AHRQ Patient Safety Network

The Collection > Facility and Group Administrators

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Safety Target

•Device-related Complications (10)

•Diagnostic Errors (19)

•Identification Errors (16)

•Discontinuities, Gaps, and Hand-Off Problems (65)

•Fatigue and Sleep Deprivation (30)

•Medication Safety (162)

•Medical Complications (39)

•Nonsurgical Procedural Complications (4)

•Surgical Complications (40)

•Transfusion Complications (3)

•Psychological and Social Complications (15)

Origin/Sponsor

•Asia (9)

•Australia and New Zealand (21)

Resource Types

•Clinical Guideline (1)

•Journal Article (412)

•Legislation/Regulation (6)

•Meeting/Conference (2)

•Newsletter/Journal (2)

•Newspaper/Magazine Article (52)

•Press Release/Announcement (1)

•Special or Theme Issue (5)

•Tools/Toolkit (11)

•Web Resource (12)

Error Types

•Epidemiology of Errors and Adverse Events (112)

•Active Errors (43)

•Latent Errors (33)

•Near Miss (12)

Approach to Improving Safety

•Quality Improvement Strategies (143)

•Legal and Policy Approaches (56)

•Error Reporting and Analysis (187)

•Communication Improvement (117)

•Human Factors Engineering (44)

•Teamwork (39)

•Specialization of Care (34)

•Logistical Approaches (63)

•Culture of Safety (93)

•Technologic Approaches (117)

•Education and Training (80)

Clinical Areas

•Allied Health Services (1)

•Complementary and Alternative Medicine (1)

•Medicine (310)

•Nursing (37)

•Pharmacy (31)

Target Audience
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Facility and Group Administrators

Setting of Care

•Hospitals (289)

•Residential Facilities (26)

•Ambulatory Care (73)

•Outpatient Surgery (9)

•Patient Transport (4)

1 - 20 of 533

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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.

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.

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.

NEWSPAPER/MAGAZINE ARTICLE

What pilots can teach hospitals about patient safety.

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

NEWSPAPER/MAGAZINE ARTICLE

Hospitals try to break a deadly 'code.'

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

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.

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.

STUDY

Organizational and cultural changes for providing safe patient care.

Odwazny R, Hasler S, Abrams R, McNutt R. Qual Manag Health Care. 2005;14:132-143.

COMMENTARY

Implementation of patient safety initiatives in US hospitals.

McFadden KL, Stock GN, Gowen CR III. Int J Operations Production Manage. 2006;26:326-347.

MULTI-USE WEBSITE

North Carolina Center for Hospital Quality and Patient Safety.

2400 Weston Parkway, Cary, NC 27514.

COMMENTARY

Development and implementation of a pediatric patient safety program.

Alton M, Frush K, Brandon D, Mericle J. Adv Neonatal Care. 2006;6:104-111.

STUDY

The effect of a rapid response team on major clinical outcome measures in a community hospital.

Dacey MJ, Mirza ER, Wilcox V, et al. Crit Care Med. 2007;35:2076-2082.

BOOK/REPORT

Framework for a High Performance Health System for the United States.

The Commonwealth Fund Commission on a High Performance Health System. New York, NY: The Commonwealth Fund; August 2006.

REVIEW

Quality and safety in the intensive care unit.

Stockwell DC, Slonim AD. J Intensive Care Med. 2006;21:199-210.

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.

MULTI-USE WEBSITE

Maryland Patient Safety Center Emergency Department Collaborative.

Maryland Patient Safety Center.

TOOLKIT

Patient Safety Rounding Toolkit.

Dana-Farber Cancer Institute.

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