AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (163)

•Diagnostic Errors (153)

•Identification Errors (111)

•Discontinuities, Gaps, and Hand-Off Problems (462)

•Fatigue and Sleep Deprivation (113)

•Medication Safety (1074)

•Medical Complications (502)

•Nonsurgical Procedural Complications (96)

•Surgical Complications (420)

•Transfusion Complications (22)

•Psychological and Social Complications (147)

Origin/Sponsor

•Africa (4)

•Asia (39)

•Australia and New Zealand (98)

•Central and South America (4)

•Europe (478)

•North America (3415)

Resource Types

•Clinical Guideline (7)

•Journal Article (2999)

•Legislation/Regulation (52)

•Meeting/Conference (26)

•Newsletter/Journal (7)

•Newspaper/Magazine Article (474)

•Press Release/Announcement (13)

•Special or Theme Issue (65)

•Tools/Toolkit (52)

•Web Resource (74)

•Grant (8)

Error Types

•Epidemiology of Errors and Adverse Events (896)

•Active Errors (530)

•Latent Errors (251)

•Near Miss (63)

Approach to Improving Safety

•Quality Improvement Strategies (1218)

•Legal and Policy Approaches (386)

•Error Reporting and Analysis (1151)

•Communication Improvement (920)

•Human Factors Engineering (506)

•Teamwork (477)

•Specialization of Care (349)

•Logistical Approaches (344)

•Culture of Safety (606)

•Technologic Approaches (681)

•Education and Training (739)

Clinical Areas

•Allied Health Services (9)

•Complementary and Alternative Medicine (1)

Target Audience

•Health Care Providers (2560)

•Health Care Executives and Administrators (3453)

•Non-Health Care Professionals (1491)

•Patients (278)

Setting of Care

•Hospitals (2988)

•Psychiatric Facilities (14)

•Residential Facilities (73)

•Ambulatory Care (310)

•Outpatient Surgery (38)

•Patient Transport (22)

1 - 20 of 4057

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SPECIAL OR THEME ISSUE

Patient Safety in Pediatric Emergency Medicine.

Frush KS, Hohenhaus SM, eds. Clin Ped Emerg Med. 2006;7:213-277.

BOOK/REPORT

Committed to Safety: Ten Case Studies on Reducing Harm to Patients.

McCarthy D, Blumenthal D. New York, NY: The Commonwealth Fund; April 2006.

NEWSPAPER/MAGAZINE ARTICLE

Have you M.E.T. the future of better patient safety?

Larson L. Trustee. September 2005;58:6-10.

STUDY

Pediatric rapid response teams in the academic medical center.

Mistry KP, Turi J, Hueckel R, Mericle JM, Meliones JN. Clin Ped Emerg Med. 2006;7:241-247.

STUDY

Nurse decision making in the prearrest period.

Gazarian PK, Henneman EA, Chandler GE. Clin Nurs Res. 2010;19:21-37.

COMMENTARY

Rolling out the rapid response team.

Gallagher-Ford L, Fineout-Overholt E, Melnyk BM, Stillwell SB. Am J Nurs. 2011;111:42-47.

NEWSPAPER/MAGAZINE ARTICLE

Teams quicken response in medical emergencies.

Srikameswaran A. Pittsburgh Post-Gazette. July 17, 2005;Health section.

COMMENTARY

Eliminating preventable death at Ascension Health.

Tolchin S, Brush R, Lange P, Bates P, Garbo JJ. Jt Comm J Qual Patient Saf. 2007;33:145-154.

STUDY

Nurses' perceptions of simulation-based interprofessional training program for rapid response and code blue events.

Wehbe-Janek H, Lenzmeier CR, Ogden PE, et al. J Nurs Care Qual. 2012;27:43-50.

NEWSPAPER/MAGAZINE ARTICLE

What pilots can teach hospitals about patient safety.

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

STUDY

How RNs rescue patients: a qualitative study of RNs' perceived involvement in rapid response teams.

Leach LS, Mayo A, O'Rourke M. Qual Saf Health Care. 2010;19:e13.

REVIEW

A review of current and emerging approaches to address failure-to-rescue.

Taenzer AH, Pyke JB, McGrath SP. Anesthesiology. 2011;115:421-431.

STUDY

Differences in outcomes between ICU attending and senior resident physician led medical emergency team responses.

Morris DS, Schweickert W, Holena D, et al. Resuscitation. 2012;83:1434-1437.

NEWSPAPER/MAGAZINE ARTICLE

Hospitals try to break a deadly 'code.'

Kowalczyk L. The Boston Globe. November 27, 2005:A1.

COMMENTARY

Using an automated risk assessment report to identify patients at risk for clinical deterioration.

Whittington J, White R, Haig KM, Slock M. Jt Comm J Qual Patient Saf. 2007;33:569-574.

STUDY

Evaluating a new rapid response team: NP-led versus intensivist-led comparisons.

Scherr K, Wilson DM, Wagner J, Haughian M. AACN Adv Crit Care. 2012;23:32-42.

COMMENTARY classic

Five years after 'To Err is Human': what have we learned?

Leape LL, Berwick DM. JAMA. 2005;293:2384-2390.

SPECIAL OR THEME ISSUE

Nurses Transforming Care.

Am J Nurs. 2009;109(suppl 11):3-80, C3.

COMMENTARY

A pediatric medical emergency team manages a complex child with hypoxia and a worried parent.

Shilkofski NA, Hunt EA. Jt Comm J Qual Patient Saf. 2007;33:236-241.

STUDY

Healthcare provider complaints to the emergency department: a preliminary report on a new quality improvement instrument.

Griffey RT, Bohan JS. Qual Saf Health Care. 2006;15:344-346.

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