AHRQ Patient Safety Network

The Collection > Quality Improvement Strategies

PATIENT SAFETY PRIMERS
Detection of Safety Hazards

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Safety Target

•Device-related Complications (64)

•Diagnostic Errors (63)

•Identification Errors (46)

•Discontinuities, Gaps, and Hand-Off Problems (94)

•Fatigue and Sleep Deprivation (10)

•Medication Safety (307)

•Medical Complications (194)

•Nonsurgical Procedural Complications (35)

•Surgical Complications (131)

•Transfusion Complications (11)

•Psychological and Social Complications (28)

Origin/Sponsor

•Africa (2)

•Asia (10)

•Australia and New Zealand (14)

•Central and South America (3)

•Europe (98)

•North America (1085)

Resource Types

•Clinical Guideline (4)

•Journal Article (707)

•Legislation/Regulation (30)

•Meeting/Conference (13)

•Newsletter/Journal (5)

•Newspaper/Magazine Article (174)

•Press Release/Announcement (9)

•Special or Theme Issue (37)

•Tools/Toolkit (27)

•Web Resource (63)

•Grant (8)

Error Types

•Epidemiology of Errors and Adverse Events (172)

•Active Errors (158)

•Latent Errors (71)

•Near Miss (11)

Approach to Improving Safety
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Quality Improvement Strategies

•Audit and Feedback (127)

•Benchmarking (108)

•Continuous Quality Improvement (24)

•Critical Pathways (43)

•Practice Guidelines (188)

•Reminders (32)

•Patient Self-Management (79)

•Six Sigma (6)

Clinical Areas

•Allied Health Services (5)

Target Audience

•Health Care Providers (845)

•Health Care Executives and Administrators (1047)

•Non-Health Care Professionals (417)

•Patients (143)

Setting of Care

•Hospitals (706)

•Psychiatric Facilities (3)

•Residential Facilities (17)

•Ambulatory Care (101)

•Outpatient Surgery (21)

•Patient Transport (5)

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NEWSPAPER/MAGAZINE ARTICLE

Health literacy—a quality and patient safety imperative.

Foubister V. Quality Matters. November/December 2006.

NEWSPAPER/MAGAZINE ARTICLE

Fixing America's hospitals.

Newsweek. October 16, 2006:44-68, 72.

AWARD RECIPIENT

2006 Quest for Quality Prize.

Runy LA. Hosp Health Netw. September 2006.

NEWSPAPER/MAGAZINE ARTICLE

Inquiry into reporter's death finds multiple failures in care.

Stout D. New York Times. June 17, 2006;National desk:9.

NEWSPAPER/MAGAZINE ARTICLE

Health for life. Keys to safer hospitals.

Berwick DM. Newsweek. December 12, 2005;46:75-78.

NEWSPAPER/MAGAZINE ARTICLE

Health-care industry agrees on patient safety rules.

Landro L. Wall Street Journal (Eastern Edition). November 1, 2006:D1. [reprinted on Post-gazette.com].

NEWSPAPER/MAGAZINE ARTICLE

Hospitals move to cut dangerous lab errors.

Landro L. Wall Street Journal (Eastern edition). June 14, 2006:D1. [Reprinted on Post-gazette.com].

BOOK/REPORT

The Best Practice: How the New Quality Movement Is Transforming Medicine.

Kenney C. New York, NY: Public Affairs; 2008. ISBN: 9781586486198.

COMMENTARY classic

Forum: The 100,000 Lives Campaign: a scientific and policy review [with IHI response].

Wachter RM, Pronovost PJ. [Reply: Berwick DM, Hackbarth AD, McCannon CJ]. Jt Comm J Qual Patient Saf. 2006;32:621-627, 628-633.

NEWSPAPER/MAGAZINE ARTICLE

Hospitals' bid to heal selves saves thousands.

P-I Staff and News Services. Seattle Post-Intelligencer. June 15, 2006:A1.

BOOK/REPORT

Keeping the Commitment: A Progress Report on Four Early Leaders in Patient Safety Improvement.

McCarthy D, Klein S. New York, NY: The Commonwealth Fund; March 15, 2011.

BOOK/REPORT

The Patient Safety Initiative at America’s Public Hospitals: The Year One Overview.

Research Brief. Washington, DC: National Association of Public Hospitals and Health Systems; January 2011.

MULTI-USE WEBSITE

Improving Care Search Centre.

Canadian Patient Safety Institute.

BOOK/REPORT

HealthGrades Quality Study: Third Annual Patient Safety in American Hospitals Study.

Golden, CO: Health Grades, Inc.; April 2006.

SPECIAL OR THEME ISSUE

Improving Health Care Quality.

Wisc Med J. 2006:105;1-86.

BOOK/REPORT

Promoting Patient Safety: An Ethical Basis for Policy Deliberation.

Sharpe VA. Hasting Center Rep. 2003;33(suppl):S1-S20.

AWARD RECIPIENT

An interview with Donald Berwick.

Schyve PM. Jt Comm J Qual Patient Saf. 2006;32:661-666.

BOOK/REPORT

MHA Keystone Center for Patient Safety & Quality 2010 Annual Report.

Lansing, MI: Michigan Health & Hospital Association; October 2010.

NEWSPAPER/MAGAZINE ARTICLE

Global goal: reduce medical errors.

Szabo L. USA Today. August 23, 2005.

BOOK/REPORT

Safety First: a report for patients, clinicians and healthcare managers.

Carruthers I, Phillip P. London, UK: National Patient Safety Agency; 2006.

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