AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (38)

•Diagnostic Errors (34)

•Identification Errors (12)

•Discontinuities, Gaps, and Hand-Off Problems (39)

•Fatigue and Sleep Deprivation (5)

•Medication Safety (121)

•Medical Complications (59)

•Nonsurgical Procedural Complications (12)

•Surgical Complications (23)

•Transfusion Complications (1)

•Psychological and Social Complications (11)

Origin/Sponsor

•Australia and New Zealand (6)

•Central and South America (1)

•North America (223)

Resource Types

•Audiovisual (3)

•Book/Report (20)

•Clinical Guideline (6)

•Journal Article (144)

•Legislation/Regulation (23)

•Meeting/Conference (2)

•Newsletter/Journal (2)

•Newspaper/Magazine Article (40)

•Press Release/Announcement (8)

•Special or Theme Issue (3)

•Tools/Toolkit (12)

•Web Resource (13)

Error Types

•Epidemiology of Errors and Adverse Events (22)

•Active Errors (61)

•Latent Errors (27)

•Near Miss (3)

Approach to Improving Safety
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Practice Guidelines

Clinical Areas

•Allied Health Services (2)

•Dentistry (2)

•Medicine (189)

•Nursing (16)

•Pharmacy (52)

Target Audience

•Health Care Providers (262)

•Health Care Executives and Administrators (185)

•Non-Health Care Professionals (51)

•Patients (26)

Setting of Care

•Hospitals (143)

•Psychiatric Facilities (3)

•Residential Facilities (5)

•Ambulatory Care (40)

•Outpatient Surgery (3)

•Patient Transport (1)

1 - 20 of 278

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PRESS RELEASE/ANNOUNCEMENT

Promethazine HCl (marketed as Phenergan) Information.

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

MEETING/CONFERENCE PROCEEDINGS

An Introduction to the Improved FDA Prescription Drug Labeling.

US Food and Drug Administration Center for Drug Evaluation and Research, Institute for Safe Medication Practices. November 7, 2006.

PRESS RELEASE/ANNOUNCEMENT

Kaletra (lopinavir/ritonavir) oral solution.

MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; August 13, 2007.

REVIEW

An international review of patient safety measures in radiotherapy practice.

Shafiq J, Barton M, Noble D, Lemer C, Donaldson LJ. Radiother Oncol. 2009;92:15-21.

COMMENTARY

ISMP medication error report analysis.

Cohen MR. Hosp Pharm. 2009;44:654-657.

STUDY

Implementing patient safety practices in small ambulatory care settings.

Schauberger CW, Larson P. Jt Comm J Qual Patient Saf. 2006;32:419-425.

COMMENTARY

Privacy Gone Awry.

Pauker SG, Pauker SP. AHRQ WebM&M [serial online]. May 2004.

COMMENTARY

Language Barrier

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

COMMENTARY

FitzGerald JM, Menzies D. AHRQ WebM&M [serial online]. May 2004.

NEWSPAPER/MAGAZINE ARTICLE

Considering insulin pens for routine hospital use? Consider this...

ISMP Medication Safety Alert! Acute Care Edition. May 8, 2008;13:1-3.

PRESS RELEASE/ANNOUNCEMENT

FDA preliminary public health notification: update of information about Ralstonia spp. associated with Vapotherm Respiratory Gas Administration device.

Schultz DG. Rockville, MD: Center for Devices and Radiological Health, Food and Drug Administration; December 20, 2005.

COMMENTARY

Preventing catheter-related bloodstream infections: thinking outside the checklist.

Perencevich EN, Pittet D. JAMA. 2009;301:1285-1287.

COMMENTARY

The Dangerous Detour.

Gibson J, Taylor D. AHRQ WebM&M [serial online]. June 2003.

NEWSLETTER/JOURNAL

Global Patient Safety Challenge NewsAlert.

World Health Organization.

PRESS RELEASE/ANNOUNCEMENT

Warning! Severe burns and permanent scarring after glacial acetic acid (≥99.5%) mistakenly applied topically.

National Alert Network for Serious Medication Errors. Bethesda, MD: American Society of Health-System Pharmacists and Institute for Safe Medication Practices; January 23, 2013.

COMMENTARY

The Dropped Lung.

Heffner JE. AHRQ WebM&M [serial online]. May 2003.

MULTI-USE WEBSITE

ASPEN Patient Safety Initiatives.

American Society for Parenteral and Enteral Nutrition; 8630 Fenton Street, Suite 412, Silver Spring, MD 20910.

COMMENTARY

Ruptured Heterotopic Pregnancy.

Cedars MI. AHRQ WebM&M [serial online]. January 2004.

SPECIAL OR THEME ISSUE

Infection Control in the Intensive Care Unit.

Crit Care Med. 2010;38:S265-S404.

AUDIOVISUAL

Preventing dosage errors with Diastat AcuDial.

Food and Drug Administration (FDA) Patient Safety News. Show #59. January 2007.

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