AHRQ Patient Safety Network

The Collection > Facility and Group Administrators

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Safety Target

•Device-related Complications (12)

•Diagnostic Errors (24)

•Identification Errors (17)

•Discontinuities, Gaps, and Hand-Off Problems (77)

•Fatigue and Sleep Deprivation (31)

•Medication Safety (177)

•Medical Complications (40)

•Nonsurgical Procedural Complications (4)

•Surgical Complications (44)

•Transfusion Complications (3)

•Psychological and Social Complications (17)

Origin/Sponsor

•Asia (11)

•Australia and New Zealand (22)

Resource Types

•Clinical Guideline (1)

•Journal Article (445)

•Legislation/Regulation (7)

•Meeting/Conference (2)

•Newsletter/Journal (2)

•Newspaper/Magazine Article (52)

•Press Release/Announcement (2)

•Special or Theme Issue (5)

•Tools/Toolkit (11)

•Web Resource (12)

Error Types

•Epidemiology of Errors and Adverse Events (125)

•Active Errors (51)

•Latent Errors (42)

•Near Miss (14)

Approach to Improving Safety

•Quality Improvement Strategies (156)

•Legal and Policy Approaches (63)

•Error Reporting and Analysis (204)

•Communication Improvement (130)

•Human Factors Engineering (49)

•Teamwork (39)

•Specialization of Care (37)

•Logistical Approaches (70)

•Culture of Safety (95)

•Technologic Approaches (132)

•Education and Training (86)

Clinical Areas

•Allied Health Services (2)

•Complementary and Alternative Medicine (1)

•Medicine (338)

•Nursing (43)

•Pharmacy (32)

Target Audience
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Facility and Group Administrators

Setting of Care

•Hospitals (304)

•Psychiatric Facilities (2)

•Residential Facilities (31)

•Ambulatory Care (79)

•Outpatient Surgery (10)

•Patient Transport (6)

1 - 20 of 571

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STUDY

Medication-error reporting and pharmacy resident experience during implementation of computerized prescriber order entry.

Weant KA, Cook AM, Armitstead JA. Am J Health Syst Pharm. 2007;64:526-530.

STUDY

Comparison and interpretation of urinalysis performed by a nephrologist versus a hospital-based clinical laboratory.

Tsai JJ, Yeun JY, Kumar VA, Don BR. Am J Kidney Dis. 2005;46:820-829.

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.

COMMENTARY

Lessons from "unexpected increased mortality after implementation of a commercially sold computerized physician order entry system."

Sittig DF, Ash JS, Zhang J, Osheroff JA, Shabot MM. Pediatrics. 2006;118:797-801.

STUDY

The safety of hospital stroke care.

Holloway RG, Tuttle D, Baird T, Skelton WK. Neurology. 2007;68:550-555.

REVIEW

Epidemiology of medication-related adverse events in nursing homes.

Handler SM, Wright RM, Ruby CM, Hanlon JT. Am J Geriatr Pharmacother. 2006;4:264-272.

NEWSPAPER/MAGAZINE ARTICLE

Leveraging technical and managerial changes to improve safety.

Pronovost P, Heifetz RA. Hosp Health Netw. March 27, 2007.

STUDY

Decreasing errors in pediatric continuous intravenous infusions.

Lehmann CU, Kim GR, Gujral R, Veltri MA, Clark JS, Miller MR. Pediatr Crit Care Med. 2006;7:225-230.

STUDY

Iatrogenic events resulting in intensive care admission: frequency, cause, and disclosure to patients and institutions.

Lehmann LS, Puopolo AL, Shaykevich S, Brennan TA. Am J Med. 2005;118:409-413.

STUDY

An intervention to decrease catheter-related bloodstream infections in the ICU.

Pronovost P, Needham D, Berenholtz S, et al. N Engl J Med. 2006;355:2725-2732.

STUDY

Sensitivity of routine system for reporting patient safety incidents in an NHS hospital: retrospective patient case note review.

Sari AB, Sheldon TA, Cracknell A, Turnbull A. BMJ. 2007;334;79.

STUDY

Outcomes of care by hospitalists, general internists, and family physicians.

Lindenauer PK, Rothberg MB, Pekow PS, Kenwood C, Benjamin EM, Auerbach AD. N Engl J Med. 2007;357:2589-2600.

STUDY

Unexpected increased mortality after implementation of a commercially sold computerized physician order entry system.

Han YY, Carcillo JA, Venkataraman ST, et al. Pediatrics. 2005;116:1506-1512.

COMMENTARY

Examining medication errors in a tertiary hospital.

Maricle K, Whitehead L, Rhodes M. J Nurs Care Qual. 2007;22:20-27.

STUDY

Missed and delayed diagnoses in the emergency department: a study of closed malpractice claims from 4 liability insurers.

Kachalia A, Gandhi TK, Puopolo AL, et al. Ann Emerg Med. Ann Emerg Med. 2007;49:196-205.

STUDY

Design of a retrospective patient record study on the occurrence of adverse events among patients in Dutch hospitals.

Zegers M, de Bruijne MC, Wagner C, Groenewegen PP, Waaijman R, van der Wal G. BMC Health Serv Res. 2007;7:27.

STUDY

The American College of Surgeons' closed claims study: new insights for improving care.

Griffen FD, Stephens LS, Alexander JB, et al. J Am Coll Surg. 2007;204:561-569.

STUDY

Learning from mistakes in New Zealand hospitals: what else do we need besides "no-fault"?

Soleimani F. N Z Med J. 2006;119:U2099.

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.

NEWSPAPER/MAGAZINE ARTICLE

Ounce of prevention: to reduce errors, hospitals prescribe innovative designs.

Naik G. The Wall Street Journal. May 8, 2006:A1.

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