AHRQ Patient Safety Network

The Collection > United States of America

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Safety Target

•Device-related Complications (173)

•Diagnostic Errors (265)

•Identification Errors (121)

•Discontinuities, Gaps, and Hand-Off Problems (472)

•Fatigue and Sleep Deprivation (116)

•Medication Safety (1133)

•Medical Complications (465)

•Nonsurgical Procedural Complications (100)

•Surgical Complications (382)

•Transfusion Complications (22)

•Psychological and Social Complications (147)

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United States of America

•United States Federal Government (279)

•State Governments and Agencies (41)

Resource Types

•Clinical Guideline (9)

•Journal Article (2750)

•Legislation/Regulation (61)

•Meeting/Conference (28)

•Newsletter/Journal (11)

•Newspaper/Magazine Article (568)

•Press Release/Announcement (39)

•Special or Theme Issue (53)

•Tools/Toolkit (71)

•Web Resource (112)

•Grant (7)

Error Types

•Epidemiology of Errors and Adverse Events (862)

•Active Errors (623)

•Latent Errors (267)

•Near Miss (77)

Approach to Improving Safety

•Quality Improvement Strategies (974)

•Legal and Policy Approaches (501)

•Error Reporting and Analysis (1339)

•Communication Improvement (942)

•Human Factors Engineering (467)

•Teamwork (280)

•Specialization of Care (276)

•Logistical Approaches (332)

•Culture of Safety (546)

•Technologic Approaches (693)

•Education and Training (745)

Clinical Areas

•Allied Health Services (9)

Target Audience

•Health Care Providers (2951)

•Health Care Executives and Administrators (2991)

•Non-Health Care Professionals (1414)

•Patients (423)

Setting of Care

•Hospitals (2696)

•Psychiatric Facilities (15)

•Residential Facilities (71)

•Ambulatory Care (401)

•Outpatient Surgery (45)

•Patient Transport (24)

1 - 20 of 4064

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NEWSPAPER/MAGAZINE ARTICLE

Diagnostic error in acute care.

PA-PSRS Patient Saf Advis. 2010;7:76-86.

STUDY

The cost of pneumonia after acute stroke.

Katzan IL, Dawson NV, Thomas CL, Votruba ME, Cebul RD. Neurology. 2007;68:1938-1943.

COMMENTARY

Human cognition and the dynamics of failure to rescue: the Lewis Blackman case.

Acquaviva K, Haskell H, Johnson J. J Prof Nurs. 2013;29:95-101.

STUDY

Venous thromboembolism after trauma: a never event?

Thorson CM, Ryan ML, Van Haren RM, et al. Crit Care Med. 2012;40:2967-2973.

BOOK/REPORT

Hospital Reporting Program.

Portland, OR: Oregon Patient Safety Commission.

BOOK/REPORT

Saving Lives, Saving Money: The Imperative for Computerized Physician Order Entry in Massachusetts Hospitals.

Adams M, Bates D, Coffman G, Everett W. Westborough, MA: Massachusetts Technology Collaborative and New England Healthcare Institute; 2008.

STUDY

Thirty-day, all-cause readmissions for elderly patients who have an injury-related inpatient stay.

Spector WD, Mutter R, Owens P, Limcangco R. Med Care. 2012;50:863-869.

NEWSPAPER/MAGAZINE ARTICLE

Massachusetts hospitals launch patient apology program.

Gallegos A. American Medical News. May 21, 2012.

STUDY

PCA safety data review after clinical decision support and smart pump technology implementation.

Prewitt J, Schneider S, Horvath M, Hammond J, Jackson J, Ginsberg B. J Patient Saf. 2013;9:103-109.

STUDY

The costs of adverse drug events in community hospitals.

Hug BL, Keohane C, Seger DL, Yoon C, Bates DW. Jt Comm J Qual Patient Saf. 2012;38:120-126.

COMMENTARY

ISMP medication error report analysis.

Cohen MR. Hosp Pharm. 2009;44:654-657.

MEASUREMENT TOOL/INDICATOR

Tubing Misconnections Self Assessment for Healthcare Facilities.

Horsham, PA: Institute for Safe Medication Practices, Deerfield, IL: Baxter Healthcare; 2012.

STUDY

Improving situation awareness to reduce unrecognized clinical deterioration and serious safety events.

Brady PW, Muething S, Kotagal U, et al. Pediatrics. 2013;131:e298-e308.

STUDY

Triangulating case-finding tools for patient safety surveillance: a cross-sectional case study of puncture/laceration.

Taylor JA, Gerwin D, Morlock L, Miller MR. Inj Prev. 2011;17:388-393.

STUDY

Adverse drug events caused by serious medication administration errors.

Kale A, Keohane CA, Maviglia S, Gandhi TK, Poon EG. BMJ Qual Saf. 2012;21:933-938.

STUDY

Cognitive errors and logistical breakdowns contributing to missed and delayed diagnoses of breast and colorectal cancers: a process analysis of closed malpractice claims.

Poon EG, Kachalia A, Puopolo AL, Gandhi TK, Studdert DM. J Gen Intern Med. 2012;27:1416-1423.

STUDY

Anticoagulation-associated adverse drug events.

Piazza G, Nguyen TN, Cios D, et al. Am J Med. 2011;124:1136-1142.

STUDY

Contemporary evidence about hospital strategies for reducing 30-day readmissions: a national study.

Bradley EH, Curry L, Horwitz LI, et al. J Am Coll Cardiol. 2012;60:607-614.

REVIEW

Inpatient suicide: preventing a common sentinel event.

Tishler CL, Reiss NS. Gen Hosp Psychiatry. 2009;31:103-109.

STUDY

Vital sign abnormalities, rapid response, and adverse outcomes in hospitalized patients.

Fagan K, Sabel A, Mehler PS, MacKenzie TD. Am J Med Qual. 2012;27:480-486.

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