AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (12)

•Diagnostic Errors (34)

•Identification Errors (15)

•Discontinuities, Gaps, and Hand-Off Problems (69)

•Fatigue and Sleep Deprivation (7)

•Medication Safety (81)

•Medical Complications (47)

•Nonsurgical Procedural Complications (9)

•Surgical Complications (28)

•Transfusion Complications (3)

•Psychological and Social Complications (16)

Origin/Sponsor
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Agency for Healthcare Research and Quality (AHRQ)

Resource Types

•Audiovisual (10)

•Book/Report (45)

•Clinical Guideline (1)

•Journal Article (174)

•Legislation/Regulation (1)

•Meeting/Conference (9)

•Newsletter/Journal (2)

•Newspaper/Magazine Article (6)

•Press Release/Announcement (6)

•Special or Theme Issue (7)

•Tools/Toolkit (33)

•Web Resource (25)

Error Types

•Epidemiology of Errors and Adverse Events (34)

•Active Errors (85)

•Latent Errors (60)

•Near Miss (11)

Approach to Improving Safety

•Quality Improvement Strategies (119)

•Legal and Policy Approaches (38)

•Error Reporting and Analysis (86)

•Communication Improvement (107)

•Human Factors Engineering (49)

•Teamwork (32)

•Specialization of Care (17)

•Logistical Approaches (34)

•Culture of Safety (69)

•Technologic Approaches (83)

•Education and Training (82)

Clinical Areas

•Allied Health Services (1)

•Medicine (193)

•Nursing (38)

•Pharmacy (20)

Target Audience

•Health Care Providers (255)

•Health Care Executives and Administrators (204)

•Non-Health Care Professionals (153)

•Patients (25)

Setting of Care

•Hospitals (191)

•Psychiatric Facilities (2)

•Residential Facilities (11)

•Ambulatory Care (48)

•Outpatient Surgery (4)

1 - 20 of 332

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COMMENTARY

Medication Overdose.

Kaushal R. AHRQ WebM&M [serial online]. April 2003.

COMMENTARY

The 2-Week Itch.

Cohen MR. AHRQ WebM&M [serial online]. April 2003.

COMMENTARY

Glucose Roller Coaster.

Sharpe BA. AHRQ WebM&M [serial online]. July 2004.

COMMENTARY

Fumbled Handoff.

Vidyarthi A. AHRQ WebM&M [serial online]. March 2004.

COMMENTARY

Patient Mix-Up.

Shojania KG. AHRQ WebM&M [serial online]. February 2003.

COMMENTARY

Bleeding Risk.

Crowther MA. AHRQ WebM&M [serial online]. July 2003.

COMMENTARY

Poor Prognosis.

Lamont EB. AHRQ WebM&M [serial online]. September 2004.

COMMENTARY

Check the Bags.

Caldwell M, Dracup KA. AHRQ WebM&M [serial online]. September 2003.

COMMENTARY

Discharge Fumbles.

Forster A. AHRQ WebM&M [serial online]. December 2004.

COMMENTARY

Do Me a Favor.

Williamson A. AHRQ WebM&M [serial online]. May 2004.

COMMENTARY

Intubation Mishap.

Weinger MB, Blike GT. AHRQ WebM&M [serial online]. September 2003.

STUDY

Nurse–physician communication in the long-term care setting: perceived barriers and impact on patient safety.

Tjia J, Mazor KM, Field T, Meterko V, Spenard A, Gurwitz JH. J Patient Saf. 2009;5:145-152.

COMMENTARY

Another Fall.

Bogardus ST Jr. AHRQ WebM&M [serial online]. April 2003.

COMMENTARY

Dangerous Dapsone.

Bookwalter T. AHRQ WebM&M [serial online]. June 2004.

COMMENTARY

Caution, Interrupted.

Wears RL. AHRQ WebM&M [serial online]. September 2004.

COMMENTARY

Mark My Limb.

O'Leary DS, Jacott WE. AHRQ WebM&M [serial online]. December 2004.

BOOK/REPORT

Nursing Home Survey on Patient Safety Culture: 2011 User Comparative Database Report.

Sorra J, Famolaro T, Dyer N, Khanna K, Nelson D. Rockville, MD: Agency for Healthcare Research and Quality; August 2011. AHRQ Publication No. 11-0071.

MEETING/CONFERENCE PROCEEDINGS

2005 Annual Patient Safety and Health Information Technology Conference: Making the Health Care System Safer through Implementation and Innovation.

Agency for Healthcare Research and Quality. June 6-10, 2005.

COMMENTARY

Check the Wristband.

Rosenthal MM. AHRQ WebM&M [serial online]. July 2003.

COMMENTARY

Not a Miscarriage.

Learman LA. AHRQ WebM&M [serial online]. June 2003.

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