AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (9)

•Diagnostic Errors (5)

•Identification Errors (11)

•Discontinuities, Gaps, and Hand-Off Problems (49)

•Fatigue and Sleep Deprivation (6)

•Medication Safety (53)

•Medical Complications (55)

•Nonsurgical Procedural Complications (13)

•Surgical Complications (97)

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•Asia (4)

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•Journal Article (345)

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•Newspaper/Magazine Article (41)

•Special or Theme Issue (29)

•Tools/Toolkit (9)

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•Epidemiology of Errors and Adverse Events (42)

•Active Errors (32)

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Approach to Improving Safety
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Teamwork

•Teamwork Training (75)

Clinical Areas

•Allied Health Services (1)

•Medicine (326)

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Target Audience

•Health Care Providers (323)

•Health Care Executives and Administrators (413)

•Non-Health Care Professionals (238)

•Patients (13)

Setting of Care

•Hospitals (337)

•Psychiatric Facilities (1)

•Residential Facilities (6)

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•Outpatient Surgery (4)

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1 - 20 of 477

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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.

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.

SPECIAL OR THEME ISSUE

Nurses Transforming Care.

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

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

Effect of a rapid response system for patients in shock on time to treatment and mortality during 5 years.

Sebat F, Musthafa AA, Johnson D, et al. Crit Care Med. 2007;35:2568-2575.

COMMENTARY

Implementing a rapid response team: a practical guide.

Garretson S, Dip HE, Rauzi MB. Nursing. 2008;38:56cc1-56cc3.

TOOLKIT

The Transforming Care at the Bedside (TCAB) Toolkit.

Princeton, NJ: Robert Wood Johnson Foundation; 2008.

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.

COMMENTARY

A model for developing high-reliability teams.

Riley W, Davis SE, Miller KK, McCullough M. J Nurs Manag. 2010;18:556-563.

TOOLKIT

Making Strides in Safety.

Chicago, IL: American Medical Association.

STUDY

Problems and solutions arising during a study in visual semantics of the medical emergency team system.

Santiano N, Baramy LS, Young L, et al. Qual Health Res. 2008 ct: 18: 1336-44.

BOOK/REPORT

Leadership Guide to Patient Safety: Resources and Tools for Establishing and Maintaining Patient Safety.

Boston, MA: Institute for Healthcare Improvement; 2005.

NEWSPAPER/MAGAZINE ARTICLE

Strengthening the core. Middle managers play a vital role in improving safety.

Federico F, Bonacum D. Healthc Exec. January/February 2010;25:68-70.

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