AHRQ Patient Safety Network

The Collection > Audit and Feedback

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Safety Target

•Device-related Complications (14)

•Diagnostic Errors (23)

•Identification Errors (4)

•Discontinuities, Gaps, and Hand-Off Problems (28)

•Fatigue and Sleep Deprivation (3)

•Medication Safety (57)

•Medical Complications (30)

•Nonsurgical Procedural Complications (6)

•Surgical Complications (19)

•Transfusion Complications (1)

•Psychological and Social Complications (4)

Origin/Sponsor

•Asia (6)

•Australia and New Zealand (2)

Resource Types

•Journal Article (158)

•Legislation/Regulation (2)

•Newspaper/Magazine Article (24)

•Special or Theme Issue (2)

•Tools/Toolkit (3)

•Web Resource (2)

Error Types

•Epidemiology of Errors and Adverse Events (60)

•Active Errors (46)

•Latent Errors (21)

•Near Miss (4)

Approach to Improving Safety
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Audit and Feedback

Clinical Areas

•Allied Health Services (1)

•Medicine (138)

•Nursing (10)

•Pharmacy (17)

Target Audience

•Health Care Providers (140)

•Health Care Executives and Administrators (181)

•Non-Health Care Professionals (73)

•Patients (10)

Setting of Care

•Hospitals (151)

•Residential Facilities (3)

•Ambulatory Care (18)

•Outpatient Surgery (3)

•Patient Transport (1)

1 - 20 of 205

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COMMENTARY

Do Not Disturb!

Duffy FD, Cassel CK. AHRQ WebM&M [serial online]. October 2007.

NEWSPAPER/MAGAZINE ARTICLE

Five hospitals release data on inspections.

Kowalczyk L. Boston Globe. April 21, 2007:B1.

COMMENTARY

Missed Appendicitis.

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

BOOK/REPORT

Safer Care for the Acutely Ill Patient: Learning from Serious Incidents.

Thomson R, Luettel D, Healey F, Scobie S. London, UK: National Patient Safety Agency; 2007. ISBN: 9780955634055.

STUDY

Stakeholder challenges in purchasing medical devices for patient safety.

Hinrichs S, Dickerson T, Clarkson J. J Patient Saf. 2013;9:36-43.

STUDY

Consequences of inadequate sign-out for patient care.

Horwitz LI, Moin T, Krumholz HM, Wang L, Bradley EH. Arch Intern Med. 2008;168:1755-1760.

STUDY

Learning not to take it seriously: junior doctors' accounts of error.

Kroll L, Singleton A, Collier J, Rees Jones I. Med Educ. 2008;42:982-990.

COMMENTARY

Crossing the Line.

Feldman JP, Gould MK. AHRQ WebM&M [serial online]. March 2004.

NEWSPAPER/MAGAZINE ARTICLE

Diagnostic error in acute care.

PA-PSRS Patient Saf Advis. 2010;7:76-86.

STUDY

The attitudes and beliefs of healthcare professionals on the causes and reporting of medication errors in a UK intensive care unit.

Sanghera IS, Franklin BD, Dhillon S. Anaesthesia. 2007;62:53-61.

STUDY

Surgical skill is predicted by the ability to detect errors.

Bann S, Khan M, Datta V, Darzi A. Am J Surg. 2005;189:412-415.

BOOK/REPORT

The High Costs of Weak Compliance With the New York State Hospital Adverse Event Reporting and Tracking System.

Thompson WC Jr. New York, NY: Office of the New York City Comptroller, Office of Policy Management; 2009.

COMMENTARY

In Conversation with...James L. Reinertsen, MD

Reinertsen JL. AHRQ WebM&M [serial online]. July 2007.

STUDY

Teaching but not learning: how medical residency programs handle errors.

Hoff TJ, Pohl H, Bartfield J. J Org Behav. 2006;27:869-896.

MEASUREMENT TOOL/INDICATOR

2012 ISMP International Medication Safety Self Assessment for Oncology.

Institute for Safe Medication Practices and Institute for Safe Medication Practices Canada.

STUDY

Medication errors in intravenous drug preparation and administration: a multicentre audit in the UK, Germany and France.

Cousins DH, Sabatier B, Begue D, Schmitt C, Hoppe-Tichy T. Qual Saf Health Care. 2005;14:190-195.

NEWSPAPER/MAGAZINE ARTICLE

Learning safe prescribing during post-take ward rounds.

Conroy-Smith E, Herring R, Caldwell G. Clin Teach. 2011;8:75-78.

NEWSPAPER/MAGAZINE ARTICLE

Sustainable patient safety.

Spath S. Hosp Health Netw. December 12, 2006.

STUDY

Promoting patient safety using an early warning scoring system.

Higgins Y, Maries-Tillott C, Quinton S, Richmond J. Nurs Stand. 2008;22:35-40.

STUDY

Professionalism: a necessary ingredient in a culture of safety.

DuPree E, Anderson R, McEvoy MD, Brodman M. Jt Comm J Qual Patient Saf. 2011;37:447-455.

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