AHRQ Patient Safety Network

The Collection > Critical Pathways

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Safety Target

•Device-related Complications (6)

•Diagnostic Errors (1)

•Identification Errors (13)

•Discontinuities, Gaps, and Hand-Off Problems (7)

•Medication Safety (15)

•Medical Complications (10)

•Nonsurgical Procedural Complications (6)

•Surgical Complications (25)

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•Australia and New Zealand (4)

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•Book/Report (2)

•Journal Article (47)

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•Newspaper/Magazine Article (16)

•Tools/Toolkit (1)

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Error Types

•Epidemiology of Errors and Adverse Events (16)

•Active Errors (19)

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Approach to Improving Safety
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Critical Pathways

Clinical Areas

•Medicine (61)

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Target Audience

•Health Care Providers (56)

•Health Care Executives and Administrators (55)

•Non-Health Care Professionals (14)

•Patients (7)

Setting of Care

•Hospitals (56)

•Ambulatory Care (2)

•Outpatient Surgery (4)

1 - 20 of 68

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COMMENTARY

Surgical site verification: A through Z.

Dunn D. J Perianesth Nurs. 2006;21:317-328.

NEWSPAPER/MAGAZINE ARTICLE

'Wrong site' surgeries on the rise.

Davis R. USA Today. April 17, 2006.

MEASUREMENT TOOL/INDICATOR

AORN Evaluation of the Universal Protocol.

Association of PeriOperative Registered Nurses.

STUDY

Operating room briefings and wrong-site surgery.

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

MULTI-USE WEBSITE

National Time Out Day.

AORN Patient Safety First.

NEWSPAPER/MAGAZINE ARTICLE

Doctor removes ovaries from wrong patient.

Bramson K, Mooney T. Providence Journal. August 18, 2006.

STUDY

Expanded surgical time out: a key to real-time data collection and quality improvement.

Altpeter T, Luckhardt K, Lewis JN, Harken AH, Polk HC Jr. J Am Coll Surg. 2007;204:527-532.

NEWSPAPER/MAGAZINE ARTICLE

Bringing surgeons down to earth.

Landro L. Wall Street Journal (Eastern edition). November 16, 2005:D1.

NEWSPAPER/MAGAZINE ARTICLE

Doing the "right" things to correct wrong-site surgery.

PA-PSRS Patient Saf Advis. June 2007;4:29, 32-45.

COMMENTARY

Implementing the World Health Organization surgical safety checklist: a model for future perioperative initiatives.

Styer KA, Ashley SW, Schmidt S, Zive EM, Eappen S. AORN J. 2011;94:590-598.

NEWSPAPER/MAGAZINE ARTICLE

Safety in ASCs: putting patients first.

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

STUDY

Surgical confusions in ophthalmology.

Simon JW, Ngo Y, Khan S, Strogatz D. Arch Ophthalmol. 2007;125:1515-1522.

COMMENTARY

Mark My Limb.

O'Leary DS, Jacott WE. AHRQ WebM&M [serial online]. December 2004.

COMMENTARY

Improving heparin safety: a multidisciplinary invited conference.

Peterson C, Ham CW, Vanderveen T. Hosp Pharm. 2008;43:491-497.

COMMENTARY

Mark My Tooth

Smith RA. AHRQ WebM&M [serial online]. July 2007.

NEWSPAPER/MAGAZINE ARTICLE

A pinpoint beam strays invisibly, harming instead of healing.

Bogdanich W, Rebelo K. New York Times. December 28, 2010;A1.

ORGANIZATIONAL POLICY/GUIDELINES

Safe Site Invasive Procedure—Non-Operating Room.

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

COMMENTARY

Crises in clinical care: an approach to management.

Runciman WB, Merry AF. Qual Saf Health Care. 2005;14:156-163.

COMMENTARY

Perfusion safety: new initiatives and enduring principles.

Kurusz M. Perfusion. 2011;26(suppl 1):6-14.

NEWSPAPER/MAGAZINE ARTICLE

Preventing medication errors during codes.

ISMP Medication Safety Alert! Acute Care Edition. February 9, 2011;16:1-3.

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