AHRQ Patient Safety Network

The Collection > Legal and Policy Approaches

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Safety Target

•Device-related Complications (20)

•Diagnostic Errors (26)

•Identification Errors (9)

•Discontinuities, Gaps, and Hand-Off Problems (35)

•Fatigue and Sleep Deprivation (8)

•Medication Safety (78)

•Medical Complications (79)

•Nonsurgical Procedural Complications (10)

•Surgical Complications (51)

•Transfusion Complications (3)

•Psychological and Social Complications (29)

Origin/Sponsor

•Asia (2)

•Australia and New Zealand (11)

Resource Types

•Journal Article (269)

•Legislation/Regulation (14)

•Meeting/Conference (6)

•Newspaper/Magazine Article (148)

•Press Release/Announcement (2)

•Special or Theme Issue (14)

•Tools/Toolkit (3)

•Web Resource (14)

•Grant (7)

Error Types

•Epidemiology of Errors and Adverse Events (50)

•Active Errors (71)

•Latent Errors (44)

•Near Miss (4)

Approach to Improving Safety
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Legal and Policy Approaches

•Credentialing, Licensure, and Discipline (65)

•Incentives (159)

•Regulation (103)

•Malpractice Litigation (47)

•Role of the Media (43)

Clinical Areas

•Allied Health Services (1)

Target Audience

•Health Care Providers (279)

•Health Care Executives and Administrators (441)

•Non-Health Care Professionals (319)

•Patients (131)

Setting of Care

•Hospitals (343)

•Psychiatric Facilities (3)

•Residential Facilities (9)

•Ambulatory Care (42)

•Outpatient Surgery (9)

•Patient Transport (3)

1 - 20 of 573

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NEWSPAPER/MAGAZINE ARTICLE

AHRQ presses on: no rule yet, but agency taps 10 safety organizations.

DerGurahain J. Mod Healthc. November 10, 2008;38:8.

NEWSPAPER/MAGAZINE ARTICLE

Patient safety front and center.

Terry K. Hosp Health Netw. July 2011;85:38-40, 42.

NEWSPAPER/MAGAZINE ARTICLE

Fixing relationships, preventing errors.

McGinn P, Chabon R. HHN Magazine Online. November 25, 2008.

STUDY

Hospital governance and the quality of care.

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

COMMENTARY

Minnesota Hospital Association Statewide Project: SAFE from FALLS.

Apold J, Quigley PA. J Nurs Care Qual. 2012;27:299-306.

BOOK/REPORT

Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2009.

Oakbrook Terrace, IL: The Joint Commission; January 2010.

AUDIOVISUAL

Chasing Zero: Winning the War on Healthcare Harm.

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

COMMENTARY

A new frontier in patient safety.

McCannon J, Berwick DM. JAMA. 2011;305:2221-2222.

NEWSPAPER/MAGAZINE ARTICLE

Making hospitals accountable.

Peters PG Jr. Regulation. Summer 2009;32:30-36.

BOOK/REPORT

IBEAS: A Pioneer Study on Patient Safety in Latin America: Towards Safer Hospital Care.

Geneva, Switzerland: World Health Organization; 2011.

MULTI-USE WEBSITE

California Hospital Patient Safety Organization.

1215 K Street, Suite 800, Sacramento, CA 95814.

NEWSPAPER/MAGAZINE ARTICLE

Hospital safety records, CEO pay increasingly linked.

Wilson B. Am Med News. November 26, 2007:50:16.

MULTI-USE WEBSITE

Joint Commission Center for Transforming Healthcare.

The Joint Commission.

AUDIOVISUAL

Obama Administration introduces plan to reduce preventable medical errors.

PBS News Hour. April 12, 2011.

COMMENTARY

Financial incentives to promote health care quality: the hospital acquired conditions nonpayment policy.

Kavanagh KT. Soc Work Public Health. 2011;26:524-541.

STUDY

Board quality scorecards: measuring improvement.

Goeschel CA, Berenholtz SM, Culbertson RA, Jin LD, Pronovost PJ. Am J Med Qual. 2011;26:254-260.

STUDY

The $17.1 billion problem: the annual cost of measurable medical errors.

Van Den Bos J, Rustagi K, Gray T, Halford M, Ziemkiewicz E, Shreve J. Health Aff (Millwood). 2011;30:596-603.

NEWSPAPER/MAGAZINE ARTICLE

Disruptive behavior affects hospital financial health.

Crane M. Medscape Medical News. December 11, 2010.

AUDIOVISUAL

Hospital-acquired infections.

Moss-Coane M, O'Connell K, Fishman N. Radio Times. April 28, 2011.

BOOK/REPORT

Pulse Report 2009: Safety Culture: Staff Perspectives on American Health Care.

South Bend, IN: Press Ganey Associates, Inc: 2009.

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