AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (39)

•Diagnostic Errors (53)

•Identification Errors (39)

•Discontinuities, Gaps, and Hand-Off Problems (59)

•Fatigue and Sleep Deprivation (12)

•Medication Safety (174)

•Medical Complications (91)

•Nonsurgical Procedural Complications (15)

•Surgical Complications (119)

•Transfusion Complications (4)

•Psychological and Social Complications (40)

Origin/Sponsor
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United States of America

•United States Federal Government (5)

•State Governments and Agencies (3)

Resource Types

•Audiovisual (63)

•Book/Report (61)

•Clinical Guideline (1)

•Journal Article (149)

•Legislation/Regulation (3)

•Meeting/Conference (2)

•Newsletter/Journal (4)

•Newspaper/Magazine Article (365)

•Press Release/Announcement (2)

•Special or Theme Issue (5)

•Tools/Toolkit (24)

•Web Resource (43)

Error Types

•Epidemiology of Errors and Adverse Events (86)

•Active Errors (138)

•Latent Errors (47)

•Near Miss (8)

Approach to Improving Safety

•Quality Improvement Strategies (161)

•Legal and Policy Approaches (201)

•Error Reporting and Analysis (288)

•Communication Improvement (195)

•Human Factors Engineering (70)

•Teamwork (26)

•Specialization of Care (30)

•Logistical Approaches (36)

•Culture of Safety (79)

•Technologic Approaches (96)

•Education and Training (143)

Clinical Areas

•Allied Health Services (1)

•Dentistry (1)

•Medicine (436)

•Nursing (22)

•Pharmacy (79)

Target Audience

•Health Care Providers (348)

•Health Care Executives and Administrators (304)

•Non-Health Care Professionals (214)

•Patients (583)

Setting of Care

•Hospitals (406)

•Psychiatric Facilities (16)

•Residential Facilities (13)

•Ambulatory Care (66)

•Outpatient Surgery (16)

•Patient Transport (4)

1 - 20 of 729

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NEWSPAPER/MAGAZINE ARTICLE

Hospital infections hard to gauge.

Hamill SD. Pittsburgh Post-Gazette. April 18, 2010:A1.

AUDIOVISUAL

Nebraska Medical Center investigates staff after girl's death.

Luby R. KETV. Omaha, NE. March 31, 2010.

NEWSPAPER/MAGAZINE ARTICLE

Protecting patients: hospitals wrestle with reporting and fixing medical mistakes.

Collins LM. Deseret Morning News. July 8, 2007;A1.

STUDY

Supporting a psychiatric hospital culture of safety.

Mahoney JS, Ellis TE, Garland G, Palyo N, Greene PK. J Am Psychiatr Nurses Assoc. 2012;18:299-306.

STUDY

High-risk, high-alert medication management practices in a regional state psychiatric facility.

McKee J, Cleary S. Hosp Pharm. 2007;42:323–330.

NEWSPAPER/MAGAZINE ARTICLE

For some troops, powerful drug cocktails have deadly results.

Dao J, Carey B, Frosch D. New York Times. February 13, 2011;A1.

NEWSPAPER/MAGAZINE ARTICLE

Hospital errors jeopardize Angola virus battle.

Grady D. New York Times. April 30, 2005.

BOOK/REPORT

Adverse Health Events in Minnesota: Ninth Annual Public Report.

St. Paul, MN: Minnesota Department of Health; January 2013.

NEWSPAPER/MAGAZINE ARTICLE

The bell curve.

Gawande A. The New Yorker. December 6, 2004;82-91.

STUDY

Engaging patients and family members in patient safety—the experience of the New York City Health and Hospitals Corporation.

Wale JB, Moon RR. Psychiatr Q. Spring 2005;76:85-95.

AUDIOVISUAL

Obama Administration introduces plan to reduce preventable medical errors.

PBS News Hour. April 12, 2011.

AUDIOVISUAL

Remaking American Medicine.

Public Broadcasting Service. Thursdays, October 5–26, 2006, 10:00–11:00 PM (Eastern).

STUDY

Identifying and reducing medication errors in psychiatry: creating a culture of safety through the use of an adverse event reporting mechanism.

Jayaram G, Doyle D, Steinwachs D, Samuels J. J Psychiatr Pract. 2011;17:81–88.

COMMENTARY

Global priorities for patient safety research.

Bates DW, Larizgoitia I, Prasopa-Plaizier N, Jha AK; Research Priority Setting Working Group of the WHO World Alliance for Patient Safety. BMJ. 2009;338:b1775.

NEWSPAPER/MAGAZINE ARTICLE

Little or no progress on medical mistakes in Florida.

Kestin S, LaMendola B. Sun Sentinel. July 29, 2011.

COMMENTARY

Medication errors in family practice, in hospitals and after discharge from the hospital: an ethical analysis.

Clark PA. J Law Med Ethics. 2004;32:349-357.

NEWSPAPER/MAGAZINE ARTICLE

Genome detectives solve a hospital's deadly outbreak.

Kolata G. New York Times. August 22, 2012.

NEWSPAPER/MAGAZINE ARTICLE

Learning from the best.

Grantham D. Behav Healthc. April 2010;30:22-24.

STUDY

Toward understanding errors in inpatient psychiatry: a qualitative inquiry.

Cullen SW, Nath SB, Marcus SC. Psychiatr Q. 2010;81:197-205.

MULTI-USE WEBSITE

Dead by Mistake.

Crowley CF, Nalder E. New York, NY: Hearst Digital News; August 2009.

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