AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (3)

•Diagnostic Errors (4)

•Discontinuities, Gaps, and Hand-Off Problems (5)

•Fatigue and Sleep Deprivation (3)

•Medication Safety (13)

•Medical Complications (24)

•Surgical Complications (12)

•Transfusion Complications (1)

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•Australia and New Zealand (2)

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•Journal Article (46)

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•Special or Theme Issue (1)

•Tools/Toolkit (1)

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•Epidemiology of Errors and Adverse Events (9)

•Active Errors (2)

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Approach to Improving Safety
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Financial

Clinical Areas

•Medicine (54)

•Nursing (1)

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Target Audience

•Health Care Providers (32)

•Health Care Executives and Administrators (69)

•Non-Health Care Professionals (49)

•Patients (14)

Setting of Care

•Hospitals (61)

•Residential Facilities (1)

•Ambulatory Care (4)

1 - 20 of 91

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BOOK/REPORT

Framework for a High Performance Health System for the United States.

The Commonwealth Fund Commission on a High Performance Health System. New York, NY: The Commonwealth Fund; August 2006.

AWARD RECIPIENT

Achievements in eliminating healthcare-associated infections awards.

Washington, DC: US Health and Human Services and Critical Care Societies Collaborative. December 7, 2010.

STUDY

Do hospitals provide lower quality care on weekends?

Becker DJ. Health Serv Res. 2007;42:1589-1612.

STUDY

Hospital implementation of computerized provider order entry systems: results from the 2003 Leapfrog Group quality and safety survey.

Hillman JM, Given RS. J Healthc Inf Manag. Fall 2005;19:55-65.

STUDY

The impact of a pharmacist's participation on hospitalists' rounds.

Patel R, Butler K, Garrett D, Badger N, Cheoun D, Hallman L. Hosp Pharm. 2010;45:129–134.

STUDY

U.S. adoption of computerized physician order entry systems.

Cutler DM, Feldman NE, Horwitz JR. Health Aff (Millwood). 2005;24:1654-1663.

STUDY

Preventing hospital-acquired infections: a national survey of practices reported by U.S. hospitals in 2005 and 2009.

Krein SL, Kowalski CP, Hofer TP, Saint S. J Gen Intern Med. 2012;27:773-779.

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.

REVIEW

Hospital do-not-resuscitate orders: why they have failed and how to fix them.

Yuen JK, Reid MC, Fetters MD. J Gen Intern Med. 2011;26:791-797.

GRANT RECIPIENT

The Robert Wood Johnson Foundation awards $1.5 million to identify ways to keep patients safe and improve quality.

Interdisciplinary Nursing Quality Research Initiative. Princeton, NJ: Robert Wood Johnson Foundation; September 17, 2009.

NEWSPAPER/MAGAZINE ARTICLE

Hospitals tie CEO bonuses to safety.

Rowland C. Boston Globe. May 5, 2007:1A.

NEWSPAPER/MAGAZINE ARTICLE

More states shred bills for awful medical errors: patients in 23 states will no longer pay for certain mistakes, hospitals say.

Aleccia J. MSNBC News. August 12, 2008.

COMMENTARY

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

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

COMMENTARY

Duty hours in emergency medicine: balancing patient safety, resident wellness, and the resident training experience: a consensus response to the 2008 Institute of Medicine resident duty hours recommendations.

Wagner MJ, Wolf S, Promes S, et al. J Emerg Med. 2010;39:348-355.

STUDY

Cost implications of ACGME's 2011 changes to resident duty hours and the training environment.

Nuckols TK, Escarce JJ. J Gen Intern Med. 2012;27:241-249.

NEWSPAPER/MAGAZINE ARTICLE

'Never' land.

Carpenter D. Hosp Health Netw. November 2007;81:34-38.

NEWSPAPER/MAGAZINE ARTICLE

Driving out errors, with mom in mind.

Weinstock M. Hosp Health Netw. April 2011.

NEWSPAPER/MAGAZINE ARTICLE

Insurers stop paying for care linked to errors.

Fuhrmans V. Wall Street Journal. January 15, 2008:D1.

NEWSPAPER/MAGAZINE ARTICLE

Many Mass. hospitals will pay for errors.

Kowalczyk L. Boston Globe. September 17, 2007;Metro section:1A.

STUDY

Medicare's policy not to pay for treating hospital-acquired conditions: the impact.

McNair PD, Luft HS, Bindman AB. Health Aff (Millwood). 2009;28:1485-1493.

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