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 (76)

•Diagnostic Errors (71)

•Identification Errors (27)

•Discontinuities, Gaps, and Hand-Off Problems (119)

•Fatigue and Sleep Deprivation (8)

•Medication Safety (295)

•Medical Complications (226)

•Nonsurgical Procedural Complications (34)

•Surgical Complications (122)

•Transfusion Complications (10)

•Psychological and Social Complications (20)

Origin/Sponsor

•Africa (2)

•Asia (12)

•Australia and New Zealand (23)

•Central and South America (2)

Resource Types

•Clinical Guideline (5)

•Journal Article (677)

•Legislation/Regulation (27)

•Meeting/Conference (12)

•Newsletter/Journal (3)

•Newspaper/Magazine Article (117)

•Press Release/Announcement (7)

•Special or Theme Issue (32)

•Tools/Toolkit (23)

•Web Resource (49)

•Grant (6)

Error Types

•Epidemiology of Errors and Adverse Events (192)

•Active Errors (191)

•Latent Errors (99)

•Near Miss (15)

Approach to Improving Safety
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Quality Improvement Strategies

•Audit and Feedback (148)

•Benchmarking (93)

•Continuous Quality Improvement (24)

•Critical Pathways (44)

•Practice Guidelines (194)

•Reminders (37)

•Patient Self-Management (57)

•Six Sigma (3)

Clinical Areas

•Allied Health Services (5)

Target Audience

•Health Care Providers (794)

•Health Care Executives and Administrators (907)

•Non-Health Care Professionals (363)

•Patients (85)

Setting of Care

•Hospitals (833)

•Psychiatric Facilities (6)

•Residential Facilities (17)

•Ambulatory Care (85)

•Outpatient Surgery (16)

•Patient Transport (6)

1 - 20 of 1101

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COMMENTARY

Check the Bags.

Caldwell M, Dracup KA. AHRQ WebM&M [serial online]. September 2003.

COMMENTARY

Lost in the Black Hole.

Wachter RM. AHRQ WebM&M [serial online]. October 2003.

COMMENTARY

Staggered Sensitivity Results

Guglielmo BJ. AHRQ WebM&M [serial online]. March 2007.

COMMENTARY

Check the Wristband.

Rosenthal MM. AHRQ WebM&M [serial online]. July 2003.

COMMENTARY

Missed Appendicitis.

Adams JG. AHRQ WebM&M [serial online]. June 2003.

AWARD RECIPIENT

Announcing 2009 Leapfrog top hospitals.

Washington, DC: Leapfrog Group; December 4, 2009.

COMMENTARY

Mark My Limb.

O'Leary DS, Jacott WE. AHRQ WebM&M [serial online]. December 2004.

STUDY

Assessing system failures in operating rooms and intensive care units.

van Beuzekom M, Akerboom SP, Boer F. Qual Saf Health Care. 2007;16:45-50.

COMMENTARY

Crushing Chest Pain: A Missed Opportunity.

Graber M. AHRQ WebM&M [serial online]. January 2004.

COMMENTARY

Right? Left? Neither!

Howell EA, Chassin MR. AHRQ WebM&M [serial online]. May 2006.

STUDY

Mixed results in the safety performance of computerized physician order entry.

Metzger J, Welebob E, Bates DW, Lipsitz S, Classen DC. Health Aff (Millwood). 2010;29:655-663.

REVIEW

In-facility delirium programs as a patient safety strategy: a systematic review.

Reston JT, Schoelles KM. Ann Intern Med. 2013;158(5 Pt 2):375-380.

COMMENTARY

Sick and Pregnant

El-Ibiary S. AHRQ WebM&M [serial online]. November 2008.

COMMENTARY

Poor Prognosis.

Lamont EB. AHRQ WebM&M [serial online]. September 2004.

COMMENTARY

Around the Block.

Minichiello T. AHRQ WebM&M [serial online]. March 2005.

COMMENTARY

Making Do.

Bradley LD. AHRQ WebM&M [serial online]. September 2003.

STUDY

A multifaceted program for improving quality of care in intensive care units: IATROREF study.

Garrouste-Orgeas M, Soufir L, Tabah A, et al; Outcomerea Study Group. Crit Care Med. 2012;40:468-476.

COMMENTARY

The top patient safety strategies that can be encouraged for adoption now.

Shekelle PG, Pronovost PJ, Wachter RM, et al. Ann Intern Med. 2013;158(5 Pt 2):365-368.

COMMENTARY

Transfusion "Slip".

Kaplan HS. AHRQ WebM&M [serial online]. February 2004.

REVIEW

Implementing patient safety interventions in your hospital: what to try and what to avoid.

Ranji SR, Shojania KG. Med Clin North Am. 2008;92:275-293.

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