AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (13)

•Diagnostic Errors (2)

•Identification Errors (4)

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

•Fatigue and Sleep Deprivation (4)

•Medication Safety (30)

•Medical Complications (9)

•Nonsurgical Procedural Complications (1)

•Surgical Complications (12)

•Transfusion Complications (1)

•Psychological and Social Complications (2)

Origin/Sponsor

•Australia and New Zealand (8)

•Europe (55)

•North America (97)

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Commentary

Error Types

•Epidemiology of Errors and Adverse Events (7)

•Active Errors (10)

•Latent Errors (16)

•Near Miss (1)

Approach to Improving Safety

•Quality Improvement Strategies (54)

•Legal and Policy Approaches (15)

•Error Reporting and Analysis (54)

•Communication Improvement (27)

•Human Factors Engineering (42)

•Teamwork (17)

•Specialization of Care (9)

•Logistical Approaches (8)

•Culture of Safety (45)

•Technologic Approaches (27)

•Education and Training (32)

Clinical Areas

•Medicine (82)

•Nursing (10)

•Pharmacy (7)

Target Audience

•Health Care Providers (83)

•Health Care Executives and Administrators (170)

•Non-Health Care Professionals (113)

•Patients (3)

Setting of Care

•Hospitals (73)

•Ambulatory Care (11)

•Outpatient Surgery (3)

•Patient Transport (2)

1 - 20 of 174

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COMMENTARY

Should patients have a role in patient safety? A safety engineering view.

Lyons M. Qual Saf Health Care. 2007;16:140-142.

COMMENTARY

The role of theory in research to develop and evaluate the implementation of patient safety practices.

Foy R, Ovretveit J, Shekelle PG, et al. BMJ Qual Saf. 2011;20:453-459.

COMMENTARY

Safety management in different high-risk domains—all the same?

Grote G. Safety Sci. 2012;50:1983-1992.

COMMENTARY

Lessons from "unexpected increased mortality after implementation of a commercially sold computerized physician order entry system."

Sittig DF, Ash JS, Zhang J, Osheroff JA, Shabot MM. Pediatrics. 2006;118:797-801.

COMMENTARY

Junior doctors' shifts and sleep deprivation.

Murray A, Pounder R. Mather H, Black DC. BMJ. 2005;330:1404.

COMMENTARY

Who is in charge of patient safety? Work practice, work processes and utopian views of automatic drug dispensing systems.

Balka E, Kahnamoui N, Nutland K. Int J Med Inform. 2007;76:S48-S57.

COMMENTARY

MRI suites: safety outside the bore.

Gilk T. Patient Saf Qual Healthc. September/October 2006;3:16-18, 20-21.

COMMENTARY

Measuring safety culture in healthcare: a case for accurate diagnosis.

Flin R. Safety Sci. 2007;45:653-667.

COMMENTARY

Introducing new technology safely.

Mytton OT, Velazquez A, Banken R, et al. Qual Saf Health Care. 2010;19(suppl 2):i9-i14.

COMMENTARY

Intravenous medication safety and smart infusion systems: lessons learned and future opportunities.

Keohane CA, Hayes J, Saniuk C, Rothschild JM, Bates DW. J Infus Nurs. 2005;28:321-328.

COMMENTARY

Using patient safety science to explore strategies for improving safety in intravenous medication administration.

Franklin M. J Assoc Vascular Access. 2006;11:157-160.

COMMENTARY

In Conversation With...Donald A. Norman, PhD

AHRQ WebM&M [serial online]. November 2006.

COMMENTARY

Toward the modelling of safety violations in healthcare systems.

Catchpole K. BMJ Qual Saf. 2013 Apr 11; [Epub ahead of print].

COMMENTARY

Understanding the role of non-technical skills in patient safety.

White N. Nurs Stand. 2012;26:43-48.

COMMENTARY

Systems approach and systems engineering applied to health care: improving patient safety and health care delivery.

Ravitz AD, Sapirstein A, Pham JC, Doyle PA. Johns Hopkins APL Tech Dig. 2013;31:354-365.

COMMENTARY

Wise before the event.

Watts G. BMJ. 2010;340:c1378.

COMMENTARY

Smart pumps: advanced capabilities and continuous quality improvement.

Vanderveen T. Patient Saf Quality Healthc. January/February 2007.

COMMENTARY

Drug errors, qualitative research and some reflections on ethics.

Armitage G. J Clin Nurs. 2005;14:869-875.

COMMENTARY

Taking aim at infusion confusion.

Burdeu G, Crawford R, van de Vreede M, McCann J. J Nurs Care Qual. 2006;21:151-159.

COMMENTARY

Physical environments that promote safe medication use.

Grissinger M. P T. 2012;37:377-378.

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