AHRQ Patient Safety Network

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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 (1)

•Medication Safety (35)

•Medical Complications (28)

•Nonsurgical Procedural Complications (1)

•Surgical Complications (29)

•Transfusion Complications (1)

•Psychological and Social Complications (10)

Origin/Sponsor

•Africa (1)

•Asia (1)

•Australia and New Zealand (5)

Resource Types

•Journal Article (130)

•Legislation/Regulation (1)

•Meeting/Conference (1)

•Newspaper/Magazine Article (14)

•Special or Theme Issue (5)

•Tools/Toolkit (7)

•Web Resource (12)

Error Types

•Epidemiology of Errors and Adverse Events (29)

•Active Errors (6)

•Latent Errors (3)

Approach to Improving Safety
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Benchmarking

Clinical Areas

Target Audience

•Health Care Providers (94)

•Health Care Executives and Administrators (163)

•Non-Health Care Professionals (89)

•Patients (19)

Setting of Care

•Hospitals (128)

•Residential Facilities (4)

•Ambulatory Care (9)

•Outpatient Surgery (2)

•Patient Transport (1)

1 - 20 of 199

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COMMENTARY

Creating high reliability in health care organizations.

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

STUDY

Measuring and comparing safety climate in intensive care units.

France DJ, Greevy RA Jr, Liu X, et al. Med Care. 2010;48:279-284.

TOOLKIT

Making Strides in Safety.

Chicago, IL: American Medical Association.

NEWSPAPER/MAGAZINE ARTICLE

Perfect is possible.

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

STUDY

Use of a safety climate questionnaire in UK health care: factor structure, reliability and usability.

Hutchinson A, Cooper KL, Dean JE, et al. Qual Saf Health Care. 2006;15:347-353.

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.

COMMENTARY

Integrating CUSP and TRIP to improve patient safety.

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

REVIEW

How safe is my intensive care unit? Methods for monitoring and measurement.

Berenholtz SM, Pustavoitau A, Schwartz SJ, Pronovost PJ. Curr Opin Crit Care. 2007;13:703-708.

STUDY

Operating room teamwork among physicians and nurses: teamwork in the eye of the beholder.

Makary MA, Sexton JB, Freischlag JA, et al. J Am Coll Surg. 2006;202:746-752.

STUDY

Patient safety measures in burn care: do national reporting systems accurately reflect quality of burn care?

Mandell SP, Robinson EF, Cooper CL, Klein MB, Gibran NS. J Burn Care Res. 2010;31:125-129.

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.

REVIEW

Measuring patient safety climate: a review of surveys.

Colla JB, Bracken AC, Kinney LM, Weeks WB. Qual Saf Health Care. 2005;14:364-366.

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

Safety culture assessment in community pharmacy: development, face validity, and feasibility of the Manchester Patient Safety Assessment Framework.

Ashcroft DM, Morecroft C, Parker D, Noyce PR. Qual Saf Health Care. 2005;14:417-421.

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.

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.

SPECIAL OR THEME ISSUE

Improving Health Care Quality.

Wisc Med J. 2006:105;1-86.

STUDY

Adoption of patient-centered care practices by physicians: results from a national survey.

Audet AM, Davis K, Schoenbaum SC. Arch Intern Med. 2006;166:754-759.

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.

BOOK/REPORT

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

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

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