AHRQ Patient Safety Network

The Collection > Logistical Approaches

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•Device-related Complications (8)

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•Identification Errors (15)

•Discontinuities, Gaps, and Hand-Off Problems (81)

•Fatigue and Sleep Deprivation (81)

•Medication Safety (101)

•Medical Complications (49)

•Nonsurgical Procedural Complications (5)

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Error Types

•Epidemiology of Errors and Adverse Events (79)

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Approach to Improving Safety
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Logistical Approaches

•Laboratory Result Tracking Improvement (41)

•Nurse Staffing Ratios (39)

•Scheduling Changes (18)

•Duty Hour Limitation (89)

Clinical Areas

•Medicine (241)

•Nursing (83)

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Target Audience

•Health Care Providers (272)

•Health Care Executives and Administrators (320)

•Non-Health Care Professionals (142)

•Patients (20)

Setting of Care

•Hospitals (268)

•Residential Facilities (5)

•Ambulatory Care (30)

•Outpatient Surgery (3)

•Patient Transport (3)

1 - 20 of 374

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NEWSPAPER/MAGAZINE ARTICLE

Ounce of prevention: to reduce errors, hospitals prescribe innovative designs.

Naik G. The Wall Street Journal. May 8, 2006:A1.

NEWSPAPER/MAGAZINE ARTICLE

New standards for hospitals call for patients to get private rooms.

Landro L. The Wall Street Journal. March 22, 2006:A1.

ORGANIZATIONAL POLICY/GUIDELINES

Preventing adverse events caused by emergency electrical power system failures.

Sentinel Event Alert. September 6, 2006;(37):1-3.

STUDY

Medication Administration Time Study (MATS): nursing staff performance of medication administration.

Elganzouri ES, Standish CA, Androwich I. J Nurs Adm. 2009;39:204-210.

STUDY

Effect of short-term pretrial practice on surgical proficiency in simulated environments: a randomized trial of the "preoperative warm-up" effect.

Kahol K, Satava RM, Ferrara J, Smith ML. J Am Coll Surg. 2009;208:255-268.

SPECIAL OR THEME ISSUE

Improving the Health Care Work Environment.

Jt Comm J Qual Patient Saf. November 2007;33(suppl 1):3-84.

NEWSPAPER/MAGAZINE ARTICLE

Healing by design: new hospitals create places that improve patient outcomes.

Trewyn P, Sneider J. The Business Journal of Milwaukee. September 16, 2005.

STUDY

Critical phase distractions in anaesthesia and the sterile cockpit concept.

Broom MA, Capek AL, Carachi P, Akeroyd MA, Hilditch G. Anaesthesia. 2011;66:175-179.

STUDY

What is the safety of nonemergent operative procedures performed at night?

Turrentine FE, Wang H, Young JS, Calland JF. J Trauma. 2010;69:313-319.

COMMENTARY

Medication room madness: calming the chaos.

Conrad C, Fields W, McNamara T, Cone M. J Nurs Care Qual. 2009;25:137-144.

REVIEW

Ergonomic and human factors affecting anesthetic vigilance and monitoring performance in the operating room environment.

Weinger MB, Englund CE. Anesthesiology. 1990;73:995-1021.

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.

BOOK/REPORT

Inspiring Ideas and Celebrating Successes: A Guidebook to Leading Patient Safety Practices in Ontario Hospitals.

OHA Patient Safety Support Service. Toronto, Ontario, Canada: Ontario Hospital Association; 2006.

STUDY

Promoting patient safety through prospective risk identification: example from peri-operative care.

Smith A, Boult M, Woods I, Johnson S. Qual Saf Health Care. 2010;19:69-73.

REVIEW

Avoiding wrong site surgery: a systematic review.

DeVine J, Chutkan N, Norvell DC, Dettori JR. Spine. 2010;35(suppl 9):S28-S36.

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.

SPECIAL OR THEME ISSUE

Patient safety and quality in the pediatric intensive care unit.

Pediatr Crit Care Med. 2007;8(suppl):S1-S43.

STUDY

Surgical specimen identification errors: a new measure of quality in surgical care.

Makary MA, Epstein J, Pronovost PJ, Millman EA, Hartmann EC, Freischlag JA. Surgery. 2007;141:450-455.

STUDY

Expanding what we know about off-peak mortality in hospitals.

Hamilton P, Mathur S, Gemeinhardt G, Eschiti V, Campbell M. J Nurs Admin. 2010;40:124-128.

STUDY

Implementing and validating a comprehensive unit-based safety program.

Pronovost P, Weast B, Rosenstein B. J Patient Saf. 2005;1:33-40.

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