AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (6)

•Diagnostic Errors (2)

•Identification Errors (7)

•Discontinuities, Gaps, and Hand-Off Problems (10)

•Fatigue and Sleep Deprivation (2)

•Medication Safety (33)

•Medical Complications (28)

•Nonsurgical Procedural Complications (1)

•Surgical Complications (28)

•Transfusion Complications (1)

•Psychological and Social Complications (10)

Origin/Sponsor

•Africa (1)

•Asia (1)

•Australia and New Zealand (2)

Resource Types

•Journal Article (117)

•Legislation/Regulation (1)

•Meeting/Conference (1)

•Newspaper/Magazine Article (13)

•Press Release/Announcement (1)

•Special or Theme Issue (4)

•Tools/Toolkit (8)

•Web Resource (14)

Error Types

•Epidemiology of Errors and Adverse Events (28)

•Active Errors (8)

•Latent Errors (3)

Approach to Improving Safety
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Benchmarking

Clinical Areas

Target Audience

•Health Care Providers (98)

•Health Care Executives and Administrators (153)

•Non-Health Care Professionals (84)

•Patients (22)

Setting of Care

•Hospitals (128)

•Residential Facilities (3)

•Ambulatory Care (8)

•Outpatient Surgery (2)

1 - 20 of 192

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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.

MULTI-USE WEBSITE

AHRQ Quality Indicators.

Agency for Healthcare Research and Quality.

BOOK/REPORT

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

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

BOOK/REPORT

HealthGrades Seventh Annual Patient Safety in American Hospitals Study.

Golden, CO: HealthGrades, Inc.; March 2010.

TOOLKIT

Making Strides in Safety.

Chicago, IL: American Medical Association.

STUDY

Association of a clinical knowledge support system with improved patient safety, reduced complications and shorter length of stay among Medicare beneficiaries in acute care hospitals in the United States.

Bonis PA, Pickens GT, Rind DM, Foster DA. Int J Med Inform. 2008;77:745-753.

STUDY

How do black-serving hospitals perform on patient safety indicators?: Implications for national public reporting and pay-for-performance.

Ly DP, Lopez L, Isaac T, Jha AK. Med Care. 2010;48:1133-1137.

MEASUREMENT TOOL/INDICATOR

2011 ISMP Medication Safety Self Assessment for Hospitals.

Horsham, PA: Institute for Safe Medication Practices; April 2011.

BOOK/REPORT

Achieving an Exceptional Patient and Family Experience of Inpatient Hospital Care.

Balik B, Conway J, Zipperer L, Watson J. Cambridge, MA: Institute for Healthcare Improvement; 2011.

DATABASE/DIRECTORY

MEDMARX®.

Rockville, MD: U.S. Pharmacopeia; 2011.

BOOK/REPORT

Patient Safety in Canada: An Update.

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

MULTI-USE WEBSITE

HAC Posting on Hospital Compare.

Centers for Medicare & Medicaid Services.

BOOK/REPORT

Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2009.

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

NEWSPAPER/MAGAZINE ARTICLE

Perfect is possible.

Berwick DM, Leape LL. Newsweek. October 16, 2006:70-71.

BOOK/REPORT

HealthGrades Sixth Annual Patient Safety in American Hospitals Study.

Golden, CO: HealthGrades, Inc.; April 2009.

MEASUREMENT TOOL/INDICATOR

Prevention Quality Indicators.

AHRQ Quality Indicators. Rockville, MD: Agency for Healthcare Research and Quality; September 2005.

STUDY

Measurement for improvement: a survey of current practice in Australian public hospitals.

Brand CA, Tropea J, Ibrahim JE, et al. Med J Aust. 2008;189:35-40.

STUDY

Clinical and economic outcomes attributable to health care–associated sepsis and pneumonia.

Eber MR, Laxminarayan R, Perencevich EN, Malani A. Arch Intern Med. 2010;170:347-353.

STUDY

Reconciling medications at admission: safe practice recommendations and implementation strategies.

Rogers G, Alper E, Brunelle D, et al. Jt Comm J Qual Patient Saf. 2006;32:37-50.

STUDY

Is the availability of hospital IT applications associated with a hospital's risk adjusted incidence rate for patient safety indicators: results from 66 Georgia hospitals.

Culler SD, Hawley JN, Naylor V, Rask KJ. J Med Syst. 2007;31:319-327.

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