AHRQ Patient Safety Network

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•Device-related Complications (14)

•Diagnostic Errors (26)

•Identification Errors (7)

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

•Fatigue and Sleep Deprivation (4)

•Medication Safety (98)

•Medical Complications (49)

•Nonsurgical Procedural Complications (8)

•Surgical Complications (33)

•Psychological and Social Complications (4)

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•Asia (12)

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•Journal Article (235)

•Legislation/Regulation (1)

•Newspaper/Magazine Article (23)

•Special or Theme Issue (3)

•Tools/Toolkit (4)

•Web Resource (1)

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•Epidemiology of Errors and Adverse Events (106)

•Active Errors (59)

•Latent Errors (16)

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Approach to Improving Safety
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Audit and Feedback

Clinical Areas

•Allied Health Services (1)

•Medicine (194)

•Nursing (15)

•Pharmacy (33)

Target Audience

•Health Care Providers (188)

•Health Care Executives and Administrators (249)

•Non-Health Care Professionals (90)

•Patients (9)

Setting of Care

•Hospitals (195)

•Residential Facilities (5)

•Ambulatory Care (26)

•Outpatient Surgery (5)

•Patient Transport (1)

1 - 20 of 277

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STUDY

Assessing and improving safety culture throughout an academic medical centre: a prospective cohort study.

Paine LA, Rosenstein BJ, Sexton JB, Kent P, Holzmueller CG, Pronovost PJ. Qual Saf Health Care. 2010;19:547-554.

STUDY

Structured interdisciplinary rounds in a medical teaching unit: improving patient safety.

O’Leary KJ, Buck R, Fligiel HM, et al. Arch Intern Med. 2011;171:678-684.

STUDY

Teamwork behaviours and errors during neonatal resuscitation.

Williams AL, Lasky RE, Dannemiller JL, Andrei AM, Thomas EJ. Qual Saf Health Care. 2010;19:60-64.

STUDY

Implementing peer evaluation of handoffs: associations with experience and workload.

Arora VM, Greenstein EA, Woodruff JN, Staisiunas PG, Farnan JM. J Hosp Med. 2013;8:132-136.

STUDY

An inpatient fall prevention initiative in a tertiary care hospital.

Weinberg J, Proske D, Szerszen A, et al. Jt Comm J Qual Patient Saf. 2011;37:317-325.

STUDY

Medication error identification rates by pharmacy, medical, and nursing students.

Warholak TL, Queiruga C, Roush R, Phan H. Am J Pharm Educ. 2011;75:24.

STUDY

Postdischarge adverse events for 1-day hospital admissions in older adults admitted from the emergency department.

Pines JM, Mongelluzzo J, Hilton JA, et al. Ann Emerg Med. 2010;56:253-257.

STUDY

Video registration of trauma team performance in the emergency department: the results of a 2-year analysis in a Level 1 trauma center.

Lubbert PHW, Kaasschieter EG, Hoorntje LE, Leenen LPH. J Trauma. 2009;67:1412-1420.

STUDY

Reducing inappropriate diagnostic practice through education and decision support.

Bairstow PJ, Persaud J, Mendelson R, Nguyen L. Int J Qual Health Care. 2010;22:194-200.

STUDY

Rethinking resident supervision to improve safety: from hierarchical to interprofessional models.

Tamuz M, Giardina TD, Thomas EJ, Menon S, Singh H. J Hosp Med. 2011;6:448-456.

COMMENTARY

A Mid-Summer Fog

Braddock CH. AHRQ WebM&M [serial online]. November 2008.

STUDY

A trigger tool fails to identify serious errors and adverse events in pediatric otolaryngology.

Lander L, Roberson DW, Plummer KM, Forbes PW, Healy GB, Shah RK. Otolaryngol Head Neck Surg. 2010;143:480-486.

STUDY

Uncomfortable prescribing decisions in hospitals: the impact of teamwork.

Lewis PJ, Tully MP. J R Soc Med. 2009;102:481-488.

STUDY

Trauma resuscitation errors and computer-assisted decision support.

Fitzgerald M, Cameron P, Mackenzie C, et al. Arch Surg. 2011;146:218-225.

STUDY

Resident participation does not affect surgical outcomes, despite introduction of new techniques.

Patel SP, Gauger PG, Brown DL, Englesbe MJ, Cederna PS. J Am Coll Surg. 2010;211:540-545.

STUDY

A comprehensive perinatal patient safety program to reduce preventable adverse outcomes and costs of liability claims.

Simpson KR, Kortz CC, Knox E. Jt Comm J Qual Patient Saf. 2009;35:565-574.

STUDY

Improving patient safety: effects of a safety program on performance and culture in a department of radiology.

Donnelly LF, Dickerson JM, Goodfriend MA, Muething SE. AJR Am J Roentgenol. 2009;193:165-171.

STUDY

The safety of hospital stroke care.

Holloway RG, Tuttle D, Baird T, Skelton WK. Neurology. 2007;68:550-555.

NEWSPAPER/MAGAZINE ARTICLE

Soaring to new safety heights.

Ketter P. T&D. January 2006;60:51-54.

STUDY

The effects of resident level of training on the rate of pediatric prescription errors in an academic emergency department.

Pacheco GS, Viscusi C, Hays DP, Woolridge DP. J Emerg Med. 2012;43:e343-e348.

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