AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (105)

•Diagnostic Errors (116)

•Identification Errors (81)

•Discontinuities, Gaps, and Hand-Off Problems (288)

•Fatigue and Sleep Deprivation (76)

•Medication Safety (768)

•Medical Complications (286)

•Nonsurgical Procedural Complications (32)

•Surgical Complications (269)

•Transfusion Complications (14)

•Psychological and Social Complications (109)

Origin/Sponsor
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United States of America

•United States Federal Government (60)

•State Governments and Agencies (11)

Resource Types

•Audiovisual (32)

•Bibliography (2)

•Book/Report (169)

•Clinical Guideline (2)

•Journal Article (1834)

•Legislation/Regulation (29)

•Meeting/Conference (23)

•Newsletter/Journal (5)

•Newspaper/Magazine Article (350)

•Press Release/Announcement (9)

•Special or Theme Issue (41)

•Tools/Toolkit (30)

•Web Resource (51)

Error Types

•Epidemiology of Errors and Adverse Events (1018)

•Active Errors (271)

•Latent Errors (124)

•Near Miss (47)

Approach to Improving Safety

•Quality Improvement Strategies (673)

•Legal and Policy Approaches (322)

•Error Reporting and Analysis (834)

•Communication Improvement (675)

•Human Factors Engineering (245)

•Teamwork (169)

•Specialization of Care (189)

•Logistical Approaches (199)

•Culture of Safety (409)

•Technologic Approaches (458)

•Education and Training (430)

Clinical Areas

•Allied Health Services (5)

•Dentistry (1)

•Medicine (1719)

•Nursing (145)

•Pharmacy (304)

Target Audience

•Health Care Providers (1716)

•Health Care Executives and Administrators (2195)

•Non-Health Care Professionals (997)

•Patients (251)

Setting of Care

•Hospitals (1600)

•Psychiatric Facilities (10)

•Residential Facilities (52)

•Ambulatory Care (252)

•Outpatient Surgery (31)

•Patient Transport (16)

1 - 20 of 2613

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STUDY

A paradigm shift to balance safety and quality in pediatric pain management.

Avansino JR, Peters LM, Stockfish SL, Walco GA. Pediatrics. 2013;131:e921-e927.

STUDY

Strategies for improving family engagement during family-centered rounds.

Kelly MM, Xie A, Carayon P, DuBenske LL, Ehlenbach ML, Cox ED. J Hosp Med. 2013;8:201-207.

STUDY

Patient safety rounds in a pediatric tertiary care center.

Rinke ML, Zimmer KP, Lehmann CU, et al. Jt Comm J Qual Patient Saf. 2008;34:5-12.

STUDY

Parent perceptions of children's hospital safety climate.

Cox ED, Carayon P, Hansen KW, et al. BMJ Qual Saf. 2013 Mar 29; [Epub ahead of print].

STUDY

Prevalence of polypharmacy exposure among hospitalized children in the United States.

Feudtner C, Dai D, Hexem KR, Luan X, Metjian TA. Arch Pediatr Adolesc Med. 2012;166:9-16.

STUDY

Quality improvement initiative to reduce serious safety events and improve patient safety culture.

Muething SE, Goudie A, Schoettker PJ, et al. Pediatrics. 2012;130:e423-e431.

STUDY

A safety culture transformation: its effects at a children's hospital.

Peterson TH, Teman SF, Connors RH. J Patient Saf. 2012;8:125-130.

AWARD RECIPIENT

2006 Quest for Quality Prize.

Runy LA. Hosp Health Netw. September 2006.

STUDY

Reducing catheter-associated bloodstream infections in the pediatric intensive care unit: business case for quality improvement.

Nowak JE, Brilli RJ, Lake MR, et al. Pediatr Crit Care Med. 2010;11:579-587.

STUDY

Medical errors in US pediatric inpatients with chronic conditions.

Ahuja N, Zhao W, Xiang H. Pediatrics. 2012;130:e786-e793.

STUDY

A human factors framework and study of the effect of nursing workload on patient safety and employee quality of working life.

Holden RJ, Scanlon MC, Patel NR, et al. BMJ Qual Saf. 2011;20:15-24.

STUDY

Evaluation of an anonymous system to report medical errors in pediatric inpatients.

Taylor JA, Brownstein D, Klein EJ, Strandjord TP. J Hosp Med. 2007;2:226-33.

STUDY

classic

Medication errors and adverse drug events in pediatric inpatients.

Kaushal R, Bates DW, Landrigan C, et al. JAMA. 2001;285:2114-2120.

STUDY

Assessing controlled substance prescribing errors in a pediatric teaching hospital: an analysis of the safety of analgesic prescription practice in the transition from the hospital to home.

Lee BH, Lehmann CU, Jackson EV, et al. J Pain. 2009;10:160-166.

SPECIAL OR THEME ISSUE

Improving Health Care Quality.

Wisc Med J. 2006:105;1-86.

STUDY

Medical injuries among hospitalized children.

Meurer JR, Yang H, Guse CE, Scanlon MC, Layde PM, and the Wisconsin Medical Injury Prevention Program Research Group. Qual Saf Health Care. 2006;15:202-207.

STUDY

Effects of a night-team system on resident sleep and work hours.

Chua KP, Gordon MB, Sectish T, Landrigan CP. Pediatrics. 2011;128:1142-1147.

NEWSPAPER/MAGAZINE ARTICLE

Parents asking hospital for answers in death of infant.

News 3 Las Vegas (KVBC/DT). December 7, 2006.

STUDY

Rural community members' perceptions of harm from medical mistakes: a High Plains Research Network (HPRN) study.

Van Vorst RF, Araya-Guerra R, Felzien M, et al. J Am Board Fam Med. 2007;20:135-143.

STUDY

Standardized admission order set improves perceived quality of pediatric inpatient care.

Bekmezian A, Chung PJ, Yazdani S. J Hosp Med. 2009;4:90-96.

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