AHRQ Patient Safety Network

The Collection > Quality Improvement Strategies

PATIENT SAFETY PRIMERS
Detection of Safety Hazards

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Safety Target

•Device-related Complications (58)

•Diagnostic Errors (56)

•Identification Errors (45)

•Discontinuities, Gaps, and Hand-Off Problems (78)

•Fatigue and Sleep Deprivation (6)

•Medication Safety (274)

•Medical Complications (162)

•Nonsurgical Procedural Complications (32)

•Surgical Complications (122)

•Transfusion Complications (10)

•Psychological and Social Complications (22)

Origin/Sponsor

•Africa (2)

•Asia (12)

•Australia and New Zealand (14)

•Central and South America (2)

Resource Types

•Clinical Guideline (3)

•Journal Article (669)

•Legislation/Regulation (23)

•Meeting/Conference (16)

•Newsletter/Journal (4)

•Newspaper/Magazine Article (149)

•Press Release/Announcement (7)

•Special or Theme Issue (37)

•Tools/Toolkit (21)

•Web Resource (53)

•Grant (6)

Error Types

•Epidemiology of Errors and Adverse Events (147)

•Active Errors (171)

•Latent Errors (97)

•Near Miss (19)

Approach to Improving Safety
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Quality Improvement Strategies

•Audit and Feedback (115)

•Benchmarking (114)

•Continuous Quality Improvement (26)

•Critical Pathways (40)

•Practice Guidelines (127)

•Reminders (25)

•Patient Self-Management (47)

•Six Sigma (7)

Clinical Areas

•Allied Health Services (4)

Target Audience

•Health Care Providers (701)

•Health Care Executives and Administrators (1005)

•Non-Health Care Professionals (427)

•Patients (96)

Setting of Care

•Hospitals (658)

•Psychiatric Facilities (4)

•Residential Facilities (17)

•Ambulatory Care (79)

•Outpatient Surgery (21)

•Patient Transport (5)

1 - 20 of 1150

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AUDIOVISUAL

Chasing Zero: Winning the War on Healthcare Harm.

Austin, TX: Texas Medical Institute for Technology and the Quaid Foundation; 2010.

BOOK/REPORT

Tennessee Center for Patient Safety Annual Report 2010.

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

COMMENTARY

The role for leaders of health care organizations in patient safety.

Clarke JR, Lerner JC, Marella W. Am J Med Qual. 2007;22:311-318.

BOOK/REPORT

External Inquiry into the adverse incident that occurred at Queen's Medical Centre, Nottingham, 4th January 2001.

Toft B. London, England: Department of Health; 2001.

MEETING/CONFERENCE PROCEEDINGS

AHRQ 2009 Annual Conference.

Rockville, MD: Agency for Healthcare Research and Quality; December 2009.

COMMENTARY

Patient safety: moving the bar in prison health care standards.

Stern MF, Greifinger RB, Mellow J. Am J Public Health. 2010;100:2103-2110.

MEETING/CONFERENCE PROCEEDINGS

AHRQ 2008 Annual Conference.

Rockville, MD: Agency for Healthcare Research and Quality; February 2009.

BOOK/REPORT

Commission of Inquiry on Hormone Receptor Testing.

Cameron M. St. John's, NL: Government of Newfoundland and Labrador; 2009. ISBN: 978551463537.

BOOK/REPORT

Keeping the Commitment: A Progress Report on Four Early Leaders in Patient Safety Improvement.

McCarthy D, Klein S. New York, NY: The Commonwealth Fund; March 15, 2011.

COMMENTARY

Moving Pains

Schell H, Wachter RM. AHRQ WebM&M [serial online]. July 2006.

SPECIAL OR THEME ISSUE

Still Crossing The Quality Chasm.

Health Aff (Millwood). 2011;30:554-800.

BOOK/REPORT classic

Patient Safety in Emergency Medicine.

Croskerry P, Cosby KS, Schenkel SM, Wears RL, eds. Philadelphia, PA: Lippincott Williams & Wilkins; 2009. ISBN: 9780781777278.

COMMENTARY

Preparing your hospital for compliance with The Joint Commission's National Patient Safety Goals.

Murdaugh L, Jordin R. Hosp Pharm. 2008;43:728-733.

COMMENTARY

In Conversation with...Lucian Leape, MD

AHRQ WebM&M [serial online]. August 2006.

BOOK/REPORT

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

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

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.

BOOK/REPORT

The Patient Safety Initiative at America’s Public Hospitals: The Year One Overview.

Research Brief. Washington, DC: National Association of Public Hospitals and Health Systems; January 2011.

COMMENTARY

Patient safety in women's health care: a framework for progress.

Gluck PA. Best Pract Res Clin Obstet Gynaecol. 2007;21:525-36.

BOOK/REPORT

Building a Culture of Patient Safety: Report of the Commission on Patient Safety and Quality Assurance.

Dublin, Ireland: Department of Health & Children, Commission on Patient Safety and Quality Assurance; 2008. ISBN: 9781406421835.

BOOK/REPORT

Department of Defense Health Care Quality.

Falls Church, VA: TRICARE Management Activity, Office of the Assistant Secretary of Defense; 2006.

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