AHRQ Patient Safety Network

The Collection > Benchmarking

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Safety Target

•Device-related Complications (7)

•Diagnostic Errors (3)

•Identification Errors (7)

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

•Fatigue and Sleep Deprivation (2)

•Medication Safety (34)

•Medical Complications (26)

•Nonsurgical Procedural Complications (1)

•Surgical Complications (26)

•Transfusion Complications (1)

•Psychological and Social Complications (7)

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 (5)

•Tools/Toolkit (3)

•Web Resource (6)

Error Types

•Epidemiology of Errors and Adverse Events (23)

•Active Errors (6)

•Latent Errors (1)

Approach to Improving Safety
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Benchmarking

Clinical Areas

Target Audience

•Health Care Providers (80)

•Health Care Executives and Administrators (144)

•Non-Health Care Professionals (78)

•Patients (15)

Setting of Care

•Hospitals (112)

•Residential Facilities (3)

•Ambulatory Care (6)

•Patient Transport (1)

1 - 20 of 175

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BOOK/REPORT

Annual Benchmarking Report: Malpractice Risks in Surgery.

Cambridge, MA: CRICO/RMF Strategies; 2010.

STUDY

Work-hour restrictions as an ethical dilemma for residents.

Carpenter RO, Austin MT, Tarpley JL, Griffin MR, Lomis KD. Amer J Surg. 2006;191:527-532.

STUDY

Review of the Australian Incident Monitoring System.

Spigelman AD, Swan J. ANZ J Surg. 2005;75:657-661.

STUDY

Public reporting of antibiotic timing in patients with pneumonia: lessons from a flawed performance measure.

Wachter RM, Flanders SA, Fee C, Pronovost PJ. Ann Intern Med. 2008;149:29-32.

COMMENTARY

Creating high reliability in health care organizations.

Pronovost PJ, Berenholtz SM, Goeschel CA, et al. Health Serv Res. 2006;41:1599-1617.

NEWSPAPER/MAGAZINE ARTICLE

Practitioners agree on medication reconciliation value, but frustration and difficulties abound.

ISMP Medication Safety Alert! Acute Care Edition. July 13, 2006;11:1-2.

NEWSPAPER/MAGAZINE ARTICLE

Building a case for medication reconciliation.

Nurse Advise-ERR. April 2006;4:1-3.

STUDY

What do family physicians consider an error? A comparison of definitions and physician perception.

Elder NC, Pallerla H, Regan S. BMC Fam Pract. 2006;7:73.

SPECIAL OR THEME ISSUE

The Patient Safety in Surgery Study.

J Am Coll Surg. 2007;204(6):1087-1300.

SPECIAL OR THEME ISSUE

Patient Safety Papers.

Baker GR, ed. Healthc Q. 2005;8:1-156.

STUDY

Safety Climate Survey: reliability of results from a multicenter ICU survey.

Kho ME, Carbone JM, Lucas J, Cook DJ. Qual Saf Health Care. 2005;14:273-278.

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.

COMMENTARY classic

Errors in laboratory medicine: practical lessons to improve patient safety.

Howanitz PJ. Arch Pathol Lab Med. 2005;129:1252-1261.

REVIEW

Nursing handoffs: a systematic review of the literature.

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

STUDY

Patient safety in surgery.

Makary MA, Sexton JB, Freischlag JA, et al. Ann Surg. 2006;243:628-635.

MULTI-USE WEBSITE

The National Report Card on the State of Emergency Medicine.

Dallas, TX: American College of Emergency Physicians.

STUDY

Targeted chart review of pediatric patient safety events identified by the Agency for Healthcare Research and Quality's Patient Safety Indicators methodology.

Scanlon MC, Miller M, Harris JM II, Schulz K, Sedman A. J Patient Saf. 2006;2:191-197.

STUDY

A survey of factors affecting clinician acceptance of clinical decision support.

Sittig DF, Krall MA, Dykstra RH, Russell A, Chin HL. BMC Med Inform Decis Mak. 2006;6:6.

STUDY

Medical emergency teams: a strategy for improving patient care and nursing work environments.

Galhotra S, Scholle CC, Dew MA, Mininni NC, Clermont G, DeVita MA. J Adv Nurs. 2006;55:180-187.

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.

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