AHRQ Patient Safety Network

The Collection > United States of America

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Safety Target

•Device-related Complications (198)

•Diagnostic Errors (202)

•Identification Errors (137)

•Discontinuities, Gaps, and Hand-Off Problems (495)

•Fatigue and Sleep Deprivation (115)

•Medication Safety (1267)

•Medical Complications (512)

•Nonsurgical Procedural Complications (99)

•Surgical Complications (455)

•Transfusion Complications (24)

•Psychological and Social Complications (165)

Origin/Sponsor
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United States of America

•United States Federal Government (376)

•State Governments and Agencies (71)

Resource Types

•Clinical Guideline (9)

•Journal Article (2889)

•Legislation/Regulation (62)

•Meeting/Conference (40)

•Newsletter/Journal (15)

•Newspaper/Magazine Article (694)

•Press Release/Announcement (44)

•Special or Theme Issue (56)

•Tools/Toolkit (94)

•Web Resource (164)

•Grant (12)

Error Types

•Epidemiology of Errors and Adverse Events (1052)

•Active Errors (606)

•Latent Errors (263)

•Near Miss (69)

Approach to Improving Safety

•Quality Improvement Strategies (1110)

•Legal and Policy Approaches (580)

•Error Reporting and Analysis (1281)

•Communication Improvement (1042)

•Human Factors Engineering (504)

•Teamwork (319)

•Specialization of Care (308)

•Logistical Approaches (348)

•Culture of Safety (636)

•Technologic Approaches (799)

•Education and Training (838)

Clinical Areas

•Allied Health Services (10)

Target Audience

•Health Care Providers (3073)

•Health Care Executives and Administrators (3287)

•Non-Health Care Professionals (1640)

•Patients (655)

Setting of Care

•Hospitals (2861)

•Psychiatric Facilities (15)

•Residential Facilities (79)

•Ambulatory Care (442)

•Outpatient Surgery (52)

•Patient Transport (24)

1 - 20 of 4521

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BOOK/REPORT

HealthGrades Seventh Annual Patient Safety in American Hospitals Study.

Golden, CO: HealthGrades, Inc.; March 2010.

MULTI-USE WEBSITE

HAC Posting on Hospital Compare.

Centers for Medicare & Medicaid Services.

BOOK/REPORT

Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2009.

Oakbrook Terrace, IL: The Joint Commission; January 2010.

BOOK/REPORT

HealthGrades Sixth Annual Patient Safety in American Hospitals Study.

Golden, CO: HealthGrades, Inc.; April 2009.

STUDY

'Global Trigger Tool' shows that adverse events in hospitals may be ten times greater than previously measured.

Classen DC, Resar R, Griffin F, et al. Health Aff (Millwood). 2011;30:581-589.

NEWSPAPER/MAGAZINE ARTICLE

Perfect is possible.

Berwick DM, Leape LL. Newsweek. October 16, 2006:70-71.

STUDY

How do black-serving hospitals perform on patient safety indicators?: Implications for national public reporting and pay-for-performance.

Ly DP, Lopez L, Isaac T, Jha AK. Med Care. 2010;48:1133-1137.

STUDY

Association of a clinical knowledge support system with improved patient safety, reduced complications and shorter length of stay among Medicare beneficiaries in acute care hospitals in the United States.

Bonis PA, Pickens GT, Rind DM, Foster DA. Int J Med Inform. 2008;77:745-753.

BOOK/REPORT classic

Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2011.

Oakbrook Terrace, IL: The Joint Commission; September 2011.

BOOK/REPORT

Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2012.

Oakbrook Terrace, IL: The Joint Commission; September 2012.

NEWSPAPER/MAGAZINE ARTICLE

New York City puts hospital error data online.

Kershaw S. New York Times. Sepember 7, 2007;Metro Desk section:B1.

STUDY

Is patient safety improving? National trends in patient safety indicators: 1998–2007.

Downey JR, Hernandez-Boussard T, Banka G, Morton JM. Health Serv Res. 2012;47:414-430.

BOOK/REPORT

HealthGrades Quality Study: Fifth Annual Patient Safety in American Hospitals Study.

Golden, CO: HealthGrades, Inc.; April 2008.

STUDY

Hospital performance trends on national quality measures and the association with Joint Commission accreditation.

Schmaltz SP, Williams SC, Chassin MR, Loeb JM, Wachter RM. J Hosp Med. 2011;6:458-465.

NEWSPAPER/MAGAZINE ARTICLE

Medicare releases patient safety ratings for hospitals.

Rau J. Kaiser Health News. October 17, 2011.

STUDY

The care transitions intervention: translating from efficacy to effectiveness.

Voss R, Gardner R, Baier R, Butterfield K, Lehrman S, Gravenstein S. Arch Intern Med. 2011;171:1232-1237.

ORGANIZATIONAL POLICY/GUIDELINES

Transitions of Care Consensus Policy Statement American College of Physicians-Society of General Internal Medicine-Society of Hospital Medicine-American Geriatrics Society-American College of Emergency Physicians-Society of Academic Emergency Medicine.

Snow V, Beck D, Budnitz T, et al. J Gen Intern Med. 2009;24:971-976.

COMMENTARY

Integrating CUSP and TRIP to improve patient safety.

Romig M, Goeschel C, Pronovost P, Berenholtz SM. Hosp Pract (Minneap). 2010;38:114-121.

STUDY

Anticoagulation-associated adverse drug events.

Piazza G, Nguyen TN, Cios D, et al. Am J Med. 2011;124:1136-1142.

STUDY

Variations in surgical outcomes associated with hospital compliance with safety practices.

Brooke BS, Dominici F, Pronovost PJ, Makary MA, Schneider E, Pawlik TM. Surgery. 2012;151:651-659.

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