AHRQ Patient Safety Network

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Surgical Complications

•Preoperative Complications (3)

•Intraoperative Complications (101)

•Postoperative Surgical Complications (63)

Origin/Sponsor

•Australia and New Zealand (15)

•Central and South America (1)

•Europe (124)

•North America (560)

Resource Types

•Audiovisual (8)

•Book/Report (33)

•Journal Article (536)

•Legislation/Regulation (11)

•Newspaper/Magazine Article (78)

•Press Release/Announcement (1)

•Special or Theme Issue (18)

•Tools/Toolkit (7)

•Web Resource (20)

Error Types

•Epidemiology of Errors and Adverse Events (196)

•Active Errors (123)

•Latent Errors (41)

•Near Miss (16)

Approach to Improving Safety

•Quality Improvement Strategies (168)

•Legal and Policy Approaches (76)

•Error Reporting and Analysis (214)

•Communication Improvement (193)

•Human Factors Engineering (172)

•Teamwork (120)

•Specialization of Care (24)

•Logistical Approaches (48)

•Culture of Safety (96)

•Technologic Approaches (59)

•Education and Training (170)

Clinical Areas

•Allied Health Services (1)

•Dentistry (1)

•Medicine (669)

•Nursing (52)

•Pharmacy (5)

Target Audience

•Health Care Providers (538)

•Health Care Executives and Administrators (553)

•Non-Health Care Professionals (239)

•Patients (81)

Setting of Care

•Hospitals (614)

•Psychiatric Facilities (1)

•Residential Facilities (2)

•Ambulatory Care (23)

•Outpatient Surgery (42)

•Patient Transport (1)

1 - 20 of 716

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STUDY

Saving lives by studying deaths: using standardized mortality reviews to improve inpatient safety.

Lau H, Litman KC. Jt Comm J Qual Patient Saf. 2011;37:400-408.

NEWSPAPER/MAGAZINE ARTICLE

Empowered to improve.

Gardner E. Mod Healthc. May 18, 2009;39:28-31.

COMMENTARY

2009 National Patient Safety Goals.

Saufl NM. J Perianesth Nurs. 2009;24:114-118.

BOOK/REPORT

Tennessee Center for Patient Safety Annual Report 2010.

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

BOOK/REPORT

HealthGrades Sixth Annual Patient Safety in American Hospitals Study.

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

MULTI-USE WEBSITE

HAC Posting on Hospital Compare.

Centers for Medicare & Medicaid Services.

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.

BOOK/REPORT

Patient Safety Authority Annual Reports.

Harrisburg, PA: Patient Safety Authority; April 2013.

COMMENTARY

The clinical transformation of Ascension Health: eliminating all preventable injuries and deaths.

Pryor DB, Tolchin SF, Hendrich A, Thomas CS, Tersigni AR. Jt Comm J Qual Patient Saf. 2006;32:299-308.

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.

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.

STUDY

Injury and death associated with incidents reported to the Patient Safety Net.

Reid M, Estacio R, Albert R. Am J Med Qual. 2009;24:520-524.

STUDY

Adverse events during hospitalization: results of a patient survey.

Fowler FJ, Epstein A, Weingart SN, et al. Jt Comm J Qual Patient Saf. 2008;34:583-590.

SPECIAL OR THEME ISSUE

Validity of Patient Safety Indicators in the Veterans Health Administration.

J Am Coll Surg. 2011;212:921-990.

BOOK/REPORT

National Healthcare Quality Reports.

Rockville, MD: Agency for Healthcare Research and Quality; May 2013. AHRQ Publication No. 13-0002.

STUDY

Effects of CPOE on provider cognitive workload: a randomized crossover trial.

Avansino J, Leu MG. Pediatrics. 2012;130:e547-e552.

BOOK/REPORT

Serious Reportable Events in Massachusetts Acute Care Hospitals: January 1, 2008–December 31, 2008.

Executive Office of Health and Human Services, Department of Public Health, Bureau of Health Care Safety and Quality. Boston, MA: Commonwealth of Massachusetts; 2009.

BOOK/REPORT

Improving America's Hospitals: The Joint Commission's Report on Quality and Safety 2008.

Oakbrook Terrace, IL: The Joint Commission; November 2008.

NEWSPAPER/MAGAZINE ARTICLE

CMS seeks to add 9 hospital-acquired conditions to no-pay list.

O'Reilly KB. American Medical News. May 12, 2008.

AUDIOVISUAL

How a simple checklist can dramatically reduce medical errors.

Pronovost PJ. On Call. IHI Open School for Health Professionals. November 3, 2008.

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