AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (20)

•Diagnostic Errors (20)

•Identification Errors (7)

•Discontinuities, Gaps, and Hand-Off Problems (27)

•Fatigue and Sleep Deprivation (7)

•Medication Safety (84)

•Medical Complications (69)

•Nonsurgical Procedural Complications (11)

•Surgical Complications (51)

•Transfusion Complications (1)

•Psychological and Social Complications (29)

Origin/Sponsor

•Africa (1)

•Asia (5)

•Australia and New Zealand (12)

•Central and South America (1)

Resource Types

•Journal Article (302)

•Legislation/Regulation (20)

•Meeting/Conference (9)

•Newsletter/Journal (2)

•Newspaper/Magazine Article (122)

•Press Release/Announcement (4)

•Special or Theme Issue (15)

•Tools/Toolkit (3)

•Web Resource (16)

•Grant (10)

Error Types

•Epidemiology of Errors and Adverse Events (43)

•Active Errors (52)

•Latent Errors (47)

•Near Miss (4)

Approach to Improving Safety
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Legal and Policy Approaches

•Credentialing, Licensure, and Discipline (67)

•Incentives (154)

•Regulation (132)

•Malpractice Litigation (63)

•Role of the Media (22)

Clinical Areas

•Allied Health Services (1)

Target Audience

•Health Care Providers (323)

•Health Care Executives and Administrators (488)

•Non-Health Care Professionals (401)

•Patients (101)

Setting of Care

•Hospitals (271)

•Psychiatric Facilities (3)

•Residential Facilities (8)

•Ambulatory Care (45)

•Outpatient Surgery (9)

•Patient Transport (3)

1 - 20 of 599

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BOOK/REPORT classic

Advances in Patient Safety: New Directions and Alternative Approaches.

Rockville, MD: Agency for Healthcare Research and Quality; July 2008. AHRQ Publication Nos. 080034 (1-4).

BOOK/REPORT

Assessment of the AHRQ Patient Safety Initiative: Focus on Implementation and Dissemination Evaluation Report III.

Farley DO, Damberg CL, Ridgely MS, et al. Santa Monica, CA: RAND Corporation; 2007. ISBN: 9780833042170

STUDY

Nurse staffing and inpatient hospital mortality.

Needleman J, Buerhaus P, Pankratz VS, Leibson CL, Stevens SR, Harris M. N Engl J Med. 2011;364:1037-1045.

ORGANIZATIONAL POLICY/GUIDELINES

Challenges in ethics, safety, best practices, and oversight regarding HIT vendors, their customers, and patients: a report of an AMIA special task force.

Goodman KW, Berner ES, Dente MA, et al; AMIA Board of Directors. J Am Med Inform Assoc. 2011;18:77-81.

MEETING/CONFERENCE PROCEEDINGS

AHRQ 2009 Annual Conference.

Rockville, MD: Agency for Healthcare Research and Quality; December 2009.

MEETING/CONFERENCE PROCEEDINGS

AHRQ 2008 Annual Conference.

Rockville, MD: Agency for Healthcare Research and Quality; February 2009.

SPECIAL OR THEME ISSUE

Still Crossing The Quality Chasm.

Health Aff (Millwood). 2011;30:554-800.

NEWSPAPER/MAGAZINE ARTICLE

Still hard to share. PSOs making progress but still face tech hurdles.

DerGurahian J. Mod Healthc. October 12, 2009;39:30.

AUDIOVISUAL

Chasing Zero: Winning the War on Healthcare Harm.

Austin, TX: Texas Medical Institute for Technology and the Quaid Foundation; 2010.

STUDY

Hospital governance and the quality of care.

Jha AK, Epstein AM. Health Aff (Millwood). 2010;29:182-187.

SPECIAL OR THEME ISSUE

Contributions by the Agency for Healthcare Research and Quality and Grantees.

Health Serv Res. 2009;44:623-776.

NEWSPAPER/MAGAZINE ARTICLE

Nurse is charged in death of patient.

Wahlberg D, Treleven E. Wisconsin State Journal. November 3, 2006:A1.

COMMENTARY

Health care information technology vendors' "hold harmless" clause: implications for patients and clinicians.

Koppel R, Kreda D. JAMA. 2009;301:1276-1278.

COMMENTARY classic

Patient safety at ten: unmistakable progress, troubling gaps.

Wachter RM. Health Aff (Millwood). 2010;29:165-173.

COMMENTARY

Why diagnostic errors don't get any respect—and what can be done about them.

Wachter RM. Health Aff (Millwood). 2010;29:1605-1610.

BOOK/REPORT

Building a Culture of Patient Safety: Report of the Commission on Patient Safety and Quality Assurance.

Dublin, Ireland: Department of Health & Children, Commission on Patient Safety and Quality Assurance; 2008. ISBN: 9781406421835.

COMMENTARY

Knowledge-based information to improve the quality of patient care.

Garcia JL, Wells KK. J Healthc Qual. 2009;31:30-35.

COMMENTARY

From tasks to processes: the case for changing health information technology to improve health care.

Walker JM, Carayon P. Health Aff. 2009;28:467-477.

BOOK/REPORT

A Call for Change: The 2011 Commonwealth Fund Survey of Public Views of the U.S. Health System.

Stremikis K, Schoen C, Fryer AK. 2011;6:1492.

NEWSPAPER/MAGAZINE ARTICLE

Standards, audits, and saying I'm sorry: an engineer's family proposes solutions.

Wojcieszak D. Patient Safety Qual Healthc. May/June 2005;2:6, 8-9.

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