AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (3)

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•Medical Complications (9)

•Surgical Complications (2)

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Resource Types

•Journal Article (15)

•Newspaper/Magazine Article (2)

•Tools/Toolkit (2)

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•Epidemiology of Errors and Adverse Events (3)

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Approach to Improving Safety
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Institutional Patient Safety Plan

Clinical Areas

•Medicine (17)

•Pharmacy (1)

Target Audience

•Health Care Providers (14)

•Health Care Executives and Administrators (26)

•Non-Health Care Professionals (6)

•Patients (2)

Setting of Care

•Hospitals (22)

•Residential Facilities (1)

•Ambulatory Care (2)

1 - 20 of 28

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COMMENTARY

The power of collaboration with patient safety programs: building safe passage for patients, nurses, and clinical staff.

Kerfoot KM, Rapala K, Ebright P, Rogers SM. J Nurs Adm. 2006;36:582-588.

STUDY

Eradicating central line–associated bloodstream infections statewide: the Hawaii experience.

Lin DM, Weeks K, Bauer L, et al. Am J Med Qual. 2012;27:124-129.

STUDY

Maintaining and sustaining the On the CUSP: Stop BSI model in Hawaii.

Lin DM, Weeks K, Holzmueller CG, Pronovost PJ, Pham JC. Jt Comm J Qual Patient Saf. 2013;39:51-60.

BOOK/REPORT

Improving America's Hospitals: The Joint Commission's Report on Quality and Safety 2008.

Oakbrook Terrace, IL: The Joint Commission; November 2008.

MULTI-USE WEBSITE

On the CUSP: Stop HAI.

Health Research & Educational Trust, MHA Keystone Center.

BOOK/REPORT

The International Essentials for Quality and Patient Safety.

Oakbrook, IL: Joint Commission International; 2008.

AWARD RECIPIENT

The Leapfrog Group Announces the 2008 Leapfrog Top Hospitals.

Washington, DC: Leapfrog Group; September 24, 2008.

STUDY

Hospital responses to the Leapfrog Group in local markets.

Scanlon DP, Christianson JB, Ford EW. Med Care Res Rev. 2008;32:548-556.

BOOK/REPORT

Critical Incident Reviews, Significant Adverse Event Reports and Action Plans.

St Andrews, Scotland: Scottish Information Commissioner; February 21, 2012. Reference No: 201100433.

STUDY

A resident-led institutional patient safety and quality improvement process.

Stueven J, Sklar DP, Kaloostian P, et al. Am J Med Qual. 2012;27:369-376.

GRANT RECIPIENT

AHRQ Projects to Prevent Healthcare-Associated Infections, Fiscal Year 2011.

Rockville, MD: Agency for Healthcare Research and Quality; October 2011. AHRQ Publication No. 09-P013-4-E.

MULTI-USE WEBSITE

Keeping Kidney Patients Safe.

Renal Physicians Association.

TOOLKIT

CUSP Toolkit.

Rockville, MD: Agency for Healthcare Research and Quality; September 10, 2012.

AWARD RECIPIENT

Building and sustaining a systemwide culture of safety.

Yates GR, Bernd DL, Sayles SM, Stockmeier CA, Burke G, Merti GE. Jt Comm J Qual Patient Saf. 2005;31:684-689.

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].

STUDY

Risk reduction for adverse drug events through sequential implementation of patient safety initiatives in a children's hospital.

Leonard MS, Cimino M, Shaha S, McDougal S, Pilliod J, Brodsky L. Pediatrics. 2006;118:e1124-e1129.

STUDY

Implementation of a surgical comprehensive unit-based safety program to reduce surgical site infections.

Wick EC, Hobson DB, Bennett JL, et al. J Am Coll Surg. 2012;215;193-200.

STUDY

Prioritizing patient safety interventions in small and rural hospitals.

Casey MM, Wakefield M, Coburn AF, Moscovice IS, Loux S. Jt Comm J Qual Patient Saf. 2006;32:693-702.

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.

TOOLKIT

Patient Safety Rounding Toolkit.

Dana-Farber Cancer Institute.

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