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 (9)

•Fatigue and Sleep Deprivation (1)

•Medication Safety (26)

•Medical Complications (11)

•Nonsurgical Procedural Complications (2)

•Surgical Complications (20)

•Psychological and Social Complications (11)

Origin/Sponsor

•Asia (1)

•Australia and New Zealand (3)

Resource Types

•Journal Article (53)

•Legislation/Regulation (4)

•Newspaper/Magazine Article (31)

•Special or Theme Issue (1)

•Tools/Toolkit (1)

•Web Resource (2)

Error Types

•Epidemiology of Errors and Adverse Events (11)

•Active Errors (28)

•Latent Errors (12)

Approach to Improving Safety
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Credentialing, Licensure, and Discipline

Clinical Areas

•Medicine (53)

•Nursing (13)

•Pharmacy (15)

Target Audience

•Health Care Providers (59)

•Health Care Executives and Administrators (64)

•Non-Health Care Professionals (41)

•Patients (20)

Setting of Care

•Hospitals (56)

•Residential Facilities (4)

•Ambulatory Care (11)

•Outpatient Surgery (6)

1 - 20 of 103

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COMMENTARY

Implementing a systematic response to medication errors.

Larsen D, Cole R, Higton P. Nurs Stand. 2007;21:35-40.

STUDY

Processes for disciplining nurses for unprofessional conduct of a serious nature: a critique.

Johnstone M-J, Kanitsaki O. J Adv Nurs. 2005;50:363-371.

NEWSPAPER/MAGAZINE ARTICLE

Three die at Vets Home after errors.

Wolfe W. Minneapolis Star Tribune. February 28, 2007.

BOOK/REPORT

Improving America's Hospitals: A Report on Quality and Safety.

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

ORGANIZATIONAL POLICY/GUIDELINES

Hallmarks of quality and patient safety recommended baccalaureate competencies and curricular guidelines to ensure high-quality and safe patient care.

J Prof Nurs. 2006;22:329-330.

COMMENTARY

The Unfinished Patient Safety Agenda

Aiken LH. AHRQ WebM&M [serial online]. July/August 2005.

STUDY

What is the measure of a safe hospital? Medication errors missed by risk management, clinical staff, and surveyors.

Grasso BC, Rothschild JM, Jordan CW, Jayaram G. J Psychiatr Pract. 2005;11:268-273.

COMMENTARY

Medication errors: don't let them happen to you.

Anderson P, Townsend T. Amer Nurs Today. March 2010;5:23-27.

STUDY

Nursing accreditation system and patient safety.

Teng CI, Shyu YI, Dai YT, Wong MK, Chu TL, Chou TA. J Nurs Manag. 2012;20:311-318.

STUDY

Competence and certification of registered nurses and safety of patients in intensive care units.

Kendall-Gallagher D, Blegen MA. Am J Crit Care. 2009;18:106-113.

NEWSPAPER/MAGAZINE ARTICLE

Collaboration focused on priority issues promotes safety.

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

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.

AUDIOVISUAL

State launches 3rd priority investigation into Children's.

Vedder T. Problem Solvers. KOMO 4 News. October 1, 2010.

COMMENTARY classic

Balancing "no blame" with accountability in patient safety.

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

COMMENTARY

The Wrongful Resuscitation

Teno JM. AHRQ WebM&M [serial online]. April 2008.

COMMENTARY

ISMP medication error report analysis.

Smetzer JL, Cohen MR. Hosp Pharm. 2008;43;788-792.

COMMENTARY

The new patient safety officer: a lifeline for patients, a life jacket for CEOs.

Denham CR. J Patient Saf. 2007;3:43-54.

STUDY

Current approaches to punitive action for medication errors by boards of pharmacy.

Holdsworth M, Wittstrom K, Yeitrakis T. Ann Pharmacother. 2013;47:475-481.

STUDY

Relationship between performance measurement and accreditation: implications for quality of care and patient safety.

Miller MR, Pronovost P, Donithan M, et al. Am J Med Qual. 2005;20:239-252.

ORGANIZATIONAL POLICY/GUIDELINES

Recommendations for quality assurance and improvement in surgical and autopsy pathology.

Association of Directors of Anatomic and Surgical Pathology. Hum Pathol. 2006;37:985-988.

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