AHRQ Patient Safety Network

The Collection > United States of America

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Safety Target

•Device-related Complications (181)

•Diagnostic Errors (165)

•Identification Errors (122)

•Discontinuities, Gaps, and Hand-Off Problems (460)

•Fatigue and Sleep Deprivation (115)

•Medication Safety (1140)

•Medical Complications (525)

•Nonsurgical Procedural Complications (106)

•Surgical Complications (536)

•Transfusion Complications (22)

•Psychological and Social Complications (151)

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United States of America

•United States Federal Government (227)

•State Governments and Agencies (43)

Resource Types

•Clinical Guideline (9)

•Journal Article (2849)

•Legislation/Regulation (63)

•Meeting/Conference (32)

•Newsletter/Journal (12)

•Newspaper/Magazine Article (569)

•Press Release/Announcement (29)

•Special or Theme Issue (58)

•Tools/Toolkit (73)

•Web Resource (129)

•Grant (11)

Error Types

•Epidemiology of Errors and Adverse Events (848)

•Active Errors (567)

•Latent Errors (254)

•Near Miss (69)

Approach to Improving Safety

•Quality Improvement Strategies (1006)

•Legal and Policy Approaches (446)

•Error Reporting and Analysis (1140)

•Communication Improvement (969)

•Human Factors Engineering (523)

•Teamwork (344)

•Specialization of Care (303)

•Logistical Approaches (334)

•Culture of Safety (570)

•Technologic Approaches (736)

•Education and Training (831)

Clinical Areas

•Allied Health Services (10)

Target Audience

•Health Care Providers (3012)

•Health Care Executives and Administrators (3176)

•Non-Health Care Professionals (1497)

•Patients (426)

Setting of Care

•Hospitals (2845)

•Psychiatric Facilities (13)

•Residential Facilities (72)

•Ambulatory Care (350)

•Outpatient Surgery (55)

•Patient Transport (24)

1 - 20 of 4173

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STUDY

Defining the incidence of cardiorespiratory instability in patients in step-down units using an electronic integrated monitoring system.

Hravnak M, Edwards L, Clontz A, Valenta C, DeVita MA, Pinsky MR. Arch Intern Med. 2008;168:1300-1308.

NEWSPAPER/MAGAZINE ARTICLE

Saving lives: hospitals have signed on to a six-part plan to avoid a multitude of unnecessary deaths.

Comarow A. US News & World Report. July 18, 2005;139:74,76,79.

STUDY

A 5-year analysis of rapid response system activation at an in-hospital haemodialysis unit.

Galhotra S, Devita MA, Dew MA, Simmons RL. Qual Saf Health Care. 2010;19:e38.

REVIEW

Rapid response teams: a systematic review and meta-analysis.

Chan PS, Jain R, Nallmothu BK, Berg RA, Sasson C. Arch Intern Med. 2010;170:18-26.

STUDY

A reduction in cardiac arrests and duration of clinical instability after implementation of a paediatric rapid response system.

Hanson CC, Randolph GD, Erickson JA, et al. Qual Saf Health Care. 2009;18:500-504.

COMMENTARY

Evolution of a rapid response system from voluntary to mandatory activation.

Jones CM, Bleyer AJ, Petree B. Jt Comm J Qual Patient Saf. 2010;36:266-270.

COMMENTARY

Rapid response systems: from implementation to evidence base.

Sarani B, Scott S. Jt Comm J Qual Patient Saf. 2010;36:514-517.

COMMENTARY

Rethinking rapid response teams.

Litvak E, Pronovost PJ. JAMA. 2010;304:1375-1376.

COMMENTARY

Experience with family activation of rapid response teams.

Bogert S, Ferrell C, Rutledge DN. Medsurg Nurs. 2010;19:215-222.

NEWSPAPER/MAGAZINE ARTICLE

Beware of basal opioid infusions with PCA therapy.

ISMP Medication Safety Alert! Acute Care Edition. March 12, 2009;14:1-3.

STUDY

The role of the non-ICU staff nurse on a medical emergency team: perceptions and understanding.

Pusateri ME, Prior MM, Kiely SC. Am J Nurs. 2011;111:22-29.

COMMENTARY

Development of a modified early warning score using the electronic medical record.

Albert BL, Huesman L. Dimens Crit Care Nurs. 2011;30:283-292.

COMMENTARY

Miles to go: an introduction to the 5 Million Lives Campaign.

McCannon CJ, Hackbarth AD, Griffin FA. Jt Comm J Qual Patient Saf. 2007;33:477-484.

COMMENTARY

Eliminating preventable death at Ascension Health.

Tolchin S, Brush R, Lange P, Bates P, Garbo JJ. Jt Comm J Qual Patient Saf. 2007;33:145-154.

STUDY

Prevalence of adverse events in pediatric intensive care units in the United States.

Agarwal S, Classen D, Larsen G, et al. Pediatr Crit Care Med. 2010;11:568-578.

STUDY

Nurses' perceptions of simulation-based interprofessional training program for rapid response and code blue events.

Wehbe-Janek H, Lenzmeier CR, Ogden PE, et al. J Nurs Care Qual. 2012;27:43-50.

STUDY

Single-parameter early warning criteria to predict life-threatening adverse events.

Rothschild JM, Gandara E, Woolf S, Williams DH, Bates DW. J Patient Saf. 2010;6:97-101.

STUDY

How RNs rescue patients: a qualitative study of RNs' perceived involvement in rapid response teams.

Leach LS, Mayo A, O'Rourke M. Qual Saf Health Care. 2010;19:e13.

STUDY

Developing and evaluating a trigger response system.

Cherry K, Martinek J, Esleck S, Ivory A, Logan R, Ward J. Jt Comm J Qual Patient Saf. 2009;35:331-338.

STUDY

Retrospective review of emergency response activations during a 13-year period at a tertiary care children's hospital.

Wang GS, Erwin N, Zuk J, Henry DB, Dobyns EL. J Hosp Med. 2011;6:131-135.

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