AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (54)

•Diagnostic Errors (38)

•Identification Errors (30)

•Discontinuities, Gaps, and Hand-Off Problems (131)

•Fatigue and Sleep Deprivation (62)

•Medication Safety (211)

•Medical Complications (110)

•Nonsurgical Procedural Complications (20)

•Surgical Complications (148)

•Transfusion Complications (4)

•Psychological and Social Complications (49)

Origin/Sponsor

•Africa (3)

•Asia (11)

•Australia and New Zealand (26)

•Central and South America (3)

Resource Types

•Clinical Guideline (1)

•Journal Article (643)

•Legislation/Regulation (10)

•Meeting/Conference (21)

•Newsletter/Journal (2)

•Newspaper/Magazine Article (100)

•Press Release/Announcement (6)

•Special or Theme Issue (21)

•Tools/Toolkit (23)

•Web Resource (53)

•Grant (4)

Error Types

•Epidemiology of Errors and Adverse Events (124)

•Active Errors (146)

•Latent Errors (60)

•Near Miss (21)

Approach to Improving Safety
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Education and Training

•Students (33)

•Residents and Fellows (189)

•Continuing Education (40)

•Online Education (36)

•Simulators (78)

•Teamwork Training (99)

•Patient Education (89)

Clinical Areas

•Allied Health Services (6)

Target Audience

•Health Care Providers (646)

•Health Care Executives and Administrators (713)

•Non-Health Care Professionals (476)

•Patients (90)

Setting of Care

•Hospitals (672)

•Psychiatric Facilities (2)

•Residential Facilities (15)

•Ambulatory Care (61)

•Outpatient Surgery (7)

•Patient Transport (3)

1 - 20 of 962

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BOOK/REPORT

Patient Safety Authority Annual Reports.

Harrisburg, PA: Patient Safety Authority; April 2013.

TOOLKIT

Making Strides in Safety.

Chicago, IL: American Medical Association.

NEWSPAPER/MAGAZINE ARTICLE

Empowered to improve.

Gardner E. Mod Healthc. May 18, 2009;39:28-31.

MULTI-USE WEBSITE

African Partnerships for Patient Safety.

Geneva, Switzerland: WHO Patient Safety, World Health Organization.

COMMENTARY

Improving heparin safety: a multidisciplinary invited conference.

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

NEWSPAPER/MAGAZINE ARTICLE

As industry automates, adverse events continue to haunt caregivers.

Wetzel TG. Health Data Manage. 2011 Feb;19:86, 88, 90 passim.

STUDY

The cost of harm and savings through safety: using simulated patients for leadership decision support.

Denham CR, Guilloteau FR. J Patient Saf. 2012;8:89-96.

BOOK/REPORT

The Patient Safety Initiative at America’s Public Hospitals: The Year One Overview.

Research Brief. Washington, DC: National Association of Public Hospitals and Health Systems; January 2011.

COMMENTARY

'My five moments for hand hygiene': a user-centred design approach to understand, train, monitor and report hand hygiene.

Sax H, Allegranzi B, Uçkay I, Larson E, Boyce J, Pittet D. J Hosp Infect. 2007;67:9-21.

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

Fixing relationships, preventing errors.

McGinn P, Chabon R. HHN Magazine Online. November 25, 2008.

STUDY

Measurement for improvement: a survey of current practice in Australian public hospitals.

Brand CA, Tropea J, Ibrahim JE, et al. Med J Aust. 2008;189:35-40.

NEWSPAPER/MAGAZINE ARTICLE

Anticoagulant safety practices call for pharmacist supervision.

Scott A. Drug Topics (Health-System Edition). November 10, 2008.

REVIEW

Inpatient suicide: preventing a common sentinel event.

Tishler CL, Reiss NS. Gen Hosp Psychiatry. 2009;31:103-109.

MEETING/CONFERENCE PROCEEDINGS

The Role of HR in Quality and Patient Safety.

The American Society for Healthcare Human Resources Administration. San Diego, CA: July 24, 2008.

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.

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.

NEWSPAPER/MAGAZINE ARTICLE

No bad apples.

Thrall TH. Hosp Health Netw. December 2008.

REVIEW

Responsibility for quality improvement and patient safety: hospital board and medical staff leadership challenges.

Goeschel CA, Wachter RM, Pronovost PJ. Chest. 2010;138:171-178.

STUDY

Publicly available hospital comparison web sites: determination of useful, valid, and appropriate information for comparing surgical quality.

Leonardi MJ, McGory ML, Ko CY. Arch Surg. 2007;142:863-869.

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