AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (24)

•Diagnostic Errors (56)

•Identification Errors (62)

•Discontinuities, Gaps, and Hand-Off Problems (396)

•Fatigue and Sleep Deprivation (13)

•Medication Safety (381)

•Medical Complications (92)

•Nonsurgical Procedural Complications (20)

•Surgical Complications (164)

•Transfusion Complications (4)

•Psychological and Social Complications (93)

Origin/Sponsor

•Australia and New Zealand (36)

•Europe (136)

•North America (1080)

Resource Types

•Audiovisual (13)

•Book/Report (97)

•Clinical Guideline (2)

•Journal Article (880)

•Legislation/Regulation (20)

•Meeting/Conference (11)

•Newspaper/Magazine Article (184)

•Press Release/Announcement (3)

•Special or Theme Issue (32)

•Tools/Toolkit (31)

•Web Resource (28)

Error Types

•Epidemiology of Errors and Adverse Events (195)

•Active Errors (221)

•Latent Errors (101)

•Near Miss (23)

Approach to Improving Safety
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Communication Improvement

•Communication between Providers (802)

•Provider-Patient Communication (389)

Clinical Areas

•Allied Health Services (6)

•Dentistry (1)

•Medicine (889)

•Nursing (103)

•Pharmacy (144)

Target Audience

•Health Care Providers (1034)

•Health Care Executives and Administrators (993)

•Non-Health Care Professionals (451)

•Patients (139)

Setting of Care

•Hospitals (859)

•Psychiatric Facilities (3)

•Residential Facilities (28)

•Ambulatory Care (173)

•Outpatient Surgery (15)

•Patient Transport (14)

1 - 20 of 1311

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BOOK/REPORT

Safer Hospital Care: Strategies for Continuous Innovation.

Raheja D. New York, NY: Productivity Press; 2011. ISBN: 9781439821022.

COMMENTARY

Learning accountability for patient outcomes.

Pronovost PJ. JAMA. 2010;304:204-205.

AUDIOVISUAL

How a simple checklist can dramatically reduce medical errors.

Pronovost PJ. On Call. IHI Open School for Health Professionals. November 3, 2008.

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.

BOOK/REPORT

Patient-Centered Care Improvement Guide.

Frampton S, Guastello S, Brady C, et al. Derby, CT: Planetree; Camden, ME: Picker Institute; 2008.

ORGANIZATIONAL POLICY/GUIDELINES

Transitions of Care Consensus Policy Statement American College of Physicians-Society of General Internal Medicine-Society of Hospital Medicine-American Geriatrics Society-American College of Emergency Physicians-Society of Academic Emergency Medicine.

Snow V, Beck D, Budnitz T, et al. J Gen Intern Med. 2009;24:971-976.

BOOK/REPORT

Health Care Leader Action Guide to Reduce Avoidable Readmissions.

Osei-Anto A, Joshi M, Audet AJ, Berman A, Jencks SF. New York, NY: The Commonwealth Fund, The John Hartford Foundation, Health Research and Educational Trust; January 25, 2010.

COMMENTARY

View the world through a different lens: shadowing another provider.

Thompson DA, Holzmueller CG, Lubomski L, Pronovost PJ. Jt Comm J Qual Patient Saf. 2008;34:614-618.

MEETING/CONFERENCE PROCEEDINGS

The Role of HR in Quality and Patient Safety.

The American Society for Healthcare Human Resources Administration. San Diego, CA: July 24, 2008.

BOOK/REPORT

The Patient Safety Initiative at America’s Public Hospitals: The Year One Overview.

Research Brief. Washington, DC: National Association of Public Hospitals and Health Systems; January 2011.

NEWSPAPER/MAGAZINE ARTICLE

10 things your hospital won't tell you.

Kapadia R. Smart Money. October 2006;15:112-114.

COMMENTARY

Implementing patient safety initiatives in rural hospitals.

Klingner J, Moscovice I, Tupper J, Coburn A, Wakefield M. J Rural Health. 2009;25:352-357.

NEWSPAPER/MAGAZINE ARTICLE

When errors occur.

Wetzel TG. Hosp Health Netw. October 2010.

NEWSPAPER/MAGAZINE ARTICLE

Diagnostic error in acute care.

PA-PSRS Patient Saf Advis. 2010;7:76-86.

BOOK/REPORT

Meeting the Joint Commission's 2013 National Patient Safety Goals.

Oakbrook Terrace, IL: The Joint Commission; September 2012. ISBN: 9781599407555.

NEWSPAPER/MAGAZINE ARTICLE

Raising the index of suspicion: red flags that represent credible threats to patient safety.

ISMP Medication Safety Alert! Acute Care Edition. July 26, 2012;17:1-3.

BOOK/REPORT

Pulse Report 2009: Safety Culture: Staff Perspectives on American Health Care.

South Bend, IN: Press Ganey Associates, Inc: 2009.

ORGANIZATIONAL POLICY/GUIDELINES

Preventing violence in the health care setting.

Sentinel Event Alert. June 3, 2010;(45):1-3.

AWARD RECIPIENT

2006 Quest for Quality Prize.

Runy LA. Hosp Health Netw. September 2006.

STUDY

Health care workers as second victims of medical errors.

Edrees HH, Paine LA, Feroli ER, Wu AW. Pol Arch Med Wewn. 2011;121:101-108.

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