AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (8)

•Diagnostic Errors (7)

•Identification Errors (12)

•Discontinuities, Gaps, and Hand-Off Problems (45)

•Fatigue and Sleep Deprivation (5)

•Medication Safety (58)

•Medical Complications (51)

•Nonsurgical Procedural Complications (15)

•Surgical Complications (83)

•Psychological and Social Complications (30)

Origin/Sponsor

•Asia (6)

•Australia and New Zealand (15)

Resource Types

•Journal Article (327)

•Legislation/Regulation (1)

•Meeting/Conference (2)

•Newspaper/Magazine Article (30)

•Press Release/Announcement (1)

•Special or Theme Issue (31)

•Tools/Toolkit (9)

•Web Resource (7)

•Grant (5)

Error Types

•Epidemiology of Errors and Adverse Events (38)

•Active Errors (36)

•Latent Errors (23)

•Near Miss (4)

Approach to Improving Safety
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Teamwork

•Teamwork Training (99)

Clinical Areas

•Allied Health Services (2)

•Medicine (303)

•Nursing (63)

•Pharmacy (11)

Target Audience

•Health Care Providers (344)

•Health Care Executives and Administrators (394)

•Non-Health Care Professionals (268)

•Patients (10)

Setting of Care

•Hospitals (305)

•Psychiatric Facilities (1)

•Residential Facilities (5)

•Ambulatory Care (19)

•Outpatient Surgery (5)

•Patient Transport (6)

1 - 20 of 446

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SPECIAL OR THEME ISSUE

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

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

SPECIAL OR THEME ISSUE

Quality of Anesthesia Care.

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

STUDY

Burns surgery handover study: trainees' assessment of current practice in the British Isles.

Al-Benna S, Al-Ajam Y, Alzoubaidi D. Burns. 2009;35:509-512.

SPECIAL OR THEME ISSUE

Quality and Safety in Medicine.

Nash DB, Goldfarb NI, Patow C, eds. Acad Med. 2009;84:1641-1846.

SPECIAL OR THEME ISSUE

Patient Safety Papers 6.

Baker GR, ed. Healthc Q. 2012;15:1-72.

BOOK/REPORT classic

Patient Safety, 2nd edition.

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

SPECIAL OR THEME ISSUE

Interprofessional Approaches to Patient Safety.

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

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.

STUDY

Structured interdisciplinary rounds in a medical teaching unit: improving patient safety.

O’Leary KJ, Buck R, Fligiel HM, et al. Arch Intern Med. 2011;171:678-684.

COMMENTARY

Human factors and error prevention in emergency medicine.

Bleetman A, Sanusi S, Dale T, Brace S. Emerg Med J. 2012;29:389-393.

FACT SHEET/FAQS classic

Preventing Medication Errors: A $21 Billion Opportunity.

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

STUDY

Factors associated with intern fatigue.

Friesen LD, Vidyarthi AR, Baron RB, Katz PP. J Gen Intern Med. 2008;23:1981-1986.

BOOK/REPORT

Teaming: How Organizations Learn, Innovate, and Compete in the Knowledge Economy.

Edmondson AC, Schein EH. San Franscisco, CA: Jossey-Bass; 2012. ISBN: 9780787970932.

COMMENTARY

How can the principles of complexity science be applied to improve the coordination of care for complex pediatric patients?

Matlow AG, Wright JG, Zimmerman B, Thomson K, Valente M. Qual Saf Health Care. 2006;15:85-88.

COMMENTARY

A new frontier in patient safety.

McCannon J, Berwick DM. JAMA. 2011;305:2221-2222.

MULTI-USE WEBSITE

BOOSTing Care Transitions Resource Room.

Project BOOST (Better Outcomes for Older adults through Safe Transitions), Society of Hospital Medicine.

COMMENTARY

Achieving the 'perfect handoff' in patient transfers: building teamwork and trust.

Clarke D, Werestiuk K, Schoffner A, et al. J Nurs Manag. 2012;20:592-598.

MEETING/CONFERENCE PROCEEDINGS

2010 Annual National Patient Safety Foundation Congress: conference proceedings.

Pinakiewicz DC, Bonacum D, Youngberg BJ, Stepnick L, Shah M. J Patient Saf. 2010;6:128-136.

NEWSPAPER/MAGAZINE ARTICLE

Simple mistakes, serious consequences: positive ID is no laughing matter.

Edozien L. Saferhealthcare. June 2, 2006.

STUDY

Physician order entry or nurse order entry? Comparison of two implementation strategies for a computerized order entry system aimed at reducing dosing medication errors.

Kazemi A, Fors UG, Tofighi S, Tessma M, Ellenius J. J Med Internet Res. 2010;12:e5.

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