AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (192)

•Diagnostic Errors (251)

•Identification Errors (146)

•Discontinuities, Gaps, and Hand-Off Problems (753)

•Fatigue and Sleep Deprivation (135)

•Medication Safety (1428)

•Medical Complications (469)

•Nonsurgical Procedural Complications (107)

•Surgical Complications (776)

•Transfusion Complications (22)

•Psychological and Social Complications (190)

Origin/Sponsor

•Africa (1)

•Asia (52)

•Australia and New Zealand (116)

•Central and South America (6)

•Europe (486)

•North America (4179)

Resource Types

•Clinical Guideline (10)

•Journal Article (3654)

•Legislation/Regulation (66)

•Meeting/Conference (30)

•Newsletter/Journal (14)

•Newspaper/Magazine Article (531)

•Press Release/Announcement (23)

•Special or Theme Issue (86)

•Tools/Toolkit (71)

•Web Resource (106)

•Grant (12)

Error Types

•Epidemiology of Errors and Adverse Events (942)

•Active Errors (684)

•Latent Errors (292)

•Near Miss (87)

Approach to Improving Safety

•Quality Improvement Strategies (1405)

•Legal and Policy Approaches (442)

•Error Reporting and Analysis (1326)

•Communication Improvement (1379)

•Human Factors Engineering (629)

•Teamwork (439)

•Specialization of Care (285)

•Logistical Approaches (388)

•Culture of Safety (908)

•Technologic Approaches (796)

•Education and Training (989)

Clinical Areas

•Allied Health Services (17)

•Complementary and Alternative Medicine (1)

Target Audience

•Health Care Providers (3568)

•Health Care Executives and Administrators (3872)

•Non-Health Care Professionals (1708)

•Patients (366)

Setting of Care

•Hospitals (2942)

•Psychiatric Facilities (19)

•Residential Facilities (90)

•Ambulatory Care (435)

•Outpatient Surgery (70)

•Patient Transport (33)

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NEWSPAPER/MAGAZINE ARTICLE

Safety in ASCs: putting patients first.

Dix K. Today's Surgicenter. December 1, 2006.

COMMENTARY

Patient safety in the office-based setting.

Horton JB, Reece EM, Broughton G 2nd, Janis JE, Thornton JF, Rohrich RJ. Plast Reconstr Surg. 2006;117:61e-80e.

NEWSPAPER/MAGAZINE ARTICLE

Surgical errors: new products, protocols help slash the risks.

Williamson JE. Healthcare Purchasing News. January 2006;30:22-25.

COMMENTARY

Right? Left? Neither!

Howell EA, Chassin MR. AHRQ WebM&M [serial online]. May 2006.

COMMENTARY

Creating a culture of safety by using checklists.

Huang L, Kim R, Berry W. AORN J. 2013;97:365-368.

SPECIAL OR THEME ISSUE

Patient Safety and the Invitational Conference on Contemporary Surgical Quality, Safety and Transparency.

Amer Surg. 2006;72:985-1149

STUDY

Error or "act of God"? A study of patients' and operating room team members' perceptions of error definition, reporting, and disclosure.

Espin S, Levinson W, Regehr G, Baker GR, Lingard L. Surgery. 2006;139:6-14.

REVIEW

Promoting a culture of patient safety: a review of the Florida moratoria data: what we have learned in 6 years and the need for continued patient education.

Clayman MA, Clayman SM, Steele MH, Seagle MB. Ann Plastic Surg. 2007;58:288-291.

REVIEW

Coordinating care across diseases, settings, and clinicians: a key role for the generalist in practice.

Stille CJ, Jerant A, Bell D, Meltzer D, Elmore JG. Ann Intern Med. 2005;142:700-708.

COMMENTARY

A comprehensive collaborative patient safety residency curriculum to address the ACGME core competencies.

Singh R, Naughton B, Taylor JS, et al. Med Educ. 2005;39:1195-1204.

COMMENTARY

The Wild West: Patient Safety in Office-Based Anesthesia

Kaushal R, Upadhyayula S, Gaba DM, Leape LL. AHRQ WebM&M [serial online]. May 2006.

SPECIAL OR THEME ISSUE

Quality of Anesthesia Care.

Neuman MD, Martinez EA, eds. Anesthesiol Clin. 2011;29:1-178.

STUDY

A facilitated survey instrument captures significantly more anesthesia events than does traditional voluntary event reporting.

Oken A, Rasmussen MD, Slagle JM, et al. Anesthesiology. 2007;107:909-922.

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

Duration of anesthesia as an indicator of morbidity and mortality in office-based facial plastic surgery: a review of 1200 consecutive cases.

Gordon NA, Koch ME. Arch Facial Plast Surg. 2006;8:47-53.

STUDY

Bridging the communication gap in the operating room with medical team training.

Awad SS, Fagan SP, Bellows C, et al. Am J Surg. 2005;190:770-774.

NEWSPAPER/MAGAZINE ARTICLE

What pilots can teach hospitals about patient safety.

Murphy K. New York Times. October 31, 2006:F5.

SPECIAL OR THEME ISSUE

Patient Safety.

Plastic Surg Nurs. 2006;26:111-170.

NEWSPAPER/MAGAZINE ARTICLE

Trends influencing the cost of care and patient safety.

Clark R. Health Manage Tech. July 2006:18, 20-21.

MULTI-USE WEBSITE

Patient Safety First.

AORN, Inc., 2170 South Parker Rd, Suite 300, Denver, CO 80231-5711.

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