AHRQ Patient Safety Network

The Collection > United States of America

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Safety Target

•Device-related Complications (123)

•Diagnostic Errors (106)

•Identification Errors (77)

•Discontinuities, Gaps, and Hand-Off Problems (325)

•Fatigue and Sleep Deprivation (109)

•Medication Safety (749)

•Medical Complications (441)

•Nonsurgical Procedural Complications (66)

•Surgical Complications (457)

•Transfusion Complications (18)

•Psychological and Social Complications (101)

Origin/Sponsor
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United States of America

•United States Federal Government (107)

•State Governments and Agencies (31)

Resource Types

•Clinical Guideline (5)

•Journal Article (1937)

•Legislation/Regulation (58)

•Meeting/Conference (15)

•Newsletter/Journal (4)

•Newspaper/Magazine Article (482)

•Press Release/Announcement (13)

•Special or Theme Issue (29)

•Tools/Toolkit (44)

•Web Resource (64)

•Grant (4)

Error Types

•Epidemiology of Errors and Adverse Events (593)

•Active Errors (333)

•Latent Errors (172)

•Near Miss (46)

Approach to Improving Safety

•Quality Improvement Strategies (684)

•Legal and Policy Approaches (500)

•Error Reporting and Analysis (867)

•Communication Improvement (620)

•Human Factors Engineering (338)

•Teamwork (205)

•Specialization of Care (220)

•Logistical Approaches (268)

•Culture of Safety (384)

•Technologic Approaches (489)

•Education and Training (543)

Clinical Areas

•Allied Health Services (4)

•Medicine (1883)

•Nursing (252)

•Pharmacy (290)

Target Audience

•Health Care Providers (1808)

•Health Care Executives and Administrators (2265)

•Non-Health Care Professionals (1077)

•Patients (313)

Setting of Care

•Hospitals (2218)

•Psychiatric Facilities (9)

•Residential Facilities (57)

•Ambulatory Care (215)

•Outpatient Surgery (47)

•Patient Transport (12)

1 - 20 of 2891

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NEWSPAPER/MAGAZINE ARTICLE

CMS seeks to add 9 hospital-acquired conditions to no-pay list.

O'Reilly KB. American Medical News. May 12, 2008.

NEWSPAPER/MAGAZINE ARTICLE

Many Mass. hospitals will pay for errors.

Kowalczyk L. Boston Globe. September 17, 2007;Metro section:1A.

NEWSPAPER/MAGAZINE ARTICLE

Minnesota is first state with policy to stop billing after medical errors.

Lerner M. Star Tribune. September 18, 2007;News section:5B.

NEWSPAPER/MAGAZINE ARTICLE

Medicare says it won't cover hospital errors.

Pear R. New York Times. August 19, 2007.

NEWSPAPER/MAGAZINE ARTICLE

Disclosure of medical mistakes is sought.

Kowalczyk L. The Boston Globe. November 5, 2005;Metro/Region section:A1.

AUDIOVISUAL

Chasing Zero: Winning the War on Healthcare Harm.

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

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.

STUDY

Who pays for medical errors? An analysis of adverse event costs, the medical liability system, and incentives for patient safety improvement.

Mello MM, Studdert DM, Thomas EJ, Yoon CS, Brennan TA. J Empirical Leg Stud. 2007;4:835–860.

COMMENTARY classic

Medicare's decision to withhold payment for hospital errors: the devil is in the details.

Wachter RM, Foster NE, Dudley RA. Jt Comm J Qual Patient Saf. 2008;34:116-123.

NEWSPAPER/MAGAZINE ARTICLE

The cost of errors: Medicare's new policy could cost the average hospital $23,772: study.

Wilson L. Mod Healthc. June 2, 2008;38:C8.

BOOK/REPORT

Improving America's Hospitals: The Joint Commission's Report on Quality and Safety 2008.

Oakbrook Terrace, IL: The Joint Commission; November 2008.

STUDY

Paid malpractice claims for adverse events in inpatient and outpatient settings.

Bishop TF, Ryan AK, Casalino LP. JAMA. 2011;305:2427-2431.

NEWSPAPER/MAGAZINE ARTICLE

More states shred bills for awful medical errors: patients in 23 states will no longer pay for certain mistakes, hospitals say.

Aleccia J. MSNBC News. August 12, 2008.

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.

STUDY

The association between hospital characteristics and rates of preventable complications and adverse events.

Thornlow DK, Stukenborg GJ. Med Care. 2006;44:265-269.

BOOK/REPORT

Saving Lives, Saving Money: The Imperative for Computerized Physician Order Entry in Massachusetts Hospitals.

Adams M, Bates D, Coffman G, Everett W. Westborough, MA: Massachusetts Technology Collaborative and New England Healthcare Institute; 2008.

STUDY

Surgical training, duty-hour restrictions, and implications for meeting the Accreditation Council for Graduate Medical Education core competencies: views of surgical interns compared with program directors.

Antiel RM, Van Arendonk KJ, Reed DA, et al. Arch Surg. 2012;147:536-541.

NEWSPAPER/MAGAZINE ARTICLE

Transparency and public reporting are essential for a safe health care system.

Leape LL. Perspect Health Reform. New York, NY: The Commonwealth Fund; March 17, 2010.

STUDY

Venous thromboembolism after trauma: a never event?

Thorson CM, Ryan ML, Van Haren RM, et al. Crit Care Med. 2012;40:2967-2973.

NEWSPAPER/MAGAZINE ARTICLE

Get me out alive.

Feldman R. The Washington Post. May 2, 2006:HE01.

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