AHRQ Patient Safety Network

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•Device-related Complications (34)

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•Discontinuities, Gaps, and Hand-Off Problems (34)

•Fatigue and Sleep Deprivation (5)

•Medication Safety (133)

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•Epidemiology of Errors and Adverse Events (27)

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Approach to Improving Safety
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Practice Guidelines

Clinical Areas

•Allied Health Services (1)

Target Audience

•Health Care Providers (264)

•Health Care Executives and Administrators (192)

•Non-Health Care Professionals (58)

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•Hospitals (148)

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1 - 20 of 280

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NEWSPAPER/MAGAZINE ARTICLE

Hospitals save money, but safety is questioned.

Klein A. The Washington Post. December 11, 2005:A01.

BOOK/REPORT

Back to Basics.

Gima Z, Gosselar P, Levine A, Lincoln T, Ramirez A. Washington, DC: Public Citizen; August 6, 2009.

COMMENTARY

ISMP medication error report analysis.

Cohen M. Hosp Pharm. 2006;41:222-224.

COMMENTARY

Language Barrier

Flores G. AHRQ WebM&M [serial online]. April 2006.

COMMENTARY

Organizational Change in the Face of Highly Public Errors—I. The Dana-Farber Cancer Institute Experience

Conway JB, Weingart SN. AHRQ WebM&M [serial online]. May 2005.

NEWSPAPER/MAGAZINE ARTICLE

Improving the safety of telephone or verbal orders.

PA-PSRS Patient Saf Advis. June 2006;3:1-5.

STUDY

National Quality Forum 30 safe practices: priority and progress in Iowa hospitals.

Ward MM, Evans TC, Spies AJ, Roberts LL, Wakefield DS. Am J Med Qual. 2006;21:101-108.

ORGANIZATIONAL POLICY/GUIDELINES

Canadian Disclosure Guidelines.

Windwick B, Vallet D, Beard P, et al; Disclosure Working Group. Edmonton, AB, Canada: Canadian Patient Safety Institute; 2008. ISBN: 0973927011.

NEWSPAPER/MAGAZINE ARTICLE

USP initiatives for the safe use of medical gases.

Zaidi K, Curry PD Jr, Becker SC. Pharmaceutical Technology. November 2, 2005;29:102-103.

NEWSPAPER/MAGAZINE ARTICLE

Drug name confusion: preventing medication errors.

Rados C. FDA Consum. 2005;39:35-37.

BOOK/REPORT

Adverse Events in Hospitals: Overview of Key Issues.

Levinson DR. Washington, DC: US Department of Health and Human Services, Office of the Inspector General; December 2008. Report No. OEI-06-07-00470.

GOVERNMENT RESOURCE

National Guideline Clearinghouse (NGC).

Agency for Healthcare Research and Quality, U.S. Department of Health and Human Services.

NEWSPAPER/MAGAZINE ARTICLE

Use of color-coded patient wristbands creates unnecessary risk.

PA-PSRS Patient Saf Advis. December 2005;2(suppl 2):1-4.

STUDY

Evaluation of the implementation of the alert issued by the UK National Patient Safety Agency on the storage and handling of potassium chloride concentrate solution.

Lankshear AJ, Sheldon TA, Lowson KV, Watt IS, Wright J. Qual Saf Health Care. 2005;14:196-201.

ORGANIZATIONAL POLICY/GUIDELINES

ACOG Committee opinion #531: improving medication safety.

ACOG Committee on Patient Safety and Quality Improvement of American College of Obstetricians-Gynecologists. Obstet Gynecol. 2012;120:406-410.

PRESS RELEASE/ANNOUNCEMENT

Promethazine HCl (marketed as Phenergan) Information.

FDA Alert [US Food and Drug Administration Web site]. April 25, 2006.

NEWSLETTER/JOURNAL

Global Patient Safety Challenge NewsAlert.

World Health Organization.

MULTI-USE WEBSITE

National Patient Safety Goals.

Oakbrook Terrace, IL: The Joint Commission; 2011.

NEWSPAPER/MAGAZINE ARTICLE

Death by handwriting.

Glabman M. Trustee. October 2005;58:29-32.

STUDY

The long road to patient safety: a status report on patient safety systems.

Longo DR, Hewett JE, Ge B, Schubert S. JAMA. 2005;294:2858-2865.

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