AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (18)

•Diagnostic Errors (35)

•Identification Errors (14)

•Discontinuities, Gaps, and Hand-Off Problems (65)

•Fatigue and Sleep Deprivation (5)

•Medication Safety (120)

•Medical Complications (29)

•Nonsurgical Procedural Complications (14)

•Surgical Complications (36)

•Transfusion Complications (1)

•Psychological and Social Complications (16)

Origin/Sponsor

•Australia and New Zealand (5)

•Europe (7)

•North America (294)

Resource Types
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Commentary

Error Types

•Epidemiology of Errors and Adverse Events (17)

•Active Errors (123)

•Latent Errors (59)

•Near Miss (14)

Approach to Improving Safety

•Quality Improvement Strategies (119)

•Legal and Policy Approaches (17)

•Error Reporting and Analysis (55)

•Communication Improvement (108)

•Human Factors Engineering (66)

•Teamwork (32)

•Specialization of Care (30)

•Logistical Approaches (35)

•Culture of Safety (52)

•Technologic Approaches (60)

•Education and Training (97)

Clinical Areas

•Allied Health Services (2)

•Medicine (203)

•Nursing (187)

•Pharmacy (32)

Target Audience

•Health Care Providers (322)

•Health Care Executives and Administrators (254)

•Non-Health Care Professionals (93)

•Patients (8)

Setting of Care

•Hospitals (225)

•Psychiatric Facilities (3)

•Residential Facilities (5)

•Ambulatory Care (30)

•Outpatient Surgery (2)

1 - 20 of 338

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COMMENTARY

Novel Drug Misuse.

Angus DC, Milbrandt EB. AHRQ WebM&M [serial online]. July 2004.

COMMENTARY

Implementing a systematic response to medication errors.

Larsen D, Cole R, Higton P. Nurs Stand. 2007;21:35-40.

COMMENTARY

Cups of Error

Blegen MA, Pepper GA. AHRQ WebM&M [serial online]. May 2006.

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

Medication errors in nursing—part 1 and part 2.

Leufer T, Cleary-Holdforth J. Nurse Educ Pract. 2013;13:213-220.

COMMENTARY

Computerized provider order entry: strategies for successful implementation.

Jones S, Moss J. J Nurs Adm. 2006;36:136-139.

COMMENTARY

XL or Smaller?

Kozer E. AHRQ WebM&M [serial online]. June 2003.

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

Unreported errors in the intensive care unit: a case study of the way we work.

Henneman EA. Crit Care Nurse. 2007;27:27-34.

COMMENTARY

Implementation, CPOE, and medication errors.

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

COMMENTARY

Nurses' role in patient safety.

Hughes RG, Clancy CM. J Nurs Care Qual. 2009;24:1-4.

COMMENTARY

Nursing mortality and morbidity and journal club cycles: paving the way for nursing autonomy, patient safety, and evidence-based practice.

Staveski S, Leong K, Graham K, Pu L, Roth S. AACN Adv Crit Care. 2012;23:133-141.

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

Patient safety in nursing practice.

Farquhar M, Collins Sharp BA, Clancy CM. AORN J. 2007;86:455-457.

COMMENTARY

Don't Push.

Meltzer HY. AHRQ WebM&M [serial online]. November 2003.

COMMENTARY

Too Hot For Comfort

Cleland H, Wasiak J. AHRQ WebM&M [serial online]. December 2007.

COMMENTARY

The Wrong Shot: Error Disclosure.

Gallagher TH, Levinson W. AHRQ WebM&M [serial online]. June 2004.

COMMENTARY

Intubation Mishap.

Weinger MB, Blike GT. AHRQ WebM&M [serial online]. September 2003.

COMMENTARY

Strategies for improving patient safety: linking task type to error type.

Mattox EA. Crit Care Nurse. 2012;32:52-78.

COMMENTARY

Interruptions and medication errors: part I.

Flanders S, Clark AP. Clin Nurse Spec. 2010;24:281-285.

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