AHRQ Patient Safety Network

The Collection > United States of America

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Safety Target

•Device-related Complications (181)

•Diagnostic Errors (175)

•Identification Errors (119)

•Discontinuities, Gaps, and Hand-Off Problems (462)

•Fatigue and Sleep Deprivation (112)

•Medication Safety (1153)

•Medical Complications (494)

•Nonsurgical Procedural Complications (93)

•Surgical Complications (408)

•Transfusion Complications (20)

•Psychological and Social Complications (157)

Origin/Sponsor
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United States of America

•United States Federal Government (383)

•State Governments and Agencies (69)

Resource Types

•Clinical Guideline (9)

•Journal Article (2660)

•Legislation/Regulation (71)

•Meeting/Conference (41)

•Newsletter/Journal (16)

•Newspaper/Magazine Article (698)

•Press Release/Announcement (43)

•Special or Theme Issue (58)

•Tools/Toolkit (94)

•Web Resource (167)

•Grant (12)

Error Types

•Epidemiology of Errors and Adverse Events (759)

•Active Errors (576)

•Latent Errors (264)

•Near Miss (62)

Approach to Improving Safety

•Quality Improvement Strategies (1086)

•Legal and Policy Approaches (619)

•Error Reporting and Analysis (1185)

•Communication Improvement (1019)

•Human Factors Engineering (482)

•Teamwork (309)

•Specialization of Care (291)

•Logistical Approaches (326)

•Culture of Safety (634)

•Technologic Approaches (757)

•Education and Training (803)

Clinical Areas

•Allied Health Services (10)

Target Audience

•Health Care Providers (2939)

•Health Care Executives and Administrators (3143)

•Non-Health Care Professionals (1655)

•Patients (659)

Setting of Care

•Hospitals (2716)

•Psychiatric Facilities (16)

•Residential Facilities (71)

•Ambulatory Care (410)

•Outpatient Surgery (48)

•Patient Transport (21)

1 - 20 of 4316

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BOOK/REPORT classic

Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2011.

Oakbrook Terrace, IL: The Joint Commission; September 2011.

BOOK/REPORT

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

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

MULTI-USE WEBSITE

HAC Posting on Hospital Compare.

Centers for Medicare & Medicaid Services.

BOOK/REPORT

HealthGrades Sixth Annual Patient Safety in American Hospitals Study.

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

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.

NEWSPAPER/MAGAZINE ARTICLE

Perfect is possible.

Berwick DM, Leape LL. Newsweek. October 16, 2006:70-71.

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

How do black-serving hospitals perform on patient safety indicators?: Implications for national public reporting and pay-for-performance.

Ly DP, Lopez L, Isaac T, Jha AK. Med Care. 2010;48:1133-1137.

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

The First Annual HealthGrades Pediatric Patient Safety in American Hospitals Study.

Reed K, May R. Golden, CO: Health Grades, Inc; 2010.

BOOK/REPORT

2009 National Healthcare Quality Report.

Rockville, MD: Agency for Healthcare Research and Quality; March 2010. AHRQ Publication No. 10-0003.

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.

COMMENTARY

Medicare nonpayment, hospital falls, and unintended consequences.

Inouye SK, Brown CJ, Tinetti ME. N Engl J Med. 2009;360:2390-2393.

STUDY

Is patient safety improving? National trends in patient safety indicators: 1998–2007.

Downey JR, Hernandez-Boussard T, Banka G, Morton JM. Health Serv Res. 2012;47:414-430.

STUDY

Preliminary assessment of pediatric health care quality and patient safety in the United States using readily available administrative data.

McDonald KM, Davies SM, Haberland CA, et al. Pediatrics. 2008;122:e416-e425.

STUDY

How often are potential patient safety events present on admission?

Houchens RL, Elixhauser A, Romano PS. Jt Comm J Qual Patient Saf. 2008;34:154-163.

AUDIOVISUAL

Battling hospital-acquired infections.

Gross T. "Fresh Air." National Public Radio. January 9, 2008.

AUDIOVISUAL PRESENTATION

North Carolina Just Culture Journey.

Plano, TX: Just Culture Community; November 2008.

BOOK/REPORT

HealthGrades Eighth Annual Patient Safety in American Hospitals Study.

Reed K, May R. Denver, CO: HealthGrades, Inc.; March 2011.

NEWSPAPER/MAGAZINE ARTICLE

10 things your hospital won't tell you.

Kapadia R. Smart Money. October 2006;15:112-114.

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