AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (9)

•Diagnostic Errors (9)

•Identification Errors (12)

•Discontinuities, Gaps, and Hand-Off Problems (43)

•Fatigue and Sleep Deprivation (5)

•Medication Safety (58)

•Medical Complications (43)

•Nonsurgical Procedural Complications (8)

•Surgical Complications (75)

•Psychological and Social Complications (31)

Origin/Sponsor

•Asia (3)

•Australia and New Zealand (13)

Resource Types

•Journal Article (271)

•Legislation/Regulation (2)

•Meeting/Conference (3)

•Newspaper/Magazine Article (34)

•Press Release/Announcement (1)

•Special or Theme Issue (26)

•Tools/Toolkit (7)

•Web Resource (8)

•Grant (5)

Error Types

•Epidemiology of Errors and Adverse Events (36)

•Active Errors (31)

•Latent Errors (22)

•Near Miss (3)

Approach to Improving Safety
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Teamwork

•Teamwork Training (53)

Clinical Areas

•Allied Health Services (2)

•Medicine (259)

•Nursing (43)

•Pharmacy (11)

Target Audience

•Health Care Providers (295)

•Health Care Executives and Administrators (343)

•Non-Health Care Professionals (207)

•Patients (12)

Setting of Care

•Hospitals (257)

•Psychiatric Facilities (2)

•Residential Facilities (5)

•Ambulatory Care (21)

•Outpatient Surgery (3)

•Patient Transport (6)

1 - 20 of 389

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TOOLKIT

Making Strides in Safety.

Chicago, IL: American Medical Association.

STUDY

Applying a multidisciplinary approach to the selection, evaluation, and acquisition of smart infusion pumps.

Namshirin P, Ibey A, Lamsdale A. J Med Bio Eng. 2011;31:93-98.

COMMENTARY

Patient safety beyond the hospital.

Gandhi TK, Lee TH. N Engl J Med. 2010;363:1001-1003.

COMMENTARY

Do Not Disturb!

Duffy FD, Cassel CK. AHRQ WebM&M [serial online]. October 2007.

STUDY

The nature and causes of unintended events reported at ten emergency departments.

Smits M, Groenewegen PP, Timmermans DRM, van der Wal G, Wagner C. BMC Emerg Med. 2009;9:16.

STUDY

Attitudes of health sciences faculty members towards interprofessional teamwork and education.

Curran VR, Sharpe D, Forristall J. Med Educ. 2007;41:892-896.

REVIEW

Frequency, type and clinical importance of medication history errors at admission to hospital: a systematic review.

Tam VC, Knowles SR, Cornish PL, Fine N, Marchesano R, Etchells EE. CMAJ. 2005;173:510-515.

SPECIAL OR THEME ISSUE

Interprofessional Approaches to Patient Safety.

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

FACT SHEET/FAQS classic

Preventing Medication Errors: A $21 Billion Opportunity.

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

COMMENTARY

On the Other Hand

Henneman EA. AHRQ WebM&M [serial online]. May 2007.

STUDY

How does patient safety culture in the operating room and post-anesthesia care unit compare to the rest of the hospital?

Kaafarani HM, Itani KM, Rosen AK, Zhao S, Hartmann CW, Gaba DM. Am J Surg. 2009;198:70-75.

SPECIAL OR THEME ISSUE

Safety in EMS.

Brice JH, Patterson PD, eds. Prehosp Emerg Care. 2012;16:1-108.

BOOK/REPORT

Advancing Patient Safety: A Decade of Evidence, Design, and Implementation.

Rockville, MD; Agency for Healthcare Research and Quality; November 2009. AHRQ Publication No. 09(10)-0084.

BOOK/REPORT classic

Patient Safety, 2nd edition.

Vincent C. West Sussex, UK: Wiley-Blackwell; 2010. ISBN: 9781405192217.

BOOK/REPORT

Tennessee Center for Patient Safety Annual Report 2010.

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

COMMENTARY

Learning accountability for patient outcomes.

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

MEETING/CONFERENCE PROCEEDINGS

AHRQ 2007 Annual Conference.

Rockville, MD: Agency for Healthcare Research and Quality; August 2008.

GRANT ANNOUNCEMENT

AHRQ Health Services Research Demonstration and Dissemination Grants (R18).

US Department of Health and Human Services. Program Announcement No. PA-09-071.

STUDY

Improving patient safety: the comparative views of patient-safety specialists, workforce staff and managers.

Braithwaite J, Westbrook MT, Robinson M, Michael S, Pirone C, Robinson P. BMJ Qual Saf. 2011;20:424-431.

SPECIAL OR THEME ISSUE

The safety and quality of health care: where are we now?

Med J Aust. 2006;184:S37-S72.

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