AHRQ Patient Safety Network

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•Device-related Complications (3)

•Diagnostic Errors (5)

•Identification Errors (3)

•Discontinuities, Gaps, and Hand-Off Problems (9)

•Fatigue and Sleep Deprivation (2)

•Medication Safety (27)

•Medical Complications (32)

•Nonsurgical Procedural Complications (1)

•Surgical Complications (19)

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•Journal Article (83)

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•Newspaper/Magazine Article (29)

•Special or Theme Issue (6)

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•Epidemiology of Errors and Adverse Events (21)

•Active Errors (6)

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Approach to Improving Safety
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Incentives

•Financial (76)

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•Allied Health Services (1)

•Medicine (89)

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Target Audience

•Health Care Providers (88)

•Health Care Executives and Administrators (150)

•Non-Health Care Professionals (107)

•Patients (31)

Setting of Care

•Hospitals (110)

•Ambulatory Care (9)

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1 - 20 of 179

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COMMENTARY

A new frontier in patient safety.

McCannon J, Berwick DM. JAMA. 2011;305:2221-2222.

BOOK/REPORT

Adverse Events in Hospitals: Overview of Key Issues.

Levinson DR. Washington, DC: US Department of Health and Human Services, Office of the Inspector General; December 2008. Report No. OEI-06-07-00470.

NEWSPAPER/MAGAZINE ARTICLE

HRSA patient safety and pharmacy collaborative is off to a good start.

Drug Formulary Review. April 1, 2009.

BOOK/REPORT

Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2009.

Oakbrook Terrace, IL: The Joint Commission; January 2010.

NEWSPAPER/MAGAZINE ARTICLE

NY Medicaid ups the ante: by refusing to pay for 14 'never events,' the nation's biggest Medicaid program could propel other states into action.

DerGurahian J. Mod Healthc. June 16, 2008;38:6.

BOOK/REPORT

Advancing Patient Safety: A Decade of Evidence, Design, and Implementation.

Rockville, MD; Agency for Healthcare Research and Quality; November 2009. AHRQ Publication No. 09(10)-0084.

BOOK/REPORT

HealthGrades Sixth Annual Patient Safety in American Hospitals Study.

Golden, CO: HealthGrades, Inc.; April 2009.

STUDY

Measurement for improvement: a survey of current practice in Australian public hospitals.

Brand CA, Tropea J, Ibrahim JE, et al. Med J Aust. 2008;189:35-40.

COMMENTARY

Financial incentives to promote health care quality: the hospital acquired conditions nonpayment policy.

Kavanagh KT. Soc Work Public Health. 2011;26:524-541.

COMMENTARY

Making inpatient medication reconciliation patient centered, clinically relevant and implementable: a consensus statement on key principles and necessary first steps.

Greenwald JL, Halasyamani L, Greene J, et al. J Hosp Med. 2010;5:477-485.

NEWSPAPER/MAGAZINE ARTICLE

Medicare says it won't cover hospital errors.

Pear R. New York Times. August 19, 2007.

SPECIAL OR THEME ISSUE

2011 John M. Eisenberg Patient Safety and Quality Awards.

Jt Comm J Qual Patient Saf. 2012;38:289-327.

NEWSPAPER/MAGAZINE ARTICLE

CMS seeks to add 9 hospital-acquired conditions to no-pay list.

O'Reilly KB. American Medical News. May 12, 2008.

STUDY

Medicare's policy not to pay for treating hospital-acquired conditions: the impact.

McNair PD, Luft HS, Bindman AB. Health Aff (Millwood). 2009;28:1485-1493.

STUDY

A framework for engaging physicians in quality and safety.

Taitz JM, Lee TH, Sequist TD. BMJ Qual Saf. 2012;21:722-728.

COMMENTARY

Building physician work hour regulations from first principles and best evidence.

Volpp KG, Landrigan CP. JAMA. 2008;300:1197-1199.

REVIEW

The economic burden of patient safety targets in acute care: a systematic review.

Mittmann N, Koo M, Daneman N, et al. Drug Healthc Patient Saf. 2012;4:141-165.

STUDY

Cost implications of ACGME's 2011 changes to resident duty hours and the training environment.

Nuckols TK, Escarce JJ. J Gen Intern Med. 2012;27:241-249.

AWARD RECIPIENT

2006 Quest for Quality Prize.

Runy LA. Hosp Health Netw. September 2006.

NEWSPAPER/MAGAZINE ARTICLE

Safety in numbers.

Robeznieks A. Mod Healthc. October 16, 2006;36:41.

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