AHRQ Patient Safety Network

The Collection > United States of America

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Safety Target

•Device-related Complications (151)

•Diagnostic Errors (197)

•Identification Errors (122)

•Discontinuities, Gaps, and Hand-Off Problems (438)

•Fatigue and Sleep Deprivation (115)

•Medication Safety (1042)

•Medical Complications (379)

•Nonsurgical Procedural Complications (84)

•Surgical Complications (362)

•Transfusion Complications (20)

•Psychological and Social Complications (152)

Origin/Sponsor
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United States of America

•United States Federal Government (209)

•State Governments and Agencies (30)

Resource Types

•Audiovisual (62)

•Award (23)

•Book/Report (184)

•Clinical Guideline (10)

•Journal Article (2428)

•Legislation/Regulation (51)

•Meeting/Conference (15)

•Newsletter/Journal (8)

•Newspaper/Magazine Article (602)

•Press Release/Announcement (19)

•Special or Theme Issue (30)

•Tools/Toolkit (67)

•Web Resource (71)

•Grant (4)

Error Types

•Epidemiology of Errors and Adverse Events (737)

•Active Errors (632)

•Latent Errors (222)

•Near Miss (67)

Approach to Improving Safety

•Quality Improvement Strategies (852)

•Legal and Policy Approaches (438)

•Error Reporting and Analysis (1057)

•Communication Improvement (932)

•Human Factors Engineering (383)

•Teamwork (204)

•Specialization of Care (238)

•Logistical Approaches (321)

•Culture of Safety (439)

•Technologic Approaches (646)

•Education and Training (660)

Clinical Areas

•Allied Health Services (6)

Target Audience

•Health Care Providers (2460)

•Health Care Executives and Administrators (2570)

•Non-Health Care Professionals (1155)

•Patients (409)

Setting of Care

•Hospitals (2481)

•Psychiatric Facilities (10)

•Residential Facilities (56)

•Ambulatory Care (360)

•Outpatient Surgery (40)

•Patient Transport (17)

1 - 20 of 3574

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COMMENTARY

Anatomy of an incident disclosure: the importance of dialogue.

Iedema R, Allen S. Jt Comm J Qual Patient Saf. 2012;38:435-442.

STUDY

Disclosure-and-resolution programs that include generous compensation offers may prompt a complex patient response.

Murtagh L, Gallagher TH, Andrew P, Mello MM. Health Aff (Millwood). 2012;31:2681-2689.

STUDY

Outcomes of care by hospitalists, general internists, and family physicians.

Lindenauer PK, Rothberg MB, Pekow PS, Kenwood C, Benjamin EM, Auerbach AD. N Engl J Med. 2007;357:2589-2600.

BOOK/REPORT classic

When Things Go Wrong: Responding to Adverse Events.

A Consensus Statement of the Harvard Hospitals. Burlington: Massachusetts Coalition for the Prevention of Medical Errors; 2006.

STUDY

Concept and development of a discharge alert filter for abnormal laboratory values coupled with computerized provider order entry: a tool for quality improvement and hospital risk management.

Mathew G, Kho A, Dexter P, et al. J Patient Saf. 2012;8:69-75.

COMMENTARY

As she lay dying: how I fought to stop medical errors from killing my mom.

Welch JR. Health Aff (Millwood). 2012;31:2817-2820.

COMMENTARY

ISMP medication error report analysis.

Cohen MR, Smetzer JL. Hosp Pharm. 2010;45:191-195.

STUDY

Adopting National Quality Forum medication safe practices: progress and barriers to hospital implementation.

Rask K, Culler S, Scott T, et al. J Hosp Med. 2007;2:212-218.

STUDY

Medical emergency team calls in the radiology department: patient characteristics and outcomes.

Ott LK, Pinsky MR, Hoffman LA, et al. BMJ Qual Saf. 2012 Mar 2; [Epup ahead of print].

NEWSPAPER/MAGAZINE ARTICLE

Baby has jaundice: is that a problem?

Zimmerman R. Wall Street Journal. February 6, 2007:A1.

NEWSPAPER/MAGAZINE ARTICLE

Minnesota hospitals are testing ways to reduce return trips.

Lerner M. Star Tribune. October 11, 2012.

AUDIOVISUAL

Chasing Zero: Winning the War on Healthcare Harm.

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

REVIEW

Bar code technology and medication administration error.

Young J, Slebodnik M, Sands L. J Patient Saf. 2010;6;115-120.

NEWSPAPER/MAGAZINE ARTICLE

The 'second victims' of medication errors begin to gain support.

Blum K. Pharm Pract News. November 2011.

NEWSPAPER/MAGAZINE ARTICLE

Massachusetts hospitals launch patient apology program.

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

STUDY

Bar-code verification: reducing but not eliminating medication errors.

Henneman PL, Marquard JL, Fisher DL, et al. J Nurs Adm. 2012;42:562-566.

NEWSPAPER/MAGAZINE ARTICLE

More families hear apologies following medical mistakes.

Greene L. St. Petersburg Times. August 19, 2008.

NEWSPAPER/MAGAZINE ARTICLE

Patients taking their own medications while in the hospital.

PA-PSRS Patient Saf Advis. June 2012;9:50-57.

NEWSPAPER/MAGAZINE ARTICLE

Don't let a hospital make you sick.

Mishori R. Parade Magazine. February 8, 2009.

STUDY

Costs and benefits of an early-alert surveillance system for hospital inpatients.

Marchetti A, Jacobs J, Young M, Martin J, Rossiter R. Curr Med Res Opin. 2007;23:9-16.

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