AHRQ Patient Safety Network

The Collection > Benchmarking

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Safety Target

•Device-related Complications (7)

•Diagnostic Errors (2)

•Identification Errors (7)

•Discontinuities, Gaps, and Hand-Off Problems (12)

•Fatigue and Sleep Deprivation (2)

•Medication Safety (33)

•Medical Complications (28)

•Nonsurgical Procedural Complications (1)

•Surgical Complications (27)

•Transfusion Complications (1)

•Psychological and Social Complications (6)

Origin/Sponsor

•Asia (2)

•Australia and New Zealand (6)

Resource Types

•Journal Article (119)

•Legislation/Regulation (1)

•Meeting/Conference (1)

•Newspaper/Magazine Article (15)

•Press Release/Announcement (1)

•Special or Theme Issue (6)

•Tools/Toolkit (5)

•Web Resource (11)

Error Types

•Epidemiology of Errors and Adverse Events (29)

•Active Errors (6)

•Latent Errors (2)

Approach to Improving Safety
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Benchmarking

Clinical Areas

Target Audience

•Health Care Providers (84)

•Health Care Executives and Administrators (155)

•Non-Health Care Professionals (80)

•Patients (18)

Setting of Care

•Hospitals (131)

•Residential Facilities (4)

•Ambulatory Care (8)

•Outpatient Surgery (2)

•Patient Transport (1)

1 - 20 of 189

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STUDY

Full implementation of computerized physician order entry and medication-related quality outcomes: a study of 3364 hospitals.

Yu FB, Menachemi N, Berner ES, Allison JJ, Weissman NW, Houston TK. Am J Med Qual. 2009;24:278-286.

AUDIOVISUAL

Web sites compare how hospitals measure up.

Neary L. "Talk of the Nation." National Public Radio. August 26, 2008.

NEWSPAPER/MAGAZINE ARTICLE

5 sure-fire methods: complying with NPSG.03.04.01.

Joint Commission: The Source. January 2012;10:5-6.

ORGANIZATIONAL POLICY/GUIDELINES

Transitions of Care Consensus Policy Statement American College of Physicians-Society of General Internal Medicine-Society of Hospital Medicine-American Geriatrics Society-American College of Emergency Physicians-Society of Academic Emergency Medicine.

Snow V, Beck D, Budnitz T, et al. J Gen Intern Med. 2009;24:971-976.

REVIEW

Nursing handoffs: a systematic review of the literature.

Riesenberg LA, Leisch J, Cunningham JM. Am J Nurs. 2010;110:24-34.

STUDY

Enhancing medication use safety: benefits of learning from your peers.

Kazandjian VA, Ogunbo S, Wicker KG, Vaida AJ, Pipesh F. Qual Saf Health Care. 2009;18:331-335.

STUDY

Comparing measures of patient safety for inpatient care provided to veterans within and outside the VA system in New York.

Weeks WB, West AN, Rosen AK, Bagian JP. Qual Saf Health Care. 2008;17:58-64.

BOOK/REPORT classic

Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2011.

Oakbrook Terrace, IL: The Joint Commission; September 2011.

STUDY

Are Patient Safety Indicators related to widely used measures of hospital quality?

Isaac T, Jha AK. J Gen Intern Med. 2008;23:1373-1378.

STUDY

Preliminary assessment of pediatric health care quality and patient safety in the United States using readily available administrative data.

McDonald KM, Davies SM, Haberland CA, et al. Pediatrics. 2008;122:e416-e425.

NEWSPAPER/MAGAZINE ARTICLE

New York City puts hospital error data online.

Kershaw S. New York Times. Sepember 7, 2007;Metro Desk section:B1.

STUDY

Publicly available hospital comparison web sites: determination of useful, valid, and appropriate information for comparing surgical quality.

Leonardi MJ, McGory ML, Ko CY. Arch Surg. 2007;142:863-869.

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

How often are potential patient safety events present on admission?

Houchens RL, Elixhauser A, Romano PS. Jt Comm J Qual Patient Saf. 2008;34:154-163.

BOOK/REPORT

HealthGrades Quality Study: Fifth Annual Patient Safety in American Hospitals Study.

Golden, CO: HealthGrades, Inc.; April 2008.

BOOK/REPORT

HealthGrades Quality Study: Fourth Annual Patient Safety in American Hospitals Study.

Golden, CO: HealthGrades, Inc.; April 2007.

STUDY

Board quality scorecards: measuring improvement.

Goeschel CA, Berenholtz SM, Culbertson RA, Jin LD, Pronovost PJ. Am J Med Qual. 2011;26:254-260.

NEWSPAPER/MAGAZINE ARTICLE

Medicare releases patient safety ratings for hospitals.

Rau J. Kaiser Health News. October 17, 2011.

COMMENTARY

Integrating CUSP and TRIP to improve patient safety.

Romig M, Goeschel C, Pronovost P, Berenholtz SM. Hosp Pract (Minneap). 2010;38:114-121.

STUDY

Does the Leapfrog program help identify high-quality hospitals?

Jha AK, Orav EJ, Ridgway AB, Zheng J, Epstein AM. Jt Comm J Qual Patient Saf. 2008;34:318-325.

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