AHRQ Patient Safety Network

The Collection > Critical Pathways

Narrow By

clear selections

Safety Target

•Device-related Complications (9)

•Diagnostic Errors (4)

•Identification Errors (13)

•Discontinuities, Gaps, and Hand-Off Problems (9)

•Medication Safety (19)

•Medical Complications (13)

•Nonsurgical Procedural Complications (8)

•Surgical Complications (25)

Origin/Sponsor

•Australia and New Zealand (6)

•Europe (8)

•North America (61)

Resource Types

•Book/Report (2)

•Journal Article (56)

•Legislation/Regulation (2)

•Newspaper/Magazine Article (17)

•Tools/Toolkit (1)

•Web Resource (1)

Error Types

•Epidemiology of Errors and Adverse Events (20)

•Active Errors (24)

•Latent Errors (4)

•Near Miss (2)

Approach to Improving Safety
< All

Critical Pathways

Clinical Areas

•Medicine (72)

•Nursing (17)

•Pharmacy (6)

Target Audience

•Health Care Providers (64)

•Health Care Executives and Administrators (62)

•Non-Health Care Professionals (22)

•Patients (8)

Setting of Care

•Hospitals (67)

•Ambulatory Care (1)

•Outpatient Surgery (4)

•Patient Transport (2)

1 - 20 of 79

Show ExcerptDon't Show Excerpt

dropdown

STUDY

Statewide NICU central-line–associated bloodstream infection rates decline after bundles and checklists.

Schulman J, Stricof R, Stevens TP, et al; New York State Regional Perinatal Care Centers. Pediatrics. 2011;127:436-444.

STUDY

Elimination of central-venous-catheter-related bloodstream infections from the intensive care unit.

Longmate AG, Ellis KS, Boyle L, et al. BMJ Qual Saf. 2011;20:174-180.

STUDY

Reduction of central line infections in Veterans Administration intensive care units: an observational cohort using a central infrastructure to support learning and improvement.

Render ML, Hasselbeck R, Freyberg RW, Hofer TP, Sales AE, Almenoff PL; VA ICU Clinical Advisory Group. BMJ Qual Saf. 2011;20:725-732.

STUDY

Collaborative cohort study of an intervention to reduce ventilator-associated pneumonia in the intensive care unit.

Berenholtz SM, Pham JC, Thompson DA, et al. Infect Control Hosp Epidemiol. 2011;32:305-314.

COMMENTARY

Central Line Clot.

Randolph AG. AHRQ WebM&M [serial online]. May 2003.

NEWSPAPER/MAGAZINE ARTICLE

Another tragic parenteral nutrition compounding error.

ISMP Medication Safety Alert! Acute Care Edition. April 21, 2011;16:1-3.

STUDY

Evaluating an evidence-based bundle for preventing surgical site infection.

Anthony T, Murray BW, Sum-Ping JT, et al. Arch Surg. 2011;146:263-269.

BOOK/REPORT

Eliminating CLABSI: A National Patient Safety Imperative.

Rockville, MD: Agency for Healthcare Research and Quality; September 2011. AHRQ Publication No. 11-0037-1-EF.

STUDY

Postoperative sepsis in the United States.

Vogel TR, Dombrovskiy VY, Carson JL, Graham AM, Lowry SF. Ann Surg. 2010;252:1065-1071.

STUDY

Effectiveness of an information technology intervention to improve prophylactic antibacterial use in the postoperative period.

Haynes K, Linkin DR, Fishman NO, et al. J Am Med Inform Assoc. 2011;18:164-168.

STUDY

Veterans Affairs initiative to prevent methicillin-resistant Staphylococcus aureus infections.

Jain R, Kralovic SM, Evans ME, et al. N Engl J Med. 2011;364:1419-1430.

STUDY

Outcome of 6 years of protocol use for preventing wrong site office surgery.

Starling J 3rd, Coldiron BM. J Am Acad Dermatol. 2011;65:807-810.

STUDY

National study on the frequency, types, causes, and consequences of voluntarily reported emergency department medication errors.

Pham JC, Story JL, Hicks RW, et al. J Emerg Med. 2011;40:485-492.

STUDY

Identifying opportunities for quality improvement in surgical site infection prevention.

Gagliardi AR, Eskicioglu C, McKenzie M, Fenech D, Nathens A, McLeod R. Am J Infect Control. 2009;37:398-402.

STUDY

Utilizing improvement science methods to improve physician compliance with proper hand hygiene.

White CM, Statile AM, Conway PH, et al. Pediatrics. 2012;129:e1042-e1050.

STUDY

Operating room briefings and wrong-site surgery.

Makary MA, Mukherjee A, Sexton BJ, et al. J Am Coll Surg. 2007;204:236-243.

NEWSPAPER/MAGAZINE ARTICLE

Safety in ASCs: putting patients first.

Dix K. Today's Surgicenter. December 1, 2006.

STUDY

Effective triage can ameliorate the deleterious effects of delayed transfer of trauma patients from the emergency department to the ICU.

Richardson JD, Franklin G, Santos A, et al. J Am Coll Surg. 2009;208:671-678.

STUDY

Prevention of intravenous drug incompatibilities in an intensive care unit.

Bertsche T, Mayer Y, Stahl R, et al. Am J Health Syst Pharm. 2008;65:1834-1840.

ORGANIZATIONAL POLICY/GUIDELINES

Safe Site Invasive Procedure—Non-Operating Room.

Bloomington, MN: Institute for Clinical Systems Improvement; 2010.

1 2 3 4 Next >