AHRQ Patient Safety Network

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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 (36)

•Medical Complications (28)

•Nonsurgical Procedural Complications (1)

•Surgical Complications (28)

•Transfusion Complications (1)

•Psychological and Social Complications (5)

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•Africa (1)

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•Australia and New Zealand (7)

Resource Types

•Journal Article (125)

•Legislation/Regulation (1)

•Meeting/Conference (1)

•Newspaper/Magazine Article (15)

•Press Release/Announcement (1)

•Special or Theme Issue (5)

•Tools/Toolkit (6)

•Web Resource (7)

Error Types

•Epidemiology of Errors and Adverse Events (24)

•Active Errors (7)

•Latent Errors (3)

Approach to Improving Safety
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Benchmarking

Clinical Areas

Target Audience

•Health Care Providers (88)

•Health Care Executives and Administrators (155)

•Non-Health Care Professionals (85)

•Patients (14)

Setting of Care

•Hospitals (122)

•Residential Facilities (5)

•Ambulatory Care (7)

•Outpatient Surgery (1)

•Patient Transport (1)

1 - 20 of 190

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COMMENTARY

A plan for achieving significant improvement in patient safety.

Johnson K, Maultsby CC. J Nurs Care Qual. 2007;22:164-171.

STUDY

The effect of the fit between organizational culture and structure on medication errors in medical group practices.

Kaissi A, Kralewski J, Dowd B, Heaton A. Health Care Manage Rev. 2007;32:12-21.

NEWSPAPER/MAGAZINE ARTICLE

If safety is your yardstick, measuring culture from the top down must be a priority.

ISMP Medication Safety Alert! Acute Care Edition. March 22, 2007;12:1-2.

COMMENTARY

Measuring perinatal patient safety: review of current methods.

Simpson KR. J Obstet Gynecol Neonatal Nurs. 2006;35:432-442.

STUDY

The safety culture in a children's hospital.

Grant MJC, Donaldson AE, Larsen GY. J Nurs Care Qual. 2006;21:223-229.

BOOK/REPORT

Improving America's Hospitals: A Report on Quality and Safety.

Oakbrook Terrace, IL: The Joint Commission; March 2007.

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

Evaluation of the culture of safety: survey of clinicians and managers in an academic medical center.

Pronovost PJ, Weast B, Holzmueller CG, et al. Qual Saf Health Care. 2003;12:405-410.

REVIEW

Assessing patient safety culture: a review and synthesis of the measurement tools.

Singla AK, Kitch BT, Weissman JS, Campbell EG. J Patient Saf. 2006;2:105-115.

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.

BOOK/REPORT

Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2007.

Oakbrook Terrace, IL: The Joint Commission; November 2007.

STUDY

The Safety Organizing Scale: development and validation of a behavioral measure of safety culture in hospital nursing units.

Vogus TJ, Sutcliffe KM. Med Care. 2007;45:46-54.

STUDY

Benchmarking surgical incident reports using a database and a triage system to reduce adverse outcomes.

Antonacci AC, Lam S, Lavarias V, Homel P, Eavey RD. Arch Surg. 2008;143:1192-1197.

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.

SPECIAL OR THEME ISSUE

Patient Safety Papers.

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

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

Review of the Australian Incident Monitoring System.

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

MULTI-USE WEBSITE

The National Report Card on the State of Emergency Medicine.

Dallas, TX: American College of Emergency Physicians.

STUDY

Patient safety in surgery.

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

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