AHRQ Patient Safety Network

The Collection > Continuous Quality Improvement

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Safety Target

•Device-related Complications (4)

•Diagnostic Errors (3)

•Identification Errors (3)

•Discontinuities, Gaps, and Hand-Off Problems (4)

•Medication Safety (15)

•Medical Complications (7)

•Surgical Complications (6)

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•Australia and New Zealand (4)

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•North America (37)

Resource Types

•Book/Report (5)

•Journal Article (36)

•Legislation/Regulation (1)

•Newspaper/Magazine Article (4)

Error Types

•Epidemiology of Errors and Adverse Events (11)

•Active Errors (3)

•Latent Errors (7)

Approach to Improving Safety
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Continuous Quality Improvement

Clinical Areas

•Medicine (28)

•Nursing (4)

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Target Audience

•Health Care Providers (27)

•Health Care Executives and Administrators (36)

•Non-Health Care Professionals (17)

•Patients (1)

Setting of Care

•Hospitals (32)

•Psychiatric Facilities (1)

•Residential Facilities (1)

•Ambulatory Care (2)

•Outpatient Surgery (1)

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1 - 20 of 46

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STUDY

Patient Safety Leadership WalkRounds™ at Partners HealthCare: learning from implementation.

Frankel A, Grillo SP, Baker EG, et al. Jt Comm J Qual Patient Saf. 2005;31:423-437.

NEWSPAPER/MAGAZINE ARTICLE

The health factory.

Spear SJ. New York Times. August 29, 2005;Editorials/Op-Ed section:15.

STUDY

Organizational culture, critical success factors, and the reduction of hospital errors.

Stock GN, McFadden KL, Gowen III, CR. Int J Prod Econ. 2007;106:368–392.

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.

BOOK/REPORT classic

Best Care at Lower Cost: The Path to Continuously Learning Health Care in America.

Smith M, Saunders R, Stuckhardt L, McGinnis JM, eds. Committee on the Learning Health Care System in America, Institute of Medicine. Washington, DC: National Academies Press; 2012. ISBN: 9780309260732.

NEWSPAPER/MAGAZINE ARTICLE

The dawn of the robo-docs.

Weber DO. Hosp Health Netw. March 14, 2006.

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 role of continuous quality improvement and psychological safety in predicting work-arounds.

Halbesleben JRB, Rathert C. Health Care Manage Rev. 2008;33:134-144.

STUDY

Michigan Health & Hospital Association Keystone Obstetrics: a statewide collaborative for perinatal patient safety in Michigan.

Simpson KR, Knox GE, Martin M, George C, Watson SR. Jt Comm J Qual Patient Saf. 2011;37:544-551.

COMMENTARY

Patient safety in women's health care: a framework for progress.

Gluck PA. Best Pract Res Clin Obstet Gynaecol. 2007;21:525-36.

STUDY

Perceptions of the impact of a large-scale collaborative improvement programme: experience in the UK Safer Patients Initiative.

Benn J, Burnett S, Parand A, Pinto A, Iskander S, Vincent C. J Eval Clin Pract. 2009;15:524-540.

COMMENTARY

Developing and implementing new safe practices: voluntary adoption through statewide collaboratives.

Leape LL, Rogers G, Hanna D, et al. Qual Saf Health Care. 2006;15:289-295.

COMMENTARY

Smart pumps: advanced capabilities and continuous quality improvement.

Vanderveen T. Patient Saf Quality Healthc. January/February 2007.

NEWSPAPER/MAGAZINE ARTICLE

Flying blind.

Vaitheeswaran V. Economist. April 16, 2009;Special Report:6-8.

COMMENTARY

Patients count on it: an initiative to reduce incorrect counts and prevent retained surgical items.

Norton EK, Martin C, Micheli AJ. AORN J. 2012;1:109-121.

COMMENTARY

Medication tracers: a systems approach to medication safety.

Hendrick EC, Montanya KR, Griffith N. Hosp Pharm. 2007;42:916-920.

COMMENTARY

Health care safety: what needs to be done?

Rubin GL, Leeder SR. Med J Aust. 2005;183:529-531.

STUDY

Multiple component patient safety intervention in English hospitals: controlled evaluation of second phase.

Benning A, Dixon-Woods M, Nwulu U, et al. BMJ. 2011;342:d199.

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.

STUDY

Real time patient safety audits: improving safety every day.

Ursprung R, Gray JE, Edwards WH, et al. Qual Saf Health Care. 2005;14:284-289.

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