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 (84)

•Diagnostic Errors (69)

•Identification Errors (59)

•Discontinuities, Gaps, and Hand-Off Problems (120)

•Fatigue and Sleep Deprivation (11)

•Medication Safety (392)

•Medical Complications (235)

•Nonsurgical Procedural Complications (41)

•Surgical Complications (210)

•Transfusion Complications (9)

•Psychological and Social Complications (35)

Origin/Sponsor

•Africa (3)

•Asia (17)

•Australia and New Zealand (31)

•Central and South America (3)

•Europe (168)

•North America (1227)

Resource Types

•Clinical Guideline (7)

•Journal Article (925)

•Legislation/Regulation (37)

•Meeting/Conference (14)

•Newsletter/Journal (5)

•Newspaper/Magazine Article (166)

•Press Release/Announcement (11)

•Special or Theme Issue (44)

•Tools/Toolkit (35)

•Web Resource (67)

•Grant (8)

Error Types

•Epidemiology of Errors and Adverse Events (218)

•Active Errors (183)

•Latent Errors (83)

•Near Miss (18)

Approach to Improving Safety
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Quality Improvement Strategies

•Audit and Feedback (198)

•Benchmarking (146)

•Continuous Quality Improvement (39)

•Critical Pathways (65)

•Practice Guidelines (264)

•Reminders (43)

•Patient Self-Management (78)

•Six Sigma (10)

Clinical Areas

•Allied Health Services (5)

Target Audience

•Health Care Providers (1000)

•Health Care Executives and Administrators (1245)

•Non-Health Care Professionals (536)

•Patients (105)

Setting of Care

•Hospitals (878)

•Psychiatric Facilities (4)

•Residential Facilities (20)

•Ambulatory Care (119)

•Outpatient Surgery (26)

•Patient Transport (5)

1 - 20 of 1492

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STUDY

Operating room teamwork among physicians and nurses: teamwork in the eye of the beholder.

Makary MA, Sexton JB, Freischlag JA, et al. J Am Coll Surg. 2006;202:746-752.

COMMENTARY

Video technology to advance safety in the operating room and perioperative environment.

Xiao Y, Schimpff S, Mackenzie C, et al. Surg Innov. 2007;14:52-61.

SPECIAL OR THEME ISSUE

The English Patient Safety Programme.

J Health Serv Research Pol. 2010;15(suppl 1):S1-S91.

BOOK/REPORT classic

Patient Safety, 2nd edition.

Vincent C. West Sussex, UK: Wiley-Blackwell; 2010. ISBN: 9781405192217.

SPECIAL OR THEME ISSUE

Interprofessional Approaches to Patient Safety.

J Interprof Care. 2006;20:455-571.

BOOK/REPORT

Tennessee Center for Patient Safety Annual Report 2010.

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

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.

SPECIAL OR THEME ISSUE

Quality and Safety in Medicine.

Nash DB, Goldfarb NI, Patow C, eds. Acad Med. 2009;84:1641-1846.

SPECIAL OR THEME ISSUE

Patient Safety Papers 5.

Baker GR, ed. Healthc Q. 2010;13:1-136.

STUDY

Teamwork in the operating room: frontline perspectives among hospitals and operating room personnel.

Sexton JB, Makary MA, Tersigni AR, et al. Anesthesiology. 2006;105:877-884.

BOOK/REPORT

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

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

COMMENTARY

Reducing surgical complications.

Griffin FA. Jt Comm J Qual Patient Saf. 2007;33:660-665.

COMMENTARY

Organizational Change in the Face of Highly Public Errors—II. The Duke Experience

Frush K. AHRQ WebM&M [serial online]. May 2005.

SPECIAL OR THEME ISSUE

Medical errors and safety systems.

Pearlman MD, ed. Clin Obstet Gynecol. 2010;53:471-585.

MULTI-USE WEBSITE

Council on Surgical and Perioperative Safety.

Council on Surgical and Perioperative Safety; 633 N. St. Clair St. Chicago, IL, 60611.

BOOK/REPORT

Safer Hospital Care: Strategies for Continuous Innovation.

Raheja D. New York, NY: Productivity Press; 2011. ISBN: 9781439821022.

BOOK/REPORT

Pediatric Patient Safety in the Emergency Department.

Krug SE, ed. Oak Brook, IL: Joint Commission Resources and the American Academy of Pediatrics; 2010. ISBN: 9781599402123.

BOOK/REPORT classic

Safe Practices for Better Healthcare—2010 Update.

National Quality Forum. Washington, DC: National Quality Forum; 2010.

COMMENTARY

Quality and safety initiatives in the future practice of surgery: meeting patient demands for enhanced professionalism.

Russell TR. Surg Today. 2009;39:739-745.

NEWSPAPER/MAGAZINE ARTICLE

Fixing America's hospitals.

Newsweek. October 16, 2006:44-68, 72.

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