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 (66)

•Diagnostic Errors (74)

•Identification Errors (46)

•Discontinuities, Gaps, and Hand-Off Problems (113)

•Fatigue and Sleep Deprivation (10)

•Medication Safety (385)

•Medical Complications (207)

•Nonsurgical Procedural Complications (41)

•Surgical Complications (117)

•Transfusion Complications (7)

•Psychological and Social Complications (30)

Origin/Sponsor

•Africa (4)

•Asia (19)

•Australia and New Zealand (33)

•Central and South America (3)

•Europe (165)

•North America (1050)

Resource Types

•Clinical Guideline (4)

•Journal Article (760)

•Legislation/Regulation (22)

•Meeting/Conference (13)

•Newsletter/Journal (4)

•Newspaper/Magazine Article (182)

•Press Release/Announcement (17)

•Special or Theme Issue (36)

•Tools/Toolkit (34)

•Web Resource (68)

•Grant (8)

Error Types

•Epidemiology of Errors and Adverse Events (180)

•Active Errors (219)

•Latent Errors (94)

•Near Miss (16)

Approach to Improving Safety
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Quality Improvement Strategies

•Audit and Feedback (159)

•Benchmarking (133)

•Continuous Quality Improvement (33)

•Critical Pathways (49)

•Practice Guidelines (221)

•Reminders (41)

•Patient Self-Management (108)

•Six Sigma (6)

Clinical Areas

•Allied Health Services (5)

Target Audience

•Health Care Providers (904)

•Health Care Executives and Administrators (1111)

•Non-Health Care Professionals (455)

•Patients (146)

Setting of Care

•Hospitals (803)

•Psychiatric Facilities (6)

•Residential Facilities (20)

•Ambulatory Care (121)

•Outpatient Surgery (20)

•Patient Transport (4)

1 - 20 of 1335

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NEWSPAPER/MAGAZINE ARTICLE

Fixing America's hospitals.

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

NEWSPAPER/MAGAZINE ARTICLE

How safe do patients feel?

Wolosin R, Vercler L, Matthews J. Patient Safety & Quality Healthcare. November/December 2005;2:40-44.

NEWSPAPER/MAGAZINE ARTICLE

Reducing patient harm from opiates.

ISMP Medication Safety Alert! Acute Care Edition. February 22, 2007;12:1-3.

SPECIAL OR THEME ISSUE

The safety and quality of health care: where are we now?

Med J Aust. 2006;184:S37-S72.

NEWSPAPER/MAGAZINE ARTICLE

JCAHO tightens leash on medication reconciliation.

Perry LE. Drug Topics: Health-System Edition. March 20, 2006.

BOOK/REPORT

Patient-Centered Care Improvement Guide.

Frampton S, Guastello S, Brady C, et al. Derby, CT: Planetree; Camden, ME: Picker Institute; 2008.

AWARD RECIPIENT

2006 Quest for Quality Prize.

Runy LA. Hosp Health Netw. September 2006.

COMMENTARY

Language Barrier

Flores G. AHRQ WebM&M [serial online]. April 2006.

COMMENTARY

Organizational Change in the Face of Highly Public Errors—I. The Dana-Farber Cancer Institute Experience

Conway JB, Weingart SN. AHRQ WebM&M [serial online]. May 2005.

NEWSPAPER/MAGAZINE ARTICLE

Hospitals boost patients' power as advisers.

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

AUDIOVISUAL

Chasing Zero: Winning the War on Healthcare Harm.

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

NEWSPAPER/MAGAZINE ARTICLE

Survey shows recession has weakened patient safety net.

ISMP Medication Safety Alert! Acute Care Edition. January 14, 2010;15:1-4.

BOOK/REPORT

Patient Safety in Canada: An Update.

Ottawa, ON, Canada: Canadian Institute for Health Information; August 14, 2007.

COMMENTARY

Developing a medication patient safety program — infrastructure and strategy.

Mark SM, Weber RJ. Hosp Pharm. 2007;42:149-156.

BOOK/REPORT classic

Advances in Patient Safety: From Research to Implementation.

Rockville, MD: Agency for Healthcare Research and Quality; February 2005. AHRQ Publication Nos. 050021 (1-4).

NEWSPAPER/MAGAZINE ARTICLE

Hospitals' bid to heal selves saves thousands.

P-I Staff and News Services. Seattle Post-Intelligencer. June 15, 2006:A1.

NEWSPAPER/MAGAZINE ARTICLE

Global goal: reduce medical errors.

Szabo L. USA Today. August 23, 2005.

STUDY

The Safety Organizing Scale: development and validation of a behavioral measure of safety culture in hospital nursing units.

Vogus TJ, Sutcliffe KM. Med Care. 2007;45:46-54.

STUDY

Healthcare climate: a framework for measuring and improving patient safety.

Zohar D, Livne Y, Tenne-Gazit O, Admi H, Donchin Y. Crit Care Med. Crit Care Med. 2007;35:1312-1317.

NEWSPAPER/MAGAZINE ARTICLE

Standards, audits, and saying I'm sorry: an engineer's family proposes solutions.

Wojcieszak D. Patient Safety Qual Healthc. May/June 2005;2:6, 8-9.

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