AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (6)

•Diagnostic Errors (8)

•Identification Errors (2)

•Discontinuities, Gaps, and Hand-Off Problems (35)

•Fatigue and Sleep Deprivation (9)

•Medication Safety (37)

•Medical Complications (22)

•Nonsurgical Procedural Complications (7)

•Surgical Complications (23)

•Psychological and Social Complications (17)

Origin/Sponsor

•Australia and New Zealand (13)

•Central and South America (1)

•North America (126)

Resource Types
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Review

Error Types

•Epidemiology of Errors and Adverse Events (45)

•Active Errors (21)

•Latent Errors (19)

•Near Miss (1)

Approach to Improving Safety

•Quality Improvement Strategies (38)

•Legal and Policy Approaches (16)

•Error Reporting and Analysis (48)

•Communication Improvement (61)

•Human Factors Engineering (24)

•Teamwork (33)

•Specialization of Care (20)

•Logistical Approaches (18)

•Culture of Safety (26)

•Technologic Approaches (32)

•Education and Training (71)

Clinical Areas

•Complementary and Alternative Medicine (1)

•Dentistry (1)

•Medicine (170)

•Nursing (10)

•Pharmacy (8)

Target Audience

•Health Care Providers (146)

•Health Care Executives and Administrators (191)

•Non-Health Care Professionals (128)

•Patients (1)

Setting of Care

•Hospitals (149)

•Psychiatric Facilities (2)

•Residential Facilities (2)

•Ambulatory Care (25)

•Outpatient Surgery (1)

•Patient Transport (1)

1 - 20 of 227

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REVIEW

Interventions to improve team effectiveness: a systematic review.

Buljac-Samardzic M, Dekker-van Doorn CM, van Wijngaarden JDH, van Wijk KP. Health Policy. 2010;94:183-195.

REVIEW

Promoting a culture of safety as a patient safety strategy: a systematic review.

Weaver SJ, Lubomski LH, Wilson RF, Pfoh ER, Martinez KA, Dy SM. Ann Intern Med. 2013;158(5 Pt 2):369-374.

REVIEW

Adverse events in hospitals: the patient's point of view.

Massó Guijarro P, Aranaz Andrés JM, Mira JJ, Perdiguero E, Aibar C. Qual Saf Health Care. 2010;19:144-147.

REVIEW

Teamwork in obstetric critical care.

Guise JM, Segel S. Best Pract Res Clin Obstet Gynaecol. 2008;22:937-951.

REVIEW

Hospital-initiated transitional care interventions as a patient safety strategy: a systematic review.

Rennke S, Nguyen OK, Shoeb MH, Magan Y, Wachter RM, Ranji SR. Ann Intern Med. 2013;158(5 Pt 2):433-440.

REVIEW

classic

Deficits in communication and information transfer between hospital-based and primary care physicians: implications for patient safety and continuity of care.

Kripalani S, LeFevre F, Phillips CO, Williams MV, Basaviah P, Baker DW. JAMA. 2007;297:831-841.

REVIEW

The efficacy of computer-enabled discharge communication interventions: a systematic review.

Motamedi SM, Posadas-Calleja J, Straus S, et al. BMJ Qual Saf. 2011;20:403-415.

REVIEW

Supporting involved health care professionals (second victims) following an adverse health event: a literature review.

Seys D, Scott S, Wu A, et al. Int J Nurs Stud. 2013;50:678-687.

REVIEW

classic

"July Effect": impact of the academic year-end changeover on patient outcomes. A systematic review.

Young JQ, Ranji SR, Wachter RM, Lee CM, Niehaus B, Auerbach AD. Ann Intern Med. 2011;155:309-315.

REVIEW

Hand hygiene and healthcare system change within multi-modal promotion: a narrative review.

Allegranzi B, Sax H, Pittet D. J Hosp Infect. 2013;83(suppl 1):S3-S10.

REVIEW

Duty-hour limits and patient care and resident outcomes: can high-quality studies offer insight into complex relationships?

Philibert I, Nasca T, Brigham T, Shapiro J. Annu Rev Med. 2013;64:467-483.

REVIEW

Medication safety in acute care in Australia: where are we now? Part 2: a review of strategies and activities for improving medication safety 2002-2008.

Semple SJ, Roughead EE. Aust New Zealand Health Policy. 2009;6:24.

REVIEW

The effects of patient handoff characteristics on subsequent care: a systematic review and areas for future research.

Foster S, Manser T. Acad Med. 2012;87:1105-1124.

REVIEW

Interdisciplinary teamwork in hospitals: a review and practical recommendations for improvement.

O'Leary KJ, Sehgal NL, Terrell G, Williams MV; High Performance Teams and the Hospital of the Future Project Team. J Hosp Med. 2011 Oct 31; [Epub ahead of print].

REVIEW

Enhancing communication in surgery through team training interventions: a systematic literature review.

Gillespie BM, Chaboyer W, Murray P. AORN J. 2010;92:642-657.

REVIEW

Multidisciplinary team training in a simulation setting for acute obstetric emergencies: a systematic review.

Merién AER, van de Ven J, Mol BW, Houterman S, Oei SG. Obstet Gynecol. 2010;115:1021-1031.

REVIEW

Medication safety in acute care in Australia: where are we now? Part 1: a review of the extent and causes of medication problems 2002-2008.

Roughead EE, Semple SJ. Aust New Zealand Health Policy. 2009;6:18.

REVIEW

Reducing hospital errors: interventions that build safety culture.

Singer SJ, Vogus TJ. Annu Rev Public Health. 2013;34:373-396.

REVIEW

Interventions to improve teamwork and communications among healthcare staff.

McCulloch P, Rathbone J, Catchpole K. Br J Surg. 2011;98:469-479.

REVIEW

Inpatient fall prevention programs as a patient safety strategy: a systematic review.

Miake-Lye IM, Hempel S, Ganz DA, Shekelle PG. Ann Intern Med. 2013;158(5 Pt 2):390-396.

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