AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (5)

•Diagnostic Errors (4)

•Identification Errors (9)

•Discontinuities, Gaps, and Hand-Off Problems (24)

•Medication Safety (79)

•Medical Complications (19)

•Surgical Complications (13)

•Psychological and Social Complications (5)

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•Asia (2)

•Australia and New Zealand (3)

Resource Types

•Journal Article (75)

•Legislation/Regulation (2)

•Meeting/Conference (1)

•Newspaper/Magazine Article (14)

•Press Release/Announcement (2)

•Tools/Toolkit (20)

•Web Resource (13)

Error Types

•Epidemiology of Errors and Adverse Events (14)

•Active Errors (26)

•Latent Errors (18)

•Near Miss (1)

Approach to Improving Safety
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Patient Education

Clinical Areas

•Medicine (97)

•Nursing (5)

•Pharmacy (32)

Target Audience

•Health Care Providers (118)

•Health Care Executives and Administrators (69)

•Non-Health Care Professionals (37)

•Patients (61)

Setting of Care

•Hospitals (71)

•Residential Facilities (1)

•Ambulatory Care (43)

•Outpatient Surgery (1)

1 - 20 of 147

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COMMENTARY

Missed Appendicitis.

Adams JG. AHRQ WebM&M [serial online]. June 2003.

COMMENTARY

Undiagnosed Vaginal Bleeding.

Mandelblatt J. AHRQ WebM&M [serial online]. February 2004.

COMMENTARY

The 2-Week Itch.

Cohen MR. AHRQ WebM&M [serial online]. April 2003.

FACT SHEET/FAQS

Having Surgery? What You Need to Know.

Rockville, MD: Agency for Healthcare Research and Quality; 2005. AHRQ Publication No. 05(06)-0074.

COMMENTARY

Allergy to Holter.

Williams MV. AHRQ WebM&M [serial online]. July 2004.

COMMENTARY

Carpe Diem (Seize the Day).

Krumholz A. AHRQ WebM&M [serial online]. December 2004.

COMMENTARY

Prevention of fatal opioid overdose.

Beletsky L, Rich JD, Walley AY. JAMA. 2012;308:1863-1864.

GOVERNMENT RESOURCE

Twenty Tips to Help Prevent Medical Errors in Children.

Patient Fact Sheet. Rockville, MD: Agency for Healthcare Research and Quality; September 2002. AHRQ Publication No. 02-P034.

COMMENTARY

Confusion with Acetaminophen

Heubi JE. AHRQ WebM&M [serial online]. January 2006.

MEASUREMENT TOOL/INDICATOR

Patient Engagement and Surgical Safety—Tool Development Survey.

World Alliance for Patient Safety, World Health Organization.

COMMENTARY

Overriding Considerations.

Holtzman, NA. AHRQ WebM&M [serial online]. December 2004.

BOOK/REPORT

Better: A Surgeon's Notes on Performance.

Gawande A. New York, NY: Metropolitan Books; 2007. ISBN: 0805082115.

NEWSPAPER/MAGAZINE ARTICLE

Frederick mother's burning inspires daughter's activism.

Levine S. Washington Post. July 18, 2006:B01.

GOVERNMENT RESOURCE

20 Tips to Help Prevent Medical Errors.

Patient Fact Sheet. Rockville, MD: Agency for Healthcare Research and Quality; September 2011. AHRQ Publication No. 11-0089.

STUDY

Incidence, patterns, and prevention of wrong-site surgery.

Kwaan MR, Studdert DM, Zinner MJ, Gawande AA. Arch Surg. 2006;141:353-358.

COMMENTARY

Round-Trip Service.

McGrath MH. AHRQ WebM&M [serial online]. December 2009.

COMMENTARY

Don't Push.

Meltzer HY. AHRQ WebM&M [serial online]. November 2003.

COMMENTARY

Lethal Cap.

Schillinger D. AHRQ WebM&M [serial online]. March 2004.

FACT SHEET/FAQS

Ensuring Correct Surgery.

Ann Arbor, MI: VA National Center for Patient Safety; 2006.

FACT SHEET/FAQS

Quick Tips—When Planning for Surgery.

Rockville, MD: Agency for Healthcare Research and Quality; 2002. AHRQ Publication No. 01-0040d.

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