AHRQ Patient Safety Network

The Collection > Education and Training

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Safety Target

•Device-related Complications (53)

•Diagnostic Errors (40)

•Identification Errors (25)

•Discontinuities, Gaps, and Hand-Off Problems (92)

•Fatigue and Sleep Deprivation (26)

•Medication Safety (205)

•Medical Complications (89)

•Nonsurgical Procedural Complications (25)

•Surgical Complications (82)

•Transfusion Complications (5)

•Psychological and Social Complications (34)

Origin/Sponsor

•Africa (3)

•Asia (12)

•Australia and New Zealand (30)

•Central and South America (4)

Resource Types

•Journal Article (464)

•Legislation/Regulation (9)

•Meeting/Conference (16)

•Newsletter/Journal (3)

•Newspaper/Magazine Article (64)

•Press Release/Announcement (12)

•Special or Theme Issue (20)

•Tools/Toolkit (13)

•Web Resource (39)

•Grant (4)

Error Types

•Epidemiology of Errors and Adverse Events (105)

•Active Errors (184)

•Latent Errors (80)

•Near Miss (16)

Approach to Improving Safety
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Education and Training

•Students (14)

•Residents and Fellows (66)

•Continuing Education (29)

•Online Education (16)

•Simulators (50)

•Teamwork Training (67)

•Patient Education (74)

Clinical Areas

•Allied Health Services (5)

•Complementary and Alternative Medicine (1)

Target Audience

•Health Care Providers (564)

•Health Care Executives and Administrators (565)

•Non-Health Care Professionals (353)

•Patients (52)

Setting of Care

•Hospitals (433)

•Psychiatric Facilities (2)

•Residential Facilities (14)

•Ambulatory Care (53)

•Outpatient Surgery (5)

•Patient Transport (8)

1 - 20 of 710

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BOOK/REPORT

External Inquiry into the adverse incident that occurred at Queen's Medical Centre, Nottingham, 4th January 2001.

Toft B. London, England: Department of Health; 2001.

COMMENTARY

Wrong Route for Nutrients

Scott-Cawiezell JR, AHRQ WebM&M [serial online]. July 2008.

COMMENTARY

Preparing your hospital for compliance with The Joint Commission's National Patient Safety Goals.

Murdaugh L, Jordin R. Hosp Pharm. 2008;43:728-733.

NEWSPAPER/MAGAZINE ARTICLE

Medication errors associated with documented allergies.

PA-PSRS Patient Saf Advis. September 2008;5:75-80.

PRESS RELEASE/ANNOUNCEMENT

Serious medication errors from intravenous administration of nimodipine oral capsules.

MedWatch Safety Alert, FDA Drug Safety Communication. Silver Spring, MD: US Food and Drug Administration; August 2, 2010.

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.

STUDY

Care homes' use of medicines study: prevalence, causes and potential harm of medication errors in care homes for older people.

Barber ND, Alldred DP, Raynor DK, et al. Qual Saf Health Care. 2009;18:341-346.

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

Vincristine: Learning from Error Workshop.

World Alliance for Patient Safety. Geneva, Switzerland: World Health Organization; 2008.

COMMENTARY classic

Shaping systems for better behavioral choices: lessons learned from a fatal medication error.

Smetzer J, Baker C, Byrne FD, Cohen MR. Jt Comm J Qual Patient Saf. 2010;36:152-163, 1AP-2AP.

COMMENTARY

Code Status Confusion.

Lo B, Tulsky JA. AHRQ WebM&M [serial online]. July 2003.

NEWSPAPER/MAGAZINE ARTICLE

Dennis Quaid's Quest.

Grant M. AARP The Magazine. September/October 2010;53:48-51,90-91.

AWARD RECIPIENT

A comprehensive grassroots model for statewide safety improvement.

Joshi M, Kazandjian V, Martin P, et al. Jt Comm J Qual Patient Saf. 2005;31:671-677.

COMMENTARY

Do Not Disturb!

Duffy FD, Cassel CK. AHRQ WebM&M [serial online]. October 2007.

STUDY

Medication administration errors in nursing homes using an automated medication dispensing system.

van den Bemt PM, Idzinga JC, Robertz H, Kormelink DG, Pels N. J Am Med Inform Assoc. 2009;16:486-492.

COMMENTARY

The Role of the Patient in Improving Patient Safety

Gibson R. AHRQ WebM&M [serial online]. March 2007.

COMMENTARY

Glucose Roller Coaster.

Sharpe BA. AHRQ WebM&M [serial online]. July 2004.

COMMENTARY

Improving heparin safety: a multidisciplinary invited conference.

Peterson C, Ham CW, Vanderveen T. Hosp Pharm. 2008;43:491-497.

STUDY

Intensive care unit safety incidents for medical versus surgical patients: a prospective multicenter study.

Sinopoli DJ, Needham DM, Thompson DA, et al. J Crit Care. 2007;22:177-183.

NEWSPAPER/MAGAZINE ARTICLE

Proper positioning of pharmacy label on Hospira PCA vials will avoid interference with scanning.

ISMP Medication Safety Alert! Acute Care Edition. August 14, 2008;13:1-3.

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