AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (14)

•Diagnostic Errors (31)

•Identification Errors (14)

•Discontinuities, Gaps, and Hand-Off Problems (40)

•Fatigue and Sleep Deprivation (4)

•Medication Safety (74)

•Medical Complications (25)

•Nonsurgical Procedural Complications (13)

•Surgical Complications (45)

•Transfusion Complications (3)

•Psychological and Social Complications (22)

Origin/Sponsor

•Australia and New Zealand (12)

•Central and South America (1)

•Europe (94)

•North America (252)

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Commentary

Error Types

•Epidemiology of Errors and Adverse Events (52)

•Active Errors (80)

•Latent Errors (66)

•Near Miss (13)

Approach to Improving Safety

•Quality Improvement Strategies (102)

•Legal and Policy Approaches (97)

•Error Reporting and Analysis (179)

•Communication Improvement (110)

•Human Factors Engineering (55)

•Teamwork (42)

•Specialization of Care (14)

•Logistical Approaches (31)

•Culture of Safety (160)

•Technologic Approaches (59)

•Education and Training (82)

Clinical Areas

•Allied Health Services (2)

Target Audience

•Health Care Providers (345)

•Health Care Executives and Administrators (337)

•Non-Health Care Professionals (212)

•Patients (17)

Setting of Care

•Hospitals (194)

•Psychiatric Facilities (2)

•Residential Facilities (4)

•Ambulatory Care (32)

•Outpatient Surgery (5)

•Patient Transport (1)

1 - 20 of 413

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COMMENTARY

Improving patient safety in radiotherapy by learning from near misses, incidents and errors.

Williams MV. Br J Radiol. 2007;80:297-301.

COMMENTARY

Accident prevention in day-to-day clinical radiation therapy practice.

Baeza M. Ann ICRP. 2012;41:179-187.

COMMENTARY

Patient safety in cataract surgery.

Kelly SP, Astbury NJ. Eye. 2006;20:275-282.

COMMENTARY

Establishing a culture for patient safety - the role of education.

Milligan FJ. Nurse Educ Today. 2007;27:95-102.

COMMENTARY

Criminalization of medical error: who draws the line?

Dekker SW. ANZ J Surg. 2007;77:831-837.

COMMENTARY

Reducing adverse events in blood transfusion.

Stainsby D, Russell J, Cohen H, Lilleyman J. Br J Haematol. 2005;131:8-12.

COMMENTARY

Developing a 'critical' approach to patient and public involvement in patient safety in the NHS: learning lessons from other parts of the public sector?

Ocloo JE, Fulop NJ. Health Expect. 2012;15:424-432.

COMMENTARY

Path to safety: benefits of the 2005 Patient Safety and Quality Improvement Act.

McBride D, Greening A, Redmond D. Healthc Financ Manage. June 2006;60:84-88.

COMMENTARY

Have we gone too far in translating ideas from aviation to patient safety?

Rogers J, Gaba DM. BMJ. 2011;342:c7309-7310.

COMMENTARY classic

Five years after 'To Err is Human': what have we learned?

Leape LL, Berwick DM. JAMA. 2005;293:2384-2390.

COMMENTARY

A 60-year-old man with delayed care for a renal mass.

Schiff GD. JAMA. 2011;305:1890-1898.

COMMENTARY

Interpreting the Patient Safety Literature

Shojania KG. AHRQ WebM&M [serial online]. June 2005.

COMMENTARY

Using medical malpractice closed claims data to reduce surgical risk and improve patient safety.

Manuel BM, Greenwald LM. Bull Am Coll Surg. March 2007;92:27-30.

COMMENTARY

Retrieval medicine: a review and guide for UK practitioners. Part 2: safety in patient retrieval systems.

Hearns S, Shirley PJ. Emerg Med J. 2006;23:943-947.

COMMENTARY classic

The wisdom and justice of not paying for "preventable complications."

Pronovost PJ, Goeschel CA, Wachter RM. JAMA. 2008;299:2197-2199.

COMMENTARY

Flying Object Hits MRI.

Gosbee J, Gosbee LL. AHRQ WebM&M [serial online]. February 2003.

COMMENTARY

Radiological error: analysis, standard setting, targeted instruction and teamworking.

FitzGerald R. Eur Radiol. 2005;15:1760-1767.

COMMENTARY

In Conversation with…Thomas H. Gallagher, MD

AHRQ WebM&M [serial online]. January 2009.

COMMENTARY

Improving patient safety: moving beyond the "hype" of medical errors.

Forster AJ, Shojania KG, van Walraven C. CMAJ. 2005;173:893-894.

COMMENTARY

Organizational Change in the Face of Highly Public Errors—I. The Dana-Farber Cancer Institute Experience

Conway JB, Weingart SN. AHRQ WebM&M [serial online]. May 2005.

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