AHRQ Patient Safety Network

The Collection > United States of America

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Safety Target

•Device-related Complications (160)

•Diagnostic Errors (171)

•Identification Errors (108)

•Discontinuities, Gaps, and Hand-Off Problems (464)

•Fatigue and Sleep Deprivation (108)

•Medication Safety (1069)

•Medical Complications (455)

•Nonsurgical Procedural Complications (86)

•Surgical Complications (375)

•Transfusion Complications (23)

•Psychological and Social Complications (128)

Origin/Sponsor
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United States of America

•United States Federal Government (221)

•State Governments and Agencies (34)

Resource Types

•Audiovisual (45)

•Award (22)

•Book/Report (179)

•Clinical Guideline (7)

•Journal Article (2679)

•Legislation/Regulation (49)

•Meeting/Conference (22)

•Newsletter/Journal (4)

•Newspaper/Magazine Article (483)

•Press Release/Announcement (19)

•Special or Theme Issue (29)

•Tools/Toolkit (52)

•Web Resource (63)

•Grant (3)

Error Types

•Epidemiology of Errors and Adverse Events (1056)

•Active Errors (506)

•Latent Errors (223)

•Near Miss (63)

Approach to Improving Safety

•Quality Improvement Strategies (879)

•Legal and Policy Approaches (375)

•Error Reporting and Analysis (1109)

•Communication Improvement (826)

•Human Factors Engineering (435)

•Teamwork (264)

•Specialization of Care (272)

•Logistical Approaches (328)

•Culture of Safety (462)

•Technologic Approaches (652)

•Education and Training (670)

Clinical Areas

•Allied Health Services (7)

Target Audience

•Health Care Providers (2382)

•Health Care Executives and Administrators (2947)

•Non-Health Care Professionals (1284)

•Patients (295)

Setting of Care

•Hospitals (2692)

•Psychiatric Facilities (14)

•Residential Facilities (69)

•Ambulatory Care (352)

•Outpatient Surgery (41)

•Patient Transport (21)

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STUDY

Comparing two safety culture surveys: Safety Attitudes Questionnaire and Hospital Survey on Patient Safety.

Etchegaray JM, Thomas EJ. BMJ Qual Saf. 2012;21:490-498.

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.

STUDY

Differences in outcomes between ICU attending and senior resident physician led medical emergency team responses.

Morris DS, Schweickert W, Holena D, et al. Resuscitation. 2012;83:1434-1437.

STUDY

Determining a patient's comfort in inquiring about healthcare providers' hand-washing behavior.

Clare CA, Afzal O, Knapp K, Viola D. J Patient Saf. 2013;9:68-74.

BOOK/REPORT

HealthGrades Eighth Annual Patient Safety in American Hospitals Study.

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

STUDY

Adverse drug events among hospitalized Medicare patients: epidemiology and national estimates from a new approach to surveillance.

Classen DC, Jaser L, Budnitz DS. Jt Comm J Qual Patient Saf. 2010;36:12-21, AP1-AP9.

STUDY

Exploring relationships between hospital patient safety culture and adverse events.

Mardon RE, Khanna K, Sorra J, Dyer N, Famolaro T. J Patient Saf. 2010;6:226-232.

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

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.

REVIEW

Bar code technology and medication administration error.

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

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.

NEWSPAPER/MAGAZINE ARTICLE

Patients taking their own medications while in the hospital.

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

COMMENTARY

ISMP medication error report analysis.

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

STUDY

An exploratory study measuring verbal order content and context.

Wakefield DS, Brokel J, Ward MM, Schwichtenberg T, Groath D, Kolb M, Davis JW, Crandall D. Qual Saf Health Care. 2009;18:169-173.

NEWSPAPER/MAGAZINE ARTICLE

Alarm fatigue hazards: the sirens are calling.

Welch J. Patient Saf Qual Healthc. May/June 2012;9:26-29,32-33.

STUDY

Getting doctors to clean their hands: lead the followers.

Haessler S, Bhagavan A, Kleppel R, Hinchey K, Visintainer P. BMJ Qual Saf. 2012;21:499-502.

STUDY

Examining the impact of the AHRQ Patient Safety Indicators (PSIs) on the Veterans Health Administration: the case of readmissions.

Rosen AK, Loveland S, Shin M, et al. Med Care. 2013;51:37-44.

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