MAGAZINE ARTICLE

Applying the Universal Protocol to improve patient safety in radiology services.

PA-PSRS Patient Saf Advis. June 2011;8:63-69.

COMMENTARY

A simple checklist for preventing major complications associated with cesarean delivery.

Duff P. Obstet Gynecol. 2010;116:1393-1396.

STUDY

Paid malpractice claims for adverse events in inpatient and outpatient settings.

Bishop TF, Ryan AK, Casalino LP. JAMA. 2011;305:2427-2431.

COMMENTARY

Resuscitation Errors: A Shocking Problem

Abella BS, Edelson DP. AHRQ WebM&M [serial online]. July 2007.

STUDY

An engineered solution to the maladministration of spinal injections.

Lawton R, Gardner P, Green B, et al. Qual Saf Health Care. 2009;18:492-495.

MULTI-USE WEBSITE

Initiative to Reduce Unnecessary Radiation Exposure from Medical Imaging.

Rockville, MD: Center for Devices and Radiological Health, US Food and Drug Administration; February 2010.

STUDY

Implementation of an evidence-based extubation checklist to reduce extubation failure in patients with trauma: a pilot study.

Howie WO, Dutton RP. AANA J. 2012;80:179-184.

REVIEW

Radiation Therapy Safety: The Critical Role of the Radiation Therapist.

Odle TG, Rosier N. Albuquerque, NM: American Society of Radiologic Technologists Education and Research Foundation; 2012.

STUDY

How radiation oncologists would disclose errors: results of a survey of radiation oncologists and trainees.

Evans SB, Yu JB, Chagpar A. Int J Radiat Oncol Biol Phys. 2012;84:e131-e137.

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