AHRQ Patient Safety Network

The Collection > Credentialing, Licensure, and Discipline

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Safety Target

•Device-related Complications (3)

•Diagnostic Errors (1)

•Identification Errors (4)

•Discontinuities, Gaps, and Hand-Off Problems (7)

•Fatigue and Sleep Deprivation (1)

•Medication Safety (15)

•Medical Complications (8)

•Nonsurgical Procedural Complications (2)

•Surgical Complications (7)

•Psychological and Social Complications (10)

Origin/Sponsor

•Australia and New Zealand (5)

•Europe (6)

•North America (55)

Resource Types

•Book/Report (12)

•Journal Article (39)

•Legislation/Regulation (3)

•Meeting/Conference (1)

•Newspaper/Magazine Article (15)

•Special or Theme Issue (1)

•Tools/Toolkit (1)

•Web Resource (2)

Error Types

•Epidemiology of Errors and Adverse Events (5)

•Active Errors (11)

•Latent Errors (8)

Approach to Improving Safety
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Credentialing, Licensure, and Discipline

Clinical Areas

•Medicine (33)

•Nursing (8)

•Pharmacy (5)

Target Audience

•Health Care Providers (36)

•Health Care Executives and Administrators (62)

•Non-Health Care Professionals (40)

•Patients (7)

Setting of Care

•Hospitals (46)

•Residential Facilities (2)

•Ambulatory Care (6)

•Outpatient Surgery (1)

1 - 20 of 74

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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.

NEWSPAPER/MAGAZINE ARTICLE

Disruptive physicians.

Sandrick K. Trustee. November 2009.

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

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

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.

BOOK/REPORT

The High Costs of Weak Compliance With the New York State Hospital Adverse Event Reporting and Tracking System.

Thompson WC Jr. New York, NY: Office of the New York City Comptroller, Office of Policy Management; 2009.

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.

COMMENTARY

In Conversation with…Gerald B. Hickson, MD.

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

MULTI-USE WEBSITE

Joint Commission Center for Transforming Healthcare.

The Joint Commission.

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.

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.

ORGANIZATIONAL POLICY/GUIDELINES

Leadership committed to safety.

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

STUDY

An effectiveness analysis of healthcare systems using a systems theoretic approach.

Chuang S, Inder K. BMC Health Serv Res. 2009;9:195.

FACT SHEET/FAQS

2012 Hospital National Patient Safety Goals.

Oakbrook Terrace, IL: Joint Commission; 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

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.

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.

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.

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