AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (26)

•Diagnostic Errors (10)

•Identification Errors (16)

•Discontinuities, Gaps, and Hand-Off Problems (48)

•Fatigue and Sleep Deprivation (11)

•Medication Safety (127)

•Medical Complications (30)

•Nonsurgical Procedural Complications (12)

•Surgical Complications (125)

•Psychological and Social Complications (17)

Origin/Sponsor

•Asia (2)

•Australia and New Zealand (7)

•Europe (23)

•North America (445)

Resource Types
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Commentary

Error Types

•Epidemiology of Errors and Adverse Events (27)

•Active Errors (92)

•Latent Errors (43)

•Near Miss (14)

Approach to Improving Safety

•Quality Improvement Strategies (103)

•Legal and Policy Approaches (28)

•Error Reporting and Analysis (91)

•Communication Improvement (126)

•Human Factors Engineering (148)

•Teamwork (84)

•Specialization of Care (26)

•Logistical Approaches (36)

•Culture of Safety (77)

•Technologic Approaches (66)

•Education and Training (145)

Clinical Areas

•Allied Health Services (3)

Target Audience

•Health Care Providers (417)

•Health Care Executives and Administrators (410)

•Non-Health Care Professionals (146)

•Patients (3)

Setting of Care

•Hospitals (295)

•Residential Facilities (3)

•Ambulatory Care (29)

•Outpatient Surgery (8)

1 - 20 of 500

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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

Instrument readiness: an important link to patient safety.

McNamara SA. AORN J. 2011;93:160-164.

COMMENTARY

Surgical team training: promoting high reliability with nontechnical skills.

Paige JT. Surg Clin North Am. 2010;90:569-581.

COMMENTARY

Patient safety: break the silence.

Johnson HL, Kimsey D. AORN J. 2012;95:591-601.

COMMENTARY

Oncology care setting design and planning part I: concepts for the oncology nurse that improve patient safety.

Sheridan-Leos N. Clin J Oncol Nurs. 2008;12:361-363.

COMMENTARY

The normalization of deviance: what are the perioperative risks?

McNamara SA. AORN J. 2011;93:796-801.

COMMENTARY

Detection of patient risk by nurses: a theoretical framework.

Despins LA, Scott-Cawiezell J, Rouder JN. J Adv Nurs. 2010;66:465-474.

COMMENTARY

Knowledge is power: averting safety-compromising events in the OR.

Catalano K. AORN J. 2008;88:987-995.

COMMENTARY

Increasing patient safety and surgical team communication by using a count/time out board.

Edel EM. AORN J. 2010;92:420-424.

COMMENTARY

Counting for patient safety.

Watson DS. AORN J. 2006;84:273-275.

COMMENTARY

Team communication in the operating room.

Davies JM. Acta Anaesthesiol Scand. 2005;49:898-901.

COMMENTARY

Communication in the perioperative setting.

Cvetic E. AORN J. 2011;94:261-270.

COMMENTARY

Improving patient safety: patient-focused, high-reliability team training.

McKeon LM, Cunningham PD, Detty Oswaks JS. J Nurs Care Qual. 2009;24:76-82.

COMMENTARY

Interruptions and medication errors: part I.

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

COMMENTARY

Nurses: the patient's first—and perhaps last—line of defense.

Joy J. AORN J. 2009;89:1133-1136.

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

In situ simulation: a method of experiential learning to promote safety and team behavior.

Miller KK, Riley W, Davis S, Hansen HE. J Perinat Neonatal Nurs. 2008;22:105-113.

COMMENTARY

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

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

COMMENTARY

Implementing AORN recommended practices for laser safety.

Castelluccio D. AORN J. 2012;95:612-627.

COMMENTARY

Inadvertent Castration.

Calland JF. AHRQ WebM&M [serial online]. January 2004.

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