AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (6)

•Diagnostic Errors (2)

•Identification Errors (8)

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

•Fatigue and Sleep Deprivation (1)

•Medication Safety (36)

•Medical Complications (30)

•Nonsurgical Procedural Complications (1)

•Surgical Complications (29)

•Transfusion Complications (1)

•Psychological and Social Complications (9)

Origin/Sponsor

•Africa (1)

•Asia (1)

•Australia and New Zealand (4)

Resource Types

•Journal Article (127)

•Legislation/Regulation (1)

•Meeting/Conference (1)

•Newspaper/Magazine Article (13)

•Special or Theme Issue (5)

•Tools/Toolkit (8)

•Web Resource (14)

Error Types

•Epidemiology of Errors and Adverse Events (29)

•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 (163)

•Non-Health Care Professionals (91)

•Patients (20)

Setting of Care

•Hospitals (126)

•Residential Facilities (4)

•Ambulatory Care (9)

•Outpatient Surgery (2)

1 - 20 of 201

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STUDY

Teamwork in the operating room: frontline perspectives among hospitals and operating room personnel.

Sexton JB, Makary MA, Tersigni AR, et al. Anesthesiology. 2006;105:877-884.

STUDY

Attitudes to teamwork and safety in the operating theatre.

Flin R, Yule S, McKenzie L, Paterson-Brown S, Maran N. Surgeon. June 2006;4:145-151.

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

Errors and the burden of errors: attitudes, perceptions, and the culture of safety in pediatric cardiac surgical teams.

Bognár A, Barach P, Johnson JK, et al. Ann Thorac Surg. 2008;85:1374-1381.

STUDY

Development of a rating system for surgeons' non-technical skills.

Yule S, Flin R, Paterson-Brown S, Maran N, Rowley D. Med Educ. 2006;40:1098-1104.

STUDY

Patient safety in surgery.

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

STUDY

The Safety Attitudes Questionnaire: psychometric properties, benchmarking data, and emerging research.

Sexton JB, Helmreich RL, Neilands TB, et al. BMC Health Serv Res. 2006;6:44.

MULTI-USE WEBSITE classic

National Surgical Quality Improvement Program.

American College of Surgeons.

COMMENTARY

Environmental Safety in the OR.

Linkin DR, Lautenbach E. AHRQ WebM&M [serial online]. February 2004.

TOOLKIT

Making Strides in Safety.

Chicago, IL: American Medical Association.

NEWSPAPER/MAGAZINE ARTICLE

Hospitals collaborate to prevent wrong-site surgery.

Pelczarski KM, Braun PA, Young E. Patient Saf Qual Healthc. Sept/Oct 2010;7:20-22,25-26.

NEWSPAPER/MAGAZINE ARTICLE

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

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

BOOK/REPORT

Patient Safety Authority Annual Reports.

Harrisburg, PA: Patient Safety Authority; April 2013.

STUDY

Validity of selected AHRQ Patient Safety Indicators based on VA National Surgical Quality Improvement program data.

Romano PS, Mull HJ, Rivard PE, et al. Health Serv Res. 2009;44:182-204.

DATABASE/DIRECTORY

MEDMARX®.

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

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.

GOVERNMENT RESOURCE

Survey on Patient Safety Culture Database: Overview.

Rockville, MD: Agency for Healthcare Research and Quality; April 2006.

BOOK/REPORT

Patient Safety in Canada: An Update.

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

MULTI-USE WEBSITE

Solutions for Patient Safety.

Ohio Business Roundtable. 41 S. High Street, Suite 2240, Columbus, OH, 43215.

NEWSPAPER/MAGAZINE ARTICLE

Empowered to improve.

Gardner E. Mod Healthc. May 18, 2009;39:28-31.

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