AHRQ Patient Safety Network

The Collection > Legal and Policy Approaches

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Safety Target

•Device-related Complications (25)

•Diagnostic Errors (26)

•Identification Errors (11)

•Discontinuities, Gaps, and Hand-Off Problems (38)

•Fatigue and Sleep Deprivation (9)

•Medication Safety (85)

•Medical Complications (83)

•Nonsurgical Procedural Complications (8)

•Surgical Complications (55)

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•Psychological and Social Complications (42)

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•Journal Article (285)

•Legislation/Regulation (14)

•Meeting/Conference (5)

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Error Types

•Epidemiology of Errors and Adverse Events (54)

•Active Errors (79)

•Latent Errors (48)

•Near Miss (4)

Approach to Improving Safety
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Legal and Policy Approaches

•Credentialing, Licensure, and Discipline (66)

•Incentives (166)

•Regulation (109)

•Malpractice Litigation (57)

•Role of the Media (47)

Clinical Areas

•Allied Health Services (2)

•Medicine (302)

•Nursing (30)

•Pharmacy (31)

Target Audience

•Health Care Providers (297)

•Health Care Executives and Administrators (449)

•Non-Health Care Professionals (330)

•Patients (139)

Setting of Care

•Hospitals (359)

•Psychiatric Facilities (3)

•Residential Facilities (10)

•Ambulatory Care (40)

•Outpatient Surgery (9)

•Patient Transport (3)

1 - 20 of 597

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NEWSPAPER/MAGAZINE ARTICLE

Disruptive behavior affects hospital financial health.

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

REVIEW

Inpatient suicide: preventing a common sentinel event.

Tishler CL, Reiss NS. Gen Hosp Psychiatry. 2009;31:103-109.

NEWSPAPER/MAGAZINE ARTICLE

Fixing relationships, preventing errors.

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

NEWSPAPER/MAGAZINE ARTICLE

Disruptive physicians.

Sandrick K. Trustee. November 2009.

STUDY

A novel approach to increase residents' involvement in reporting adverse events.

Scott DR, Weimer M, English C, et al. Acad Med. 2011;86:742-746.

BOOK/REPORT

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

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

STUDY

Hospital governance and the quality of care.

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

NEWSPAPER/MAGAZINE ARTICLE

The role of the chief executive officer in maximizing patient safety.

Shorr AS. Healthc Exec. March-April 2007;22:19, 21-22, 24, 26.

NEWSPAPER/MAGAZINE ARTICLE

Making hospitals accountable.

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

COMMENTARY

A new frontier in patient safety.

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

AUDIOVISUAL

Chasing Zero: Winning the War on Healthcare Harm.

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

COMMENTARY

How to Identify and Manage Problem Behaviors.

Rosenstein AH, O'Daniel M. AHRQ WebM&M [serial online]. December 2009.

COMMENTARY

Ashamed to admit it: owning up to medical error.

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

COMMENTARY

Minnesota Hospital Association Statewide Project: SAFE from FALLS.

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

REVIEW

Negligence, genuine error, and litigation.

Sohn DH. Int J Gen Med. 2013;6:49-56.

NEWSPAPER/MAGAZINE ARTICLE

10 things your hospital won't tell you.

Kapadia R. Smart Money. October 2006;15:112-114.

COMMENTARY

Nosocomial infection, the Deficit Reduction Act, and incentives for hospitals.

Graves N, McGowan JE Jr. JAMA. 2008;300:1577-1579.

STUDY

Use of electronic health records in US hospitals.

Jha AK, Desroches CM, Campbell EG, et al. N Engl J Med. 2009;360:1628-1638.

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

10 years, 5 voices, 1 challenge.

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

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