AHRQ Patient Safety Network

The Collection > Legal and Policy Approaches

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•Device-related Complications (17)

•Diagnostic Errors (20)

•Identification Errors (6)

•Discontinuities, Gaps, and Hand-Off Problems (30)

•Fatigue and Sleep Deprivation (8)

•Medication Safety (69)

•Medical Complications (78)

•Nonsurgical Procedural Complications (6)

•Surgical Complications (35)

•Transfusion Complications (3)

•Psychological and Social Complications (29)

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•Africa (1)

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•Journal Article (249)

•Legislation/Regulation (19)

•Meeting/Conference (7)

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•Newspaper/Magazine Article (118)

•Press Release/Announcement (4)

•Special or Theme Issue (8)

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Error Types

•Epidemiology of Errors and Adverse Events (44)

•Active Errors (54)

•Latent Errors (41)

•Near Miss (3)

Approach to Improving Safety
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Legal and Policy Approaches

•Credentialing, Licensure, and Discipline (55)

•Incentives (128)

•Regulation (110)

•Malpractice Litigation (44)

•Role of the Media (36)

Clinical Areas

•Medicine (251)

•Nursing (21)

•Pharmacy (23)

Target Audience

•Health Care Providers (240)

•Health Care Executives and Administrators (405)

•Non-Health Care Professionals (346)

•Patients (109)

Setting of Care

•Hospitals (304)

•Psychiatric Facilities (3)

•Residential Facilities (8)

•Ambulatory Care (37)

•Outpatient Surgery (8)

•Patient Transport (2)

1 - 20 of 507

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STUDY

The effect of health information technology on quality in U.S. hospitals.

McCullough JS, Casey M, Moscovice I, Prasad S. Health Aff (Millwood). 2010;29:647-654.

COMMENTARY

Making inpatient medication reconciliation patient centered, clinically relevant and implementable: a consensus statement on key principles and necessary first steps.

Greenwald JL, Halasyamani L, Greene J, et al. J Hosp Med. 2010;5:477-485.

BOOK/REPORT

Adverse Events in Hospitals: Overview of Key Issues.

Levinson DR. Washington, DC: US Department of Health and Human Services, Office of the Inspector General; December 2008. Report No. OEI-06-07-00470.

GOVERNMENT RESOURCE classic

Partnership for Patients.

Washington, DC: US Department of Health and Human Services.

STUDY

Exploring the causes of adverse events in hospitals and potential prevention strategies.

Smits M, Zegers M, Groenewegen PP, et al. Qual Saf Health Care. 2010;19:e5.

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.

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.

NEWSPAPER/MAGAZINE ARTICLE

Fixing relationships, preventing errors.

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

STUDY

The use of a CPOE log for the analysis of physicians' behavior when responding to drug-duplication reminders.

Long A-J, Chang P, Li Y-C, Chiu W-T. Int J Med Inform. 2008;77:499-506.

BOOK/REPORT classic

Adverse Events in Hospitals: National Incidence Among Medicare Beneficiaries.

Levinson DR. Washington, DC: US Department of Health and Human Services, Office of the Inspector General; November 2010. Report No. OEI-06-09-00090.

COMMENTARY

A new frontier in patient safety.

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

NEWSPAPER/MAGAZINE ARTICLE

No bad apples.

Thrall TH. Hosp Health Netw. December 2008.

COMMENTARY

Building physician work hour regulations from first principles and best evidence.

Volpp KG, Landrigan CP. JAMA. 2008;300:1197-1199.

COMMENTARY

Medicare nonpayment, hospital falls, and unintended consequences.

Inouye SK, Brown CJ, Tinetti ME. N Engl J Med. 2009;360:2390-2393.

REVIEW

Negligence, genuine error, and litigation.

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

STUDY

Early cost and safety benefits of an inpatient electronic health record.

Zlabek JA, Wickus JW, Mathiason MA. J Am Med Inform Assoc. 2011;18:169-172.

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.

COMMENTARY

Minnesota Hospital Association Statewide Project: SAFE from FALLS.

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

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