AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (8)

•Diagnostic Errors (4)

•Identification Errors (4)

•Discontinuities, Gaps, and Hand-Off Problems (15)

•Fatigue and Sleep Deprivation (7)

•Medication Safety (31)

•Medical Complications (23)

•Nonsurgical Procedural Complications (2)

•Surgical Complications (19)

•Transfusion Complications (1)

•Psychological and Social Complications (8)

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•Asia (1)

•Australia and New Zealand (4)

•Central and South America (1)

Resource Types

•Journal Article (92)

•Legislation/Regulation (13)

•Newspaper/Magazine Article (53)

•Press Release/Announcement (3)

•Special or Theme Issue (2)

•Tools/Toolkit (3)

•Web Resource (3)

Error Types

•Epidemiology of Errors and Adverse Events (20)

•Active Errors (11)

•Latent Errors (16)

•Near Miss (1)

Approach to Improving Safety
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Regulation

Clinical Areas

•Medicine (66)

•Nursing (4)

•Pharmacy (16)

Target Audience

•Health Care Providers (93)

•Health Care Executives and Administrators (126)

•Non-Health Care Professionals (138)

•Patients (52)

Setting of Care

•Hospitals (78)

•Psychiatric Facilities (2)

•Residential Facilities (10)

•Ambulatory Care (20)

•Outpatient Surgery (6)

•Patient Transport (1)

1 - 20 of 192

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COMMENTARY

Our broken health care system and how to fix it: an essay on health law and policy.

Jost TS. Wake Forest Law Rev. 2006;41:537-618.

COMMENTARY

Collegiality vs. Competence

Sagin T. AHRQ WebM&M [serial online]. March 2006.

STUDY

Errors with concentrated epinephrine in otolaryngology.

Shah RK, Hoy E, Roberson DW, Nielsen D. Laryngoscope. 2008 Nov; 118: 1928-30.

BOOK/REPORT

To Err Is Human — To Delay Is Deadly.

Jewell K, McGiffert L. Austin, TX: Consumers Union; 2009.

NEWSPAPER/MAGAZINE ARTICLE

M.R.I.'s strong magnets cited in accidents.

McNeil DG Jr. New York Times. August 19, 2005;National Desk section:1.

COMMENTARY

Constitutional arguments in favor of modifying the HCQIA to allow the dissemination of physician information to healthcare consumers.

Chernitsky LA. Wash Lee Law Rev. Spring 2006;63:737-776.

COMMENTARY

"Health courts" and accountability for patient safety.

Mello MM, Studdert DM, Kachalia AB, Brennan TA. Milbank Q. 2006;84:459-492.

NEWSPAPER/MAGAZINE ARTICLE

Report: hospital errors cost 18 lives.

Rojas-Burke J. Oregonian. January 30, 2007:B01.

NEWSPAPER/MAGAZINE ARTICLE

Hospitals save money, but safety is questioned.

Klein A. The Washington Post. December 11, 2005:A01.

COMMENTARY

The evolution of the apology.

Newfield JS. Home Health Care Manage Pract. 2007;19:137-139.

NEWSPAPER/MAGAZINE ARTICLE

Preventing fatal errors.

Bailey B, Sevrens Lyons J. The Mercury News. November 27, 2005.

STUDY

Evaluation of the implementation of the alert issued by the UK National Patient Safety Agency on the storage and handling of potassium chloride concentrate solution.

Lankshear AJ, Sheldon TA, Lowson KV, Watt IS, Wright J. Qual Saf Health Care. 2005;14:196-201.

NEWSPAPER/MAGAZINE ARTICLE

Protecting patients: hospitals wrestle with reporting and fixing medical mistakes.

Collins LM. Deseret Morning News. July 8, 2007;A1.

NEWSPAPER/MAGAZINE ARTICLE

Hospital trustees shift their focus to medical safety.

Rowland C. Boston Globe. March 5, 2007:A1.

REVIEW

Fostering rational regulation of patient safety.

Mello MM, Kelly CN, Brennan TA. J Health Polit Policy Law. 2005;30:375-426.

COMMENTARY

Regulating patient safety: The Patient Protection and Affordable Care Act.

Furrow BR. Univ PA Law Rev. 2011;159:1727-1775.

BOOK/REPORT classic

Learning from Bristol: The Report of the Public Inquiry into Children's Heart Surgery at the Bristol Royal Infirmary 1984–1995.

London, England: The Stationery Office; July 2001.

COMMENTARY

Shepherding change: how the market, healthcare providers, and public policy can deliver quality care for the 21st century.

Kennedy P, Pronovost P. Crit Care Med. 2006;34(suppl 3):S1-S6.

COMMENTARY

Should patients get direct access to their laboratory test results?: An answer with many questions.

Davis Giardina T, Singh H. JAMA. 2011;306:2502-2503.

COMMENTARY

Making the Patient Safety and Quality Improvement Act of 2005 work.

Vemula R, Assaf RR, Al-Assaf AF. J Healthc Qual. 2007;29:6-10.

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