AHRQ Patient Safety Network

The Collection > United States of America

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Safety Target

•Device-related Complications (166)

•Diagnostic Errors (151)

•Identification Errors (140)

•Discontinuities, Gaps, and Hand-Off Problems (365)

•Fatigue and Sleep Deprivation (95)

•Medication Safety (939)

•Medical Complications (400)

•Nonsurgical Procedural Complications (86)

•Surgical Complications (607)

•Transfusion Complications (21)

•Psychological and Social Complications (144)

Origin/Sponsor
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United States of America

•United States Federal Government (317)

•State Governments and Agencies (59)

Resource Types

•Clinical Guideline (10)

•Journal Article (2370)

•Legislation/Regulation (72)

•Meeting/Conference (44)

•Newsletter/Journal (14)

•Newspaper/Magazine Article (550)

•Press Release/Announcement (43)

•Special or Theme Issue (60)

•Tools/Toolkit (67)

•Web Resource (137)

•Grant (12)

Error Types

•Epidemiology of Errors and Adverse Events (671)

•Active Errors (637)

•Latent Errors (334)

•Near Miss (71)

Approach to Improving Safety

•Quality Improvement Strategies (950)

•Legal and Policy Approaches (573)

•Error Reporting and Analysis (1060)

•Communication Improvement (903)

•Human Factors Engineering (474)

•Teamwork (306)

•Specialization of Care (215)

•Logistical Approaches (264)

•Culture of Safety (578)

•Technologic Approaches (627)

•Education and Training (726)

Clinical Areas

•Allied Health Services (10)

Target Audience

•Health Care Providers (2772)

•Health Care Executives and Administrators (2882)

•Non-Health Care Professionals (1511)

•Patients (426)

Setting of Care

•Hospitals (2214)

•Psychiatric Facilities (14)

•Residential Facilities (62)

•Ambulatory Care (330)

•Outpatient Surgery (58)

•Patient Transport (22)

1 - 20 of 3758

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COMMENTARY

Learning from adverse events and near misses.

Greenberg CC. J Gastrointest Surg. 2008;13:3-5.

BOOK/REPORT

MHA Keystone Center for Patient Safety & Quality 2010 Annual Report.

Lansing, MI: Michigan Health & Hospital Association; October 2010.

MULTI-USE WEBSITE

Safe Surgery 2015.

Harvard School of Public Health.

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.

BOOK/REPORT

Tennessee Center for Patient Safety Annual Report 2010.

Nashville, TN: Tennessee Center for Patient Safety; August 2011.

BOOK/REPORT

Patient Safety Authority Annual Reports.

Harrisburg, PA: Patient Safety Authority; April 2012.

BOOK/REPORT

Safe Surgery Guide.

Oakbrook Terrace, IL: Joint Commission Resources; 2010. ISBN: 9781599404073.

COMMENTARY

Resident duty hours in surgery for ensuring patient safety, providing optimum resident education and training, and promoting resident well-being: a response from the American College of Surgeons to the Report of the Institute of Medicine, "Resident Duty Hours: Enhancing Sleep, Supervision, and Safety."

Britt LD, Sachdeva AK, Healy GB, Whalen TV, Blair PG; Members of the ACS Task Force on Resident Duty Hours. Surgery. 2009;146:398-409.

STUDY

A surgical safety checklist to reduce morbidity and mortality in a global population.

Haynes AB, Weiser TG, Berry WR, et al; for the Safe Surgery Saves Lives Study Group. N Engl J Med. 2009;360:491-499.

BOOK/REPORT

Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2009.

Oakbrook Terrace, IL: The Joint Commission; January 2010.

STUDY

Surgical training, duty-hour restrictions, and implications for meeting the Accreditation Council for Graduate Medical Education core competencies: views of surgical interns compared with program directors.

Antiel RM, Van Arendonk KJ, Reed DA, et al. Arch Surg. 2012;147:536-541.

NEWSPAPER/MAGAZINE ARTICLE

Failed check system for chemotherapy leads to pharmacist's "no contest" plea for involuntary manslaughter.

ISMP Medication Safety Alert! Acute Care Edition. April 23, 2009;14:1-2.

COMMENTARY classic

Case 34-2010: a 65-year-old woman with an incorrect operation on the left hand.

Ring DC, Herndon JH, Meyer GS. N Engl J Med. 2010;363:1950-1957.

SPECIAL OR THEME ISSUE

Patient Safety.

Martin RF, Sanchez JA, eds. Surg Clin North Am. 2012;92:1-177.

NEWSPAPER/MAGAZINE ARTICLE

Doctor uses 'pre-flight' checklist.

Bernhard B. The Orange County Register. April 19, 2006.

AUDIOVISUAL

Chasing Zero: Winning the War on Healthcare Harm.

Austin, TX: Texas Medical Institute for Technology and the Quaid Foundation; 2010.

COMMENTARY

How long does it take to train a surgeon?

Purcell Jackson G, Tarpley JL. BMJ. 2009;339:b4260.

STUDY

Errors with concentrated epinephrine in otolaryngology.

Shah RK, Hoy E, Roberson DW, Nielsen D. Laryngoscope. 2008 Nov; 118: 1928-30.

COMMENTARY

The 5th anniversary of the "Universal Protocol": pitfalls and pearls revisited.

Stahel PF, Mehler PS, Clarke TJ, Varnell J. Patient Saf Surg. 2009;3:14.

AUDIOVISUAL classic

"To Err Is Human" Report Retrospective and the Decade Ahead.

2009 NPSF Congress: Lucian Leape Institute Plenary. Boston, MA: National Patient Safety Foundation; May 21, 2009.

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