AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (16)

•Diagnostic Errors (14)

•Identification Errors (6)

•Discontinuities, Gaps, and Hand-Off Problems (17)

•Fatigue and Sleep Deprivation (3)

•Medication Safety (57)

•Medical Complications (52)

•Nonsurgical Procedural Complications (8)

•Surgical Complications (35)

•Transfusion Complications (1)

•Psychological and Social Complications (25)

Origin/Sponsor

•Asia (1)

•Australia and New Zealand (7)

Resource Types

•Journal Article (213)

•Legislation/Regulation (11)

•Meeting/Conference (6)

•Newspaper/Magazine Article (91)

•Press Release/Announcement (1)

•Special or Theme Issue (14)

•Tools/Toolkit (2)

•Web Resource (10)

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Error Types

•Epidemiology of Errors and Adverse Events (22)

•Active Errors (41)

•Latent Errors (29)

•Near Miss (3)

Approach to Improving Safety
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Legal and Policy Approaches

•Credentialing, Licensure, and Discipline (43)

•Incentives (107)

•Regulation (60)

•Malpractice Litigation (31)

•Role of the Media (12)

Clinical Areas

•Allied Health Services (1)

Target Audience

•Health Care Providers (227)

•Health Care Executives and Administrators (368)

•Non-Health Care Professionals (267)

•Patients (70)

Setting of Care

•Hospitals (205)

•Psychiatric Facilities (3)

•Residential Facilities (5)

•Ambulatory Care (29)

•Outpatient Surgery (5)

•Patient Transport (2)

1 - 20 of 427

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BOOK/REPORT

"What Did the Doctor Say?:" Improving Health Literacy to Protect Patient Safety.

Oakbrook Terrace, IL: The Joint Commission; 2007.

COMMENTARY

Improving patient care by linking evidence-based medicine and evidence-based management.

Shortell SM, Rundall TG, Hsu J. JAMA. 2007;298:673-676.

NEWSPAPER/MAGAZINE ARTICLE

Disruptive behavior affects hospital financial health.

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

BOOK/REPORT

Promoting Patient Safety: An Ethical Basis for Policy Deliberation.

Sharpe VA. Hasting Center Rep. 2003;33(suppl):S1-S20.

SPECIAL OR THEME ISSUE

Still Crossing The Quality Chasm.

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

NEWSPAPER/MAGAZINE ARTICLE

Fixing relationships, preventing errors.

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

COMMENTARY

Ashamed to admit it: owning up to medical error.

Ofri D. Health Aff (Millwood). 2010;29:1549-1551.

NEWSPAPER/MAGAZINE ARTICLE

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

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

STUDY

Hospital governance and the quality of care.

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

BOOK/REPORT

Addressing the quality and safety gap—parts I-II.

Princeton, NJ: Robert Wood Johnson Foundation; July 2009.

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.

NEWSPAPER/MAGAZINE ARTICLE

Too many abandon the "second victims" of medical errors.

ISMP Medication Safety Alert! Acute Care Edition. July 14, 2011;16:1-3.

NEWSPAPER/MAGAZINE ARTICLE

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

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

BOOK/REPORT

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

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

COMMENTARY

Making Just Culture a Reality: One Organization's Approach

Page AH. AHRQ WebM&M [serial online]. October 2007.

COMMENTARY

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

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

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

10 years, 5 voices, 1 challenge.

Larkin H. Hosp Health Netw. October 21, 2009.

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.

NEWSPAPER/MAGAZINE ARTICLE

No bad apples.

Thrall TH. Hosp Health Netw. December 2008.

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