AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (41)

•Diagnostic Errors (24)

•Identification Errors (21)

•Discontinuities, Gaps, and Hand-Off Problems (72)

•Fatigue and Sleep Deprivation (12)

•Medication Safety (220)

•Medical Complications (41)

•Nonsurgical Procedural Complications (20)

•Surgical Complications (69)

•Transfusion Complications (1)

•Psychological and Social Complications (18)

Origin/Sponsor

•Australia and New Zealand (11)

•Europe (21)

•North America (624)

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Commentary

Error Types

•Epidemiology of Errors and Adverse Events (35)

•Active Errors (120)

•Latent Errors (56)

•Near Miss (15)

Approach to Improving Safety

•Quality Improvement Strategies (163)

•Legal and Policy Approaches (45)

•Error Reporting and Analysis (150)

•Communication Improvement (168)

•Human Factors Engineering (168)

•Teamwork (67)

•Specialization of Care (48)

•Logistical Approaches (58)

•Culture of Safety (98)

•Technologic Approaches (106)

•Education and Training (155)

Clinical Areas

•Allied Health Services (3)

Target Audience

•Health Care Providers (539)

•Health Care Executives and Administrators (611)

•Non-Health Care Professionals (209)

•Patients (10)

Setting of Care

•Hospitals (370)

•Residential Facilities (4)

•Ambulatory Care (46)

•Outpatient Surgery (4)

•Patient Transport (2)

1 - 20 of 683

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COMMENTARY

Medication room madness: calming the chaos.

Conrad C, Fields W, McNamara T, Cone M. J Nurs Care Qual. 2009;25:137-144.

COMMENTARY

Increasing the use of 'smart' pump drug libraries by nurses: a continuous quality improvement project.

Harding AD. Am J Nurs. 2012;112:26-35.

COMMENTARY

A nurse-driven system for improving patient quality outcomes.

Johnson K, Hallsey D, Meredith RL, Warden E. J Nurs Care Qual. 2006;21:168-175.

COMMENTARY

A performance improvement plan to increase nurse adherence to use of medication safety software.

Gavriloff C. J Pediatr Nurs. 2012;27:375-382.

COMMENTARY

Nursing student medication errors: a case study using root cause analysis.

Dolansky MA, Druschel K, Helba M, Courtney K. J Prof Nurs. 2013;29:102-108.

COMMENTARY

Time to get off this pig's back?: the human factors aspects of the mismatch between device and real-world knowledge in the health care environment.

Nunnally ME, Bitan Y. J Patient Saf. 2006;2:124-131.

COMMENTARY

Patient safety and technology.

Henneman EA. AACN Adv Crit Care. 2009;20:128-132.

COMMENTARY

Medication errors: don't let them happen to you.

Anderson P, Townsend T. Amer Nurs Today. March 2010;5:23-27.

COMMENTARY

Complexity, bullying, and stress: analyzing and mitigating a challenging work environment for nurses.

Hughes RG, Clancy CM. J Nurs Care Qual. 2009;24:180-183.

COMMENTARY

CPOE: strategies for success.

Manor PJ. Nurs Manage. 2010;41:18-20.

COMMENTARY

Bringing change-of-shift report to the bedside: a patient- and family-centered approach.

Griffin T. J Perinat Neonatal Nurs. 2010;24:348-353.

COMMENTARY

A medication safety education program to reduce the risk of harm caused by medication errors.

Dennison RD. J Contin Educ Nurs. 2007;38:176-184.

COMMENTARY

A safe haven for nurses to report medication errors? Clarian and Spectrum Health Systems prove it is possible!

Paparella S. J Emerg Nurs. 2005;31:373-375.

COMMENTARY

Implementing AORN recommended practices for medication safety.

Hicks RW, Wanzer LJ, Denholm B. AORN J. 2012;96:605-622.

COMMENTARY

Effects of extended work shifts and shift work on patient safety, productivity, and employee health.

Keller SM. AAOHN J. 2009;57:497-502.

COMMENTARY

A plan for achieving significant improvement in patient safety.

Johnson K, Maultsby CC. J Nurs Care Qual. 2007;22:164-171.

COMMENTARY

Safeguarding patients: complexity science, high reliability organizations, and implications for team training in healthcare.

McKeon LM, Oswaks JD, Cunningham PD. Clin Nurse Spec. 2006;20:298-304 (CE Test 305-306).

COMMENTARY

Pharmacy–nursing intervention to improve accuracy and completeness of medication histories.

Tessier EG, Henneman EA, Nathanson B, Plotkin K, Heelon M. Am J Health Syst Pharm. 2010;67:607-611.

COMMENTARY

Smart pumps: implications for nurse leaders.

Kirkbride G, Vermace B. Nurs Adm Q. 2011;35:110-118.

COMMENTARY

Implementation, CPOE, and medication errors.

Bradley V. Comput Inform Nurs. 2005;23:113-138.

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