AHRQ Patient Safety Network

The Collection > Specialized Teams

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Safety Target

•Device-related Complications (5)

•Discontinuities, Gaps, and Hand-Off Problems (16)

•Medication Safety (23)

•Medical Complications (62)

•Nonsurgical Procedural Complications (6)

•Surgical Complications (13)

•Psychological and Social Complications (2)

Origin/Sponsor

•Asia (2)

•Australia and New Zealand (13)

•Europe (7)

•North America (151)

Resource Types

•Book/Report (6)

•Journal Article (143)

•Newspaper/Magazine Article (19)

•Special or Theme Issue (2)

•Tools/Toolkit (3)

•Web Resource (1)

Error Types

•Epidemiology of Errors and Adverse Events (30)

•Active Errors (8)

•Latent Errors (4)

Approach to Improving Safety
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Specialized Teams

•Unit Based Safety Teams (17)

•Rapid Response Team (116)

Clinical Areas

•Medicine (159)

•Nursing (24)

•Pharmacy (6)

Target Audience

•Health Care Providers (124)

•Health Care Executives and Administrators (164)

•Non-Health Care Professionals (42)

•Patients (10)

Setting of Care

•Hospitals (154)

•Ambulatory Care (5)

•Patient Transport (1)

1 - 20 of 174

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BOOK/REPORT

How-to Guide: Multidisciplinary Rounds.

Cambridge, MA: Institute for Healthcare Improvement; February 2010.

NEWSPAPER/MAGAZINE ARTICLE

Perfect is possible.

Berwick DM, Leape LL. Newsweek. October 16, 2006:70-71.

STUDY

Assessing and improving safety culture throughout an academic medical centre: a prospective cohort study.

Paine LA, Rosenstein BJ, Sexton JB, Kent P, Holzmueller CG, Pronovost PJ. Qual Saf Health Care. 2010;19:547-554.

COMMENTARY

Anticoagulation patient safety goal compliance at a university health system: methods for achieving the goal.

Franco AC, Maxwell P, Green K, Barthol C. Hosp Pharm. 2009;44:776-780, 784.

NEWSPAPER/MAGAZINE ARTICLE

To reduce risks, hospitals enlist 'proceduralists.'

Landro L. Wall Street Journal. July 11, 2007:D1.

STUDY

Effectiveness of a pharmacist–nurse intervention on resolving medication discrepancies for patients transitioning from hospital to home health care.

Setter SM, Corbett CF, Neumiller JJ, Gates BJ, Sclar DA, Sonnett TE. Am J Health Syst Pharm. 2009;66:2027-2031.

STUDY

Unit-based care teams and the frequency and quality of physician–nurse communications.

Gordon MB, Melvin P, Graham D, et al. Arch Pediatr Adolesc Med. 2011;165:424-428.

STUDY

Polypharmacy in hospitalized older adult cancer patients: experience from a prospective, observational study of an oncology-acute care for elders unit.

Flood KL, Carroll MB, Le CV, Brown CJ. Am J Geriatr Pharmacother. 2009;7:151-158.

STUDY

Clinical triggers: an alternative to a rapid response team.

Moldenhauer K, Sabel A, Chu ES, Mehler PS. Jt Comm J Qual Patient Saf. 2009;35:164-174.

STUDY

A multidisciplinary approach to adverse drug events in pediatric trauma patients in an adult trauma center.

Kalina M, Tinkoff G, Gleason W, Veneri P, Fulda G. Pediatr Emerg Care. 2009;25:444-446.

BOOK/REPORT

Tennessee Center for Patient Safety Annual Report 2010.

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

NEWSPAPER/MAGAZINE ARTICLE

Fixing America's hospitals.

Newsweek. October 16, 2006:44-68, 72.

COMMENTARY

Medication reconciliation at an academic medical center: implementation of a comprehensive program from admission to discharge.

Murphy EM, Oxencis CJ, Klauck JA, Meyer DA, Zimmerman JM. Am J Health Syst Pharm. 2009;66:2126-2131.

COMMENTARY

The creation and impact of a dedicated section on quality and patient safety in a clinical academic department.

Boudreaux AM, Vetter TR. Acad Med. 2013;88:173-178.

STUDY

A 5-year analysis of rapid response system activation at an in-hospital haemodialysis unit.

Galhotra S, Devita MA, Dew MA, Simmons RL. Qual Saf Health Care. 2010;19:e38.

COMMENTARY

High-performance teams and the physician leader: an overview.

Majmudar A, Jain AK, Chaudry J, Schwartz RW. J Surg Educ. 2010;67:205-209.

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.

COMMENTARY

Early warning systems: the next level of rapid response.

Duncan KD, McMullan C, Mills BM. Nursing. 2012;42:38-44.

STUDY

ProvenCare: quality improvement model for designing highly reliable care in cardiac surgery.

Berry SA, Doll MC, McKinley KE, Casale AS, Bothe A Jr. Qual Saf Health Care. 2009;18:360-368.

NEWSPAPER/MAGAZINE ARTICLE

Hospitals' bid to heal selves saves thousands.

P-I Staff and News Services. Seattle Post-Intelligencer. June 15, 2006:A1.

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