AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (10)

•Diagnostic Errors (10)

•Identification Errors (14)

•Discontinuities, Gaps, and Hand-Off Problems (60)

•Fatigue and Sleep Deprivation (6)

•Medication Safety (59)

•Medical Complications (50)

•Nonsurgical Procedural Complications (13)

•Surgical Complications (90)

•Psychological and Social Complications (37)

Origin/Sponsor

•Asia (2)

•Australia and New Zealand (17)

Resource Types

•Journal Article (357)

•Legislation/Regulation (2)

•Meeting/Conference (3)

•Newspaper/Magazine Article (44)

•Press Release/Announcement (1)

•Special or Theme Issue (27)

•Tools/Toolkit (10)

•Web Resource (8)

•Grant (5)

Error Types

•Epidemiology of Errors and Adverse Events (39)

•Active Errors (37)

•Latent Errors (21)

•Near Miss (4)

Approach to Improving Safety
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Teamwork

•Teamwork Training (97)

Clinical Areas

•Allied Health Services (2)

•Medicine (342)

•Nursing (60)

•Pharmacy (13)

Target Audience

•Health Care Providers (360)

•Health Care Executives and Administrators (413)

•Non-Health Care Professionals (265)

•Patients (19)

Setting of Care

•Hospitals (337)

•Psychiatric Facilities (2)

•Residential Facilities (4)

•Ambulatory Care (29)

•Outpatient Surgery (4)

•Patient Transport (5)

1 - 20 of 495

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STUDY

Physician perspectives on quality and error in the outpatient setting.

Manwell LB, Williams ES, Babbott S, Rabatin JS, Linzer M. WMJ. 2009;108:139-144.

STUDY

Patient safety climate in primary care: age matters.

Holden LM, Watts DD, Hinton WP. J Patient Saf. 2009;5:23-28.

STUDY

How teams work—or don’t—in primary care: a field study on internal medicine practices.

Chesluk BJ, Holmboe ES. Health Aff (Millwood). 2010;29:874-879.

STUDY

How improving practice relationships among clinicians and nonclinicians can improve quality in primary care.

Lanham HJ, McDaniel RR, Crabtree BF, et al. Jt Comm J Qual Patient Saf. 2009;35:457-466.

TOOLKIT

Seven steps to patient safety in general practice.

National Patient Safety Agency. London, England: NHS; 2009.

STUDY

Implementation of a medication reconciliation process in an ambulatory internal medicine clinic.

Nassaralla CL, Naessens JM, Chaudhry R, Hansen MA, Scheitel SM. Qual Saf Health Care. 2007;16:90-94.

BOOK/REPORT

Safer Hospital Care: Strategies for Continuous Innovation.

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

BOOK/REPORT classic

Safe Patients, Smart Hospitals: How One Doctor's Checklist Can Help Us Change Health Care from the Inside Out.

Pronovost P, Vohr E. New York, NY: Hudson Street Press; 2010. ISBN: 9781594630644.

STUDY

Organizational culture, team climate and diabetes care in small office-based practices.

Bosch M, Dijkstra R, Wensing M, van der Weijden T, Grol R. BMC Health Serv Res. 2008;8:180.

SPECIAL OR THEME ISSUE

Quality of Anesthesia Care.

Neuman MD, Martinez EA, eds. Anesthesiol Clin. 2011;29:1-178.

STUDY

Adoption of patient-centered care practices by physicians: results from a national survey.

Audet AM, Davis K, Schoenbaum SC. Arch Intern Med. 2006;166:754-759.

MEASUREMENT TOOL/INDICATOR

Medication Safety Self Assessment for Automated Dispensing Cabinets.

Horsham, PA: Institute for Safe Medication Practices; 2009.

STUDY

Communication and collaboration: it's about the pharmacists, as well as the physicians and nurses.

Holden LM, Watts DD, Walker PH. Qual Saf Health Care. 2010;19:169-172.

COMMENTARY

Safer out of hours primary care.

Cosford PA, Thomas JM. BMJ. 2010;340:c3194.

FACT SHEET/FAQS classic

Preventing Medication Errors: A $21 Billion Opportunity.

Washington, DC: National Priorities Partnership and National Quality Forum; December 2010.

COMMENTARY

Learning accountability for patient outcomes.

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

SPECIAL OR THEME ISSUE

Interprofessional Approaches to Patient Safety.

J Interprof Care. 2006;20:455-571.

BOOK/REPORT classic

Patient Safety in Emergency Medicine.

Croskerry P, Cosby KS, Schenkel SM, Wears RL, eds. Philadelphia, PA: Lippincott Williams & Wilkins; 2009. ISBN: 9780781777278.

BOOK/REPORT

Tennessee Center for Patient Safety Annual Report 2010.

Nashville, TN: Tennessee Center for Patient Safety; August 2011.

AWARD RECIPIENT

Building and sustaining a systemwide culture of safety.

Yates GR, Bernd DL, Sayles SM, Stockmeier CA, Burke G, Merti GE. Jt Comm J Qual Patient Saf. 2005;31:684-689.

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