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 (52)

•Diagnostic Errors (51)

•Identification Errors (31)

•Discontinuities, Gaps, and Hand-Off Problems (90)

•Fatigue and Sleep Deprivation (3)

•Medication Safety (276)

•Medical Complications (174)

•Nonsurgical Procedural Complications (29)

•Surgical Complications (96)

•Transfusion Complications (11)

•Psychological and Social Complications (19)

Origin/Sponsor

•Africa (1)

•Asia (12)

•Australia and New Zealand (12)

Resource Types

•Clinical Guideline (2)

•Journal Article (606)

•Legislation/Regulation (19)

•Meeting/Conference (11)

•Newsletter/Journal (3)

•Newspaper/Magazine Article (170)

•Press Release/Announcement (3)

•Special or Theme Issue (32)

•Tools/Toolkit (21)

•Web Resource (46)

•Grant (4)

Error Types

•Epidemiology of Errors and Adverse Events (149)

•Active Errors (124)

•Latent Errors (58)

•Near Miss (11)

Approach to Improving Safety
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Quality Improvement Strategies

•Audit and Feedback (110)

•Benchmarking (99)

•Continuous Quality Improvement (23)

•Critical Pathways (29)

•Practice Guidelines (121)

•Reminders (23)

•Patient Self-Management (65)

•Six Sigma (6)

Clinical Areas

•Allied Health Services (4)

Target Audience

•Health Care Providers (634)

•Health Care Executives and Administrators (866)

•Non-Health Care Professionals (352)

•Patients (137)

Setting of Care

•Hospitals (741)

•Psychiatric Facilities (3)

•Residential Facilities (15)

•Ambulatory Care (92)

•Outpatient Surgery (16)

•Patient Transport (3)

1 - 20 of 1071

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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.

AUDIOVISUAL

Hospital-acquired infections.

Moss-Coane M, O'Connell K, Fishman N. Radio Times. April 28, 2011.

AUDIOVISUAL PRESENTATION

When things go wrong.

Institute for Healthcare Improvement. Campaign Live. August 18, 2008.

MULTI-USE WEBSITE

California Hospital Patient Safety Organization.

1215 K Street, Suite 800, Sacramento, CA 95814.

NEWSPAPER/MAGAZINE ARTICLE

Little or no progress on medical mistakes in Florida.

Kestin S, LaMendola B. Sun Sentinel. July 29, 2011.

NEWSPAPER/MAGAZINE ARTICLE

Behind one hospital's fight against deadly infection.

Landro L. Wall Street Journal. June 5, 2012;D1.

NEWSPAPER/MAGAZINE ARTICLE

Fixing relationships, preventing errors.

McGinn P, Chabon R. HHN Magazine Online. November 25, 2008.

NEWSPAPER/MAGAZINE ARTICLE

10 years, 5 voices, 1 challenge.

Larkin H. Hosp Health Netw. October 21, 2009.

COMMENTARY

Developing process-support tools for patient safety: finding the balance between validity and feasibility.

Marsteller JA, Holzmueller CG, Makary M, et al. Jt Comm J Qual Patient Saf. 2008;34:604-607.

BOOK/REPORT

Safer Hospital Care: Strategies for Continuous Innovation.

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

NEWSPAPER/MAGAZINE ARTICLE

AHRQ presses on: no rule yet, but agency taps 10 safety organizations.

DerGurahain J. Mod Healthc. November 10, 2008;38:8.

AUDIOVISUAL

Obama Administration introduces plan to reduce preventable medical errors.

PBS News Hour. April 12, 2011.

BOOK/REPORT

Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2010.

Oakbrook Terrace, IL: The Joint Commission; September 2010.

STUDY

Hospital governance and the quality of care.

Jha AK, Epstein AM. Health Aff (Millwood). 2010;29:182-187.

NEWSPAPER/MAGAZINE ARTICLE

Why don't doctors wash their hands more?

Chen PW. New York Times. September 17, 2009.

REVIEW

Fall prevention in hospitals: an integrative review.

Spoelstra SL, Given BA, Given CW. Clin Nurs Res. 2012;21:92-112.

NEWSPAPER/MAGAZINE ARTICLE

Hospitals boost patients' power as advisers.

Landro L. Wall Street Journal. August 8, 2007:D1.

AUDIOVISUAL

Take Charge of Your Hospital Stay to Avoid Medical Mistakes.

Clarke S, Savard M. Good Morning America. ABC News. March 22, 2010.

COMMENTARY

As she lay dying: how I fought to stop medical errors from killing my mom.

Welch JR. Health Aff (Millwood). 2012;31:2817-2820.

BOOK/REPORT

Tennessee Center for Patient Safety Annual Report 2010.

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

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