AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (169)

•Diagnostic Errors (169)

•Identification Errors (111)

•Discontinuities, Gaps, and Hand-Off Problems (478)

•Fatigue and Sleep Deprivation (109)

•Medication Safety (1249)

•Medical Complications (530)

•Nonsurgical Procedural Complications (94)

•Surgical Complications (373)

•Transfusion Complications (24)

•Psychological and Social Complications (145)

Origin/Sponsor
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United States of America

•United States Federal Government (400)

•State Governments and Agencies (66)

Resource Types

•Audiovisual (64)

•Bibliography (3)

•Book/Report (318)

•Clinical Guideline (10)

•Journal Article (2819)

•Legislation/Regulation (73)

•Meeting/Conference (48)

•Newsletter/Journal (19)

•Newspaper/Magazine Article (592)

•Press Release/Announcement (34)

•Special or Theme Issue (68)

•Tools/Toolkit (90)

•Web Resource (154)

Error Types

•Epidemiology of Errors and Adverse Events (788)

•Active Errors (529)

•Latent Errors (264)

•Near Miss (62)

Approach to Improving Safety

•Quality Improvement Strategies (1168)

•Legal and Policy Approaches (586)

•Error Reporting and Analysis (1171)

•Communication Improvement (996)

•Human Factors Engineering (484)

•Teamwork (327)

•Specialization of Care (308)

•Logistical Approaches (337)

•Culture of Safety (636)

•Technologic Approaches (819)

•Education and Training (803)

Clinical Areas

•Allied Health Services (11)

•Dentistry (2)

•Medicine (2664)

•Nursing (301)

•Pharmacy (495)

Target Audience

•Health Care Providers (3029)

•Health Care Executives and Administrators (3278)

•Non-Health Care Professionals (1712)

•Patients (446)

Setting of Care

•Hospitals (2732)

•Psychiatric Facilities (15)

•Residential Facilities (78)

•Ambulatory Care (414)

•Outpatient Surgery (45)

•Patient Transport (21)

1 - 20 of 4355

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AUDIOVISUAL

Chasing Zero: Winning the War on Healthcare Harm.

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

BOOK/REPORT

Tennessee Center for Patient Safety Annual Report 2010.

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

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.

BOOK/REPORT

Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2010.

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

STUDY

Impact of a statewide intensive care unit quality improvement initiative on hospital mortality and length of stay: retrospective comparative analysis.

Lipitz-Snyderman A, Steinwachs D, Needham DM, Colantuoni E, Morlock LL, Pronovost PJ. BMJ. 2011;342:d219.

BOOK/REPORT

Meeting the Joint Commission's 2013 National Patient Safety Goals.

Oakbrook Terrace, IL: The Joint Commission; September 2012. ISBN: 9781599407555.

COMMENTARY

Moving beyond readmission penalties: creating an ideal process to improve transitional care.

Burke RE, Kripalani S, Vasilevskis EE, Schnipper JL. J Hosp Med. 2013;8:102-109.

AWARD RECIPIENT

The Leapfrog Group Announces the 2008 Leapfrog Top Hospitals.

Washington, DC: Leapfrog Group; September 24, 2008.

BOOK/REPORT

Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2012.

Oakbrook Terrace, IL: The Joint Commission; September 2012.

BOOK/REPORT

Improving America's Hospitals: The Joint Commission's Report on Quality and Safety 2008.

Oakbrook Terrace, IL: The Joint Commission; November 2008.

COMMENTARY

Financial incentives to promote health care quality: the hospital acquired conditions nonpayment policy.

Kavanagh KT. Soc Work Public Health. 2011;26:524-541.

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

Making inpatient medication reconciliation patient centered, clinically relevant and implementable: a consensus statement on key principles and necessary first steps.

Greenwald JL, Halasyamani L, Greene J, et al. J Hosp Med. 2010;5:477-485.

BOOK/REPORT

Health Care Leader Action Guide to Reduce Avoidable Readmissions.

Osei-Anto A, Joshi M, Audet AJ, Berman A, Jencks SF. New York, NY: The Commonwealth Fund, The John Hartford Foundation, Health Research and Educational Trust; January 25, 2010.

STUDY

classic

Does the Leapfrog program help identify high-quality hospitals?

Jha AK, Orav EJ, Ridgway AB, Zheng J, Epstein AM. Jt Comm J Qual Patient Saf. 2008;34:318-325.

BOOK/REPORT

Patient-Centered Care Improvement Guide.

Frampton S, Guastello S, Brady C, et al. Derby, CT: Planetree; Camden, ME: Picker Institute; 2008.

NEWSPAPER/MAGAZINE ARTICLE

Hospital safety records, CEO pay increasingly linked.

Wilson B. Am Med News. November 26, 2007:50:16.

BOOK/REPORT

Adverse Events in Hospitals: Care Study of Incidence Among Medicare Beneficiaries in Two Selected Counties.

Levinson DR. Washington, DC: US Department of Health and Human Services, Office of the Inspector General; December 2008. Report No. OEI-06-08-00220.

NEWSPAPER/MAGAZINE ARTICLE

Cause for concern: drug shortages disrupt operations, tax hospitalists' treatment patterns.

Collins TR. The Hospitalist. July 2011.

AUDIOVISUAL PRESENTATION

North Carolina Just Culture Journey.

Plano, TX: Just Culture Community; November 2008.

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