AHRQ Patient Safety Network

The Collection > Benchmarking

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Safety Target

•Device-related Complications (7)

•Diagnostic Errors (2)

•Identification Errors (8)

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

•Fatigue and Sleep Deprivation (2)

•Medication Safety (33)

•Medical Complications (29)

•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 (3)

Resource Types

•Journal Article (119)

•Meeting/Conference (1)

•Newspaper/Magazine Article (15)

•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 (157)

•Non-Health Care Professionals (86)

•Patients (22)

Setting of Care

•Hospitals (132)

•Residential Facilities (3)

•Ambulatory Care (7)

•Outpatient Surgery (2)

•Patient Transport (1)

1 - 20 of 196

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STUDY

Preliminary assessment of pediatric health care quality and patient safety in the United States using readily available administrative data.

McDonald KM, Davies SM, Haberland CA, et al. Pediatrics. 2008;122:e416-e425.

NEWSPAPER/MAGAZINE ARTICLE

Perfect is possible.

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

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.

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.

BOOK/REPORT

HealthGrades Seventh Annual Patient Safety in American Hospitals Study.

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

MEASUREMENT TOOL/INDICATOR

Prevention Quality Indicators.

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

STUDY

Electronic health record use and the quality of ambulatory care in the United States.

Linder JA, Ma J, Bates DW, Middleton B, Stafford BS. Arch Intern Med. 2007;167:1400-1405.

BOOK/REPORT

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

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

COMMENTARY

Integrating CUSP and TRIP to improve patient safety.

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

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.

STUDY

How often are potential patient safety events present on admission?

Houchens RL, Elixhauser A, Romano PS. Jt Comm J Qual Patient Saf. 2008;34:154-163.

BOOK/REPORT

HSMR: A New Approach for Measuring Hospital Mortality Trends in Canada.

Ottawa, ON, Canada: Canadian Institute for Health Information; 2007. ISBN: 9781554651849.

REVIEW

The published literature on handoffs in hospitals: deficiencies identified in an extensive review.

Cohen MD, Hilligoss PB. Qual Saf Health Care. 2010;19:493-497.

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.

BOOK/REPORT classic

Hospital Survey on Patient Safety Culture: 2011 User Comparative Database Report.

Sorra J, Famolaro T, Dyer N, Khanna K, Nelson D. Rockville, MD: Agency for Healthcare Research and Quality; April 2011. AHRQ Publication No. 11-0030.

NEWSPAPER/MAGAZINE ARTICLE

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

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

STUDY

Board quality scorecards: measuring improvement.

Goeschel CA, Berenholtz SM, Culbertson RA, Jin LD, Pronovost PJ. Am J Med Qual. 2011;26:254-260.

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

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.

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