AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (4)

•Diagnostic Errors (2)

•Identification Errors (1)

•Discontinuities, Gaps, and Hand-Off Problems (1)

•Medication Safety (11)

•Medical Complications (31)

•Nonsurgical Procedural Complications (2)

•Surgical Complications (29)

•Transfusion Complications (2)

•Psychological and Social Complications (1)

Origin/Sponsor

•Asia (1)

•Australia and New Zealand (1)

•Europe (12)

•North America (103)

Resource Types

•Book/Report (14)

•Journal Article (93)

•Newspaper/Magazine Article (3)

•Press Release/Announcement (1)

•Special or Theme Issue (2)

•Tools/Toolkit (2)

•Web Resource (2)

Error Types

•Epidemiology of Errors and Adverse Events (44)

•Active Errors (2)

•Latent Errors (1)

Approach to Improving Safety
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Patient Safety Indicators

Clinical Areas

•Medicine (83)

•Nursing (4)

•Pharmacy (1)

Target Audience

•Health Care Providers (44)

•Health Care Executives and Administrators (106)

•Non-Health Care Professionals (55)

•Patients (10)

Setting of Care

•Hospitals (98)

•Residential Facilities (2)

•Ambulatory Care (4)

1 - 20 of 117

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STUDY

Determinants of adverse events in vascular surgery.

Hernandez-Boussard T, McDonald KM, Morton JM, Dalman RL, Bech FR. J Am Coll Surg. 2012;214:788-797.

STUDY

Identifying opportunities for quality improvement in surgical site infection prevention.

Gagliardi AR, Eskicioglu C, McKenzie M, Fenech D, Nathens A, McLeod R. Am J Infect Control. 2009;37:398-402.

STUDY

Public reporting of antibiotic timing in patients with pneumonia: lessons from a flawed performance measure.

Wachter RM, Flanders SA, Fee C, Pronovost PJ. Ann Intern Med. 2008;149:29-32.

STUDY

Validity of selected patient safety indicators: opportunities and concerns.

Kaafarani HM, Borzecki AM, Itani KM, et al. J Am Coll Surg. 2011; 212:924-934.

STUDY

Detection of postoperative respiratory failure: how predictive is the Agency for Healthcare Research and Quality's Patient Safety Indicator?

Utter GH, Cuny J, Sama P, et al. J Am Coll Surg. 2010;211:347-354.e1-29.

STUDY

How best to measure surgical quality? Comparison of the Agency for Healthcare Research and Quality Patient Safety Indicators (AHRQ-PSI) and the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) postoperative adverse events at a single institution.

Cima RR, Lackore KA, Nehring SA, et al. Surgery. 2011;150:943-949.

STUDY

The influence of resident involvement on surgical outcomes.

Raval MV, Wang X, Cohen ME, et al. J Am Coll Surg. 2011;212:889-898.

BOOK/REPORT

HealthGrades Sixth Annual Patient Safety in American Hospitals Study.

Golden, CO: HealthGrades, Inc.; April 2009.

STUDY

Chronic kidney disease adversely influences patient safety.

Seliger SL, Zhan M, Hsu VD, Walker LD, Fink JC. J Am Soc Nephrol. 2008;19:2414-2419.

STUDY

Cost-effective enhancement of claims data to improve comparisons of patient safety.

Jordan HS, Pine M, Elixhauser A, et al. J Patient Saf. 2007;3:82-90.

STUDY

Prevalence and predictors of adverse events in older surgical patients: impact of the present on admission indicator.

Kim H, Capezuti E, Kovner C, Zhao Z, Boockvar K. Gerontologist. 2010;50:810-820.

STUDY

Targeted chart review of pediatric patient safety events identified by the Agency for Healthcare Research and Quality's Patient Safety Indicators methodology.

Scanlon MC, Miller M, Harris JM II, Schulz K, Sedman A. J Patient Saf. 2006;2:191-197.

BOOK/REPORT

HealthGrades Quality Study: Fifth Annual Patient Safety in American Hospitals Study.

Golden, CO: HealthGrades, Inc.; April 2008.

STUDY

Risk factors and outcomes for foreign body left during a procedure: analysis of 413 incidents after 1,946,831 operations in children.

Camp M, Chang DC, Zhang Y, Chrouser K, Colombani PM, Abdullah F. Arch Surg. 2010;145:1085-1090.

STUDY

Analysis of adverse events in pediatric surgery using criteria validated from the adult population: justifying the need for pediatric-focused outcome measures.

Rice-Townsend S, Hall M, Jenkins KJ, Roberson DW, Rangel SJ. J Pediatr Surg. 2010;45:1126-1136.

STUDY

Do patient safety events increase readmissions?

Friedman B, Encinosa W, Jiang HJ, Mutter R. Med Care. 2009;47:583-590.

STUDY

How valid is the ICD-9-CM based AHRQ Patient Safety Indicator for postoperative venous thromboembolism?

White RH, Sadeghi B, Tancredi DJ, et al. Med Care. 2009;47:1237-1243.

REVIEW

Quality and safety indicators in anesthesia: a systematic review.

Haller G, Stoelwinder J, Myles PS, McNeil J. Anesthesiology. 2009;110:1158-1175.

BOOK/REPORT

HealthGrades Quality Study: Fourth Annual Patient Safety in American Hospitals Study.

Golden, CO: HealthGrades, Inc.; April 2007.

STUDY

Relevance of the Agency for Healthcare Research and Quality Patient Safety Indicators for children's hospitals.

Sedman A, Harris JM 2nd, Schulz K, et al. Pediatrics. 2005;115:135-145.

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