AHRQ Patient Safety Network

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•Device-related Complications (2)

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•Medication Safety (10)

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•Nonsurgical Procedural Complications (1)

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•Book/Report (1)

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•Epidemiology of Errors and Adverse Events (8)

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Approach to Improving Safety
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Nongovernmental Reporting

Clinical Areas

•Medicine (15)

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•Health Care Providers (15)

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•Hospitals (7)

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NEWSPAPER/MAGAZINE ARTICLE

Leapfrog hospital safety scores 'depressing.'

Clark C. HealthLeaders Media. May 9, 2013.

STUDY

Injury and death associated with incidents reported to the Patient Safety Net.

Reid M, Estacio R, Albert R. Am J Med Qual. 2009;24:520-524.

NEWSPAPER/MAGAZINE ARTICLE

Ingestion or aspiration of foreign objects or toxic substances is not just a safety concern with children.

ISMP Medication Safety Alert! Acute Care Edition. November 3, 2011;16:1-2.

MULTI-USE WEBSITE

Drug Error Finder.

United States Pharmacopeia.

STUDY

Pediatric vaccination errors: application of the "5 rights" framework to a national error reporting database.

Bundy DG, Shore AD, Morlock LL, Miller MR. Vaccine. 2009;27:3890-3896.

STUDY

Harmful medication errors in children: a 5-year analysis of data from the USP's MEDMARX(R) program.

Hicks RW, Becker SC, Cousins DD. J Pediatr Nurs. 2006;21:290-298.

STUDY

National survey on the effect of oncology drug shortages on cancer care.

McBride A, Holle LM, Westendorf C, et al. Am J Health Syst Pharm. 2013;70:609-617.

NEWSPAPER/MAGAZINE ARTICLE

Sarasota Memorial Hospital reviewed after restrained patient dies.

Gulliver D. Sarasota Herald Tribune. November 7, 2006:BS1.

BOOK/REPORT

Adverse Events in Hospitals: Public Disclosure of Information About Events.

Wright S. Washington, DC: US Department of Health and Human Services, Office of the Inspector General; January 5, 2010. Report No. OEI-06-09-00360.

STUDY

Mix of methods is needed to identify adverse events in general practice: a prospective observational study.

Wetzels R, Wolters R, van Weel C, Wensing M. BMC Fam Pract. 2008;9:35.

COMMENTARY

The 2-Week Itch.

Cohen MR. AHRQ WebM&M [serial online]. April 2003.

MULTI-USE WEBSITE

Missouri Center for Patient Safety.

c/o Primaris, 200 North Keene Street, Columbia, MO 65201.

STUDY

The Research on Adverse Drug Events and Reports (RADAR) project.

Bennett CL, Nebeker JR, Lyons EA, et al. JAMA. 2005;293:2131-2140.

STUDY

Improving reporting of outpatient pediatric medical errors.

Neuspiel DR, Stubbs EH, Liggin L. Pediatrics. 2011;128:e1608-e1613.

STUDY

Harmful medication errors involving unfractionated and low-molecular-weight heparin in three patient safety reporting programs.

Grissinger MC, Hicks RW, Keroack MA, Marella WM, Vaida A. Jt Comm J Qual Patient Saf. 2010;36:195-202.

MULTI-USE WEBSITE

Anesthesia Awareness Registry.

American Society of Anesthesiologists Committee on Professional Liability.

STUDY

Challenges of making a diagnosis in the outpatient setting: a multi-site survey of primary care physicians.

Sarkar U, Bonacum D, Strull W, et al. BMJ Qual Saf. 2012;21:641-648.

STUDY

Feasibility of centre-based incident reporting in primary healthcare: the SPIEGEL study.

Zwart DL, Steerneman AH, van Rensen EL, Kalkman CJ, Verheij TJ. BMJ Qual Saf. 2011;20:121-127.

STUDY

Physicians' perceptions, preparedness for reporting, and experiences related to impaired and incompetent colleagues.

DesRoches CM, Rao SR, Fromson JA, et al. JAMA. 2010;304:187-193.

COMMENTARY

ISMP medication error report analysis.

Cohen MR. Hosp Pharm. 2006;41:114-117.

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