AHRQ Patient Safety Network

The Collection > Credentialing, Licensure, and Discipline

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Safety Target

•Device-related Complications (6)

•Diagnostic Errors (1)

•Identification Errors (9)

•Discontinuities, Gaps, and Hand-Off Problems (10)

•Fatigue and Sleep Deprivation (1)

•Medication Safety (27)

•Medical Complications (10)

•Nonsurgical Procedural Complications (2)

•Surgical Complications (18)

•Psychological and Social Complications (11)

Origin/Sponsor

•Australia and New Zealand (4)

Resource Types

•Journal Article (52)

•Legislation/Regulation (5)

•Meeting/Conference (1)

•Newspaper/Magazine Article (30)

•Special or Theme Issue (1)

•Tools/Toolkit (1)

•Web Resource (3)

Error Types

•Epidemiology of Errors and Adverse Events (9)

•Active Errors (27)

•Latent Errors (11)

Approach to Improving Safety
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Credentialing, Licensure, and Discipline

Clinical Areas

•Medicine (53)

•Nursing (10)

•Pharmacy (14)

Target Audience

•Health Care Providers (56)

•Health Care Executives and Administrators (69)

•Non-Health Care Professionals (47)

•Patients (20)

Setting of Care

•Hospitals (61)

•Residential Facilities (5)

•Ambulatory Care (13)

•Outpatient Surgery (3)

1 - 20 of 107

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STUDY

Professionalism: a necessary ingredient in a culture of safety.

DuPree E, Anderson R, McEvoy MD, Brodman M. Jt Comm J Qual Patient Saf. 2011;37:447-455.

NEWSPAPER/MAGAZINE ARTICLE

Transparency and public reporting are essential for a safe health care system.

Leape LL. Perspect Health Reform. New York, NY: The Commonwealth Fund; March 17, 2010.

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.

STUDY

A survey of the impact of disruptive behaviors and communication defects on patient safety.

Rosenstein AH, O'Daniel M. Jt Comm J Qual Patient Saf. 2008;34:464-471.

NEWSPAPER/MAGAZINE ARTICLE

Do you hold staff accountable for safety?

Terry K. Hosp Health Netw. February 2010.

BOOK/REPORT classic

Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2011.

Oakbrook Terrace, IL: The Joint Commission; September 2011.

COMMENTARY

Disruptive clinician behavior: a persistent threat to patient safety.

Porto G, Lauve R. Patient Safety Qual Healthc. July/August 2006;3:16-24.

STUDY

Health service accreditation as a predictor of clinical and organisational performance: a blinded, random, stratified study.

Braithwaite J, Greenfield D, Westbrook J, et al. Qual Saf Health Care. 2010;19:14-21.

NEWSPAPER/MAGAZINE ARTICLE

Hospitals try to calm doctors' outbursts: medical road rage affecting patient safety, group says.

Kowalczyk L. The Boston Globe. August 10, 2008;Metro section:1A.

ORGANIZATIONAL POLICY/GUIDELINES

Leadership committed to safety.

Sentinel Event Alert. August 27, 2009;(43):1-3.

FACT SHEET/FAQS

2012 Hospital National Patient Safety Goals.

Oakbrook Terrace, IL: Joint Commission; 2011.

STUDY

Hospital performance trends on national quality measures and the association with Joint Commission accreditation.

Schmaltz SP, Williams SC, Chassin MR, Loeb JM, Wachter RM. J Hosp Med. 2011;6:458-465.

MULTI-USE WEBSITE

Joint Commission Center for Transforming Healthcare.

The Joint Commission.

COMMENTARY

In Conversation with…Gerald B. Hickson, MD.

AHRQ WebM&M [serial online]. December 2009.

NEWSPAPER/MAGAZINE ARTICLE

Collaboration focused on priority issues promotes safety.

ISMP Medication Safety Alert! Acute Care Edition. October 10, 2008;13:1-3.

STUDY

Measurement for improvement: a survey of current practice in Australian public hospitals.

Brand CA, Tropea J, Ibrahim JE, et al. Med J Aust. 2008;189:35-40.

COMMENTARY

Difficult Encounters: A CMO and CNO Respond

Ring EJ, Hirsch JE. AHRQ WebM&M [serial online]. October 2009.

COMMENTARY classic

Balancing "no blame" with accountability in patient safety.

Wachter RM, Pronovost PJ. N Engl J Med. 2009;361:1401-1406.

STUDY

Hospital patient safety: characteristics of best-performing hospitals.

Longo DR, Hewett JE, Ge B, Schubert S. J Healthc Manag. 2007;52:188-204; discussion 204-205.

BOOK/REPORT

Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2007.

Oakbrook Terrace, IL: The Joint Commission; November 2007.

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