AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (4)

•Discontinuities, Gaps, and Hand-Off Problems (15)

•Medication Safety (23)

•Medical Complications (55)

•Nonsurgical Procedural Complications (4)

•Surgical Complications (11)

•Psychological and Social Complications (4)

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•Asia (1)

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•Book/Report (5)

•Journal Article (141)

•Newspaper/Magazine Article (13)

•Special or Theme Issue (2)

•Tools/Toolkit (1)

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Error Types

•Epidemiology of Errors and Adverse Events (27)

•Active Errors (6)

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Approach to Improving Safety
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Specialized Teams

•Unit Based Safety Teams (18)

•Rapid Response Team (101)

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•Medicine (146)

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Target Audience

•Health Care Providers (116)

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•Non-Health Care Professionals (41)

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Setting of Care

•Hospitals (142)

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1 - 20 of 163

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BOOK/REPORT

How-to Guide: Multidisciplinary Rounds.

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

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.

STUDY

Medical emergency team calls in the radiology department: patient characteristics and outcomes.

Ott LK, Pinsky MR, Hoffman LA, et al. BMJ Qual Saf. 2012 Mar 2; [Epup ahead of print].

STUDY

Differences in outcomes between ICU attending and senior resident physician led medical emergency team responses.

Morris DS, Schweickert W, Holena D, et al. Resuscitation. 2012;83:1434-1437.

COMMENTARY

A multifaceted approach to improve patient safety, prevent medical errors and resolve the professional liability crisis.

Weinstein L. Am J Obstet Gynecol. 2006;194:1160-1165; discussion 1165-1167.

STUDY

Rapid response teams: qualitative analysis of their effectiveness.

Leach LS, Mayo AM. Am J Crit Care. 2013;22:198-210.

COMMENTARY

Ten years after the IOM report: engaging residents in quality and patient safety by creating a house staff quality council.

Fleischut PM, Evans AS, Nugent WC, et al. Am J Med Qual. 2011;26:89-94.

COMMENTARY

Integrating CUSP and TRIP to improve patient safety.

Romig M, Goeschel C, Pronovost P, Berenholtz SM. Hosp Pract (Minneap). 2010;38:114-121.

REVIEW

Rapid response systems: identification and management of the "prearrest state."

McCurdy MT, Wood SL. Emerg Med Clin North Am. 2012;30:141-152.

STUDY

Attitudes and barriers to a medical emergency team system at a tertiary paediatric hospital.

Azzopardi P, Kinney S, Moulden A, Tibballs J. Resuscitation. 2011;82:167-174.

STUDY

Sustained effectiveness of a primary-team-based rapid response system.

Howell MD, Ngo L, Folcarelli P, et al. Crit Care Med. 2012;40:2562-2568.

COMMENTARY

Safety huddles in the PACU: when a patient self-medicates.

Setaro J, Connolly M. J Perianesth Nurs. 2011;26:96-102.

STUDY

The effect of multidisciplinary care teams on intensive care unit mortality.

Kim MM, Barnato AE, Angus DC, Fleisher LF, Kahn JM. Arch Intern Med. 2010;170:369-376.

STUDY

Michigan Health & Hospital Association Keystone Obstetrics: a statewide collaborative for perinatal patient safety in Michigan.

Simpson KR, Knox GE, Martin M, George C, Watson SR. Jt Comm J Qual Patient Saf. 2011;37:544-551.

STUDY

The use of medical emergency teams in medical and surgical patients: impact of patient, nurse and organisational characteristics.

Schmid-Mazzoccoli A, Hoffman LA, Wolf GA, Happ MB, Devita MA. Qual Saf Health Care. 2008;17:377-381.

COMMENTARY

Conscious sedation on a general ward: the MET and clinical governance.

Warrillow S, Bellomo R, Jones D. Jt Comm J Qual Patient Saf. 2007;33:112-117.

SPECIAL OR THEME ISSUE

Patient Safety in Pediatric Emergency Medicine.

Frush KS, Hohenhaus SM, eds. Clin Ped Emerg Med. 2006;7:213-277.

NEWSPAPER/MAGAZINE ARTICLE

ED revamp: team approach to care reduces errors, boosts patient and clinician satisfaction.

ED Manag. 2011;23:78-80.

NEWSPAPER/MAGAZINE ARTICLE

To reduce risks, hospitals enlist 'proceduralists.'

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

COMMENTARY

Improving patient safety: patient-focused, high-reliability team training.

McKeon LM, Cunningham PD, Detty Oswaks JS. J Nurs Care Qual. 2009;24:76-82.

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