AHRQ Patient Safety Network

The Collection > Logistical Approaches

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Safety Target

•Device-related Complications (7)

•Diagnostic Errors (14)

•Identification Errors (20)

•Discontinuities, Gaps, and Hand-Off Problems (100)

•Fatigue and Sleep Deprivation (119)

•Medication Safety (108)

•Medical Complications (45)

•Nonsurgical Procedural Complications (4)

•Surgical Complications (38)

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•Psychological and Social Complications (15)

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•Journal Article (334)

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•Newspaper/Magazine Article (56)

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•Special or Theme Issue (9)

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Error Types

•Epidemiology of Errors and Adverse Events (86)

•Active Errors (41)

•Latent Errors (44)

•Near Miss (10)

Approach to Improving Safety
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Logistical Approaches

•Laboratory Result Tracking Improvement (41)

•Nurse Staffing Ratios (52)

•Scheduling Changes (31)

•Duty Hour Limitation (133)

Clinical Areas

•Allied Health Services (1)

•Medicine (256)

•Nursing (105)

•Pharmacy (41)

Target Audience

•Health Care Providers (314)

•Health Care Executives and Administrators (330)

•Non-Health Care Professionals (156)

•Patients (29)

Setting of Care

•Hospitals (340)

•Psychiatric Facilities (2)

•Residential Facilities (6)

•Ambulatory Care (24)

•Outpatient Surgery (4)

•Patient Transport (2)

1 - 20 of 429

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STUDY

Association between Leapfrog safe practices score and hospital mortality in major surgery.

Qian F, Lustik SJ, Diachun CA, Wissler RN, Zollo RA, Glance LG. Med Care. 2011;49:1082-1088.

STUDY

Adverse drug events in hospitalized cardiac patients.

Fanikos J, Cina JL, Baroletti S, Fiumara K, Matta L, Goldhaber SZ. Am J Cardiol. 2007;100:1465-1469.

COMMENTARY

Improving safety throughout the medication use process in a neonatal intensive care unit.

Asdigha MN. Hosp Pharm. 2006;41:1067-1075.

STUDY

Nurses' practice environments, error interception practices, and inpatient medication errors.

Flynn L, Liang Y, Dickson GL, Xie M, Suh DC. J Nurs Scholarsh. 2012;44:180-186.

STUDY

Discharge rounds in the 80-hour workweek: importance of the trauma nurse practitioner.

Haan JM, Dutton RP, Willis M, Leone S, Kramer ME, Scalea TM. J Trauma. 2007;63:339-343.

ORGANIZATIONAL POLICY/GUIDELINES

Recommendations for quality assurance and improvement in surgical and autopsy pathology.

Association of Directors of Anatomic and Surgical Pathology. Hum Pathol. 2006;37:985-988.

NEWSPAPER/MAGAZINE ARTICLE

An extra dose of safety.

Health Manage Techol. April 2007;28:30-32, 34.

STUDY

Influence of workplace demands on nurses' perception of patient safety.

Ramanujam R, Abrahamson K, Anderson JG. Nurs Health Sci. 2008;10:144-150.

STUDY

Effects of weekend admission and hospital teaching status on in-hospital mortality.

Cram P, Hillis SL, Barnett M, Rosenthal GE. Am J Med. 2004;117:151-157.

STUDY

Surgeon fatigue: a prospective analysis of the incidence, risk, and intervals of predicted fatigue-related impairment in residents.

McCormick F, Kadzielski J, Landrigan CP, Evans B, Herndon JH, Rubash HE. Arch Surg. 2012;147:430-435.

STUDY

Effects of duty hour restrictions on core competencies, education, quality of life, and burnout among general surgery interns.

Antiel RM, Reed DA, Van Arendonk JK, et al. JAMA Surg. 2013;148:448-455.

STUDY

Effects of nursing rounds on patients' call light use, satisfaction, and safety.

Meade CM, Bursell AL, Ketelsen L. Am J Nurs. 2006;106:58-70.

STUDY

Nurses relate the contributing factors involved in medication errors.

Tang FI, Sheu SJ, Yu S, Wei IL, Chen CH. J Clin Nurs. 2007;16:447-457.

NEWSPAPER/MAGAZINE ARTICLE

Don't underestimate the impact of change on risk potential.

ISMP Medication Safety Alert! Acute Care Edition. September 11, 2008;13:1-3.

STUDY

Follow-up of outpatient test results: a survey of house-staff practices and perceptions.

Lin JJ, Dunn A, Moore C. Am J Med Qual. 2006;21:178-184.

ORGANIZATIONAL POLICY/GUIDELINES

Health care worker fatigue and patient safety.

Sentinel Event Alert. December 14, 2011;(48):1-4.

STUDY

Certified pharmacy technicians' views on their medication preparation errors and educational needs.

Desselle SP. Am J Health Syst Pharm. 2005;62:1992-1997.

STUDY

Relationship between call light use and response time and inpatient falls in acute care settings.

Tzeng HM, Yin CY. J Clin Nurs. 2009;18:3333-3341.

STUDY

Impact of drug shortages on U.S. health systems.

Kaakeh R, Sweet BV, Reilly C, et al. Am J Health Syst Pharm. 2011;68:1811-1819.

COMMENTARY

ISMP medication error report analysis.

Cohen MR. Hosp Pharm. 2007;42:181–182.

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