AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (39)

•Diagnostic Errors (38)

•Identification Errors (12)

•Discontinuities, Gaps, and Hand-Off Problems (108)

•Fatigue and Sleep Deprivation (38)

•Medication Safety (188)

•Medical Complications (125)

•Nonsurgical Procedural Complications (25)

•Surgical Complications (257)

•Transfusion Complications (3)

•Psychological and Social Complications (48)

Origin/Sponsor

•Africa (1)

•Asia (24)

•Australia and New Zealand (63)

•Central and South America (1)

•Europe (315)

•North America (580)

Resource Types
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Study

Error Types

•Epidemiology of Errors and Adverse Events (344)

•Active Errors (127)

•Latent Errors (33)

•Near Miss (20)

Approach to Improving Safety

•Quality Improvement Strategies (186)

•Legal and Policy Approaches (53)

•Error Reporting and Analysis (235)

•Communication Improvement (251)

•Human Factors Engineering (114)

•Teamwork (167)

•Specialization of Care (75)

•Logistical Approaches (79)

•Culture of Safety (120)

•Technologic Approaches (101)

•Education and Training (352)

Clinical Areas

•Allied Health Services (6)

Target Audience

•Health Care Providers (816)

•Health Care Executives and Administrators (836)

•Non-Health Care Professionals (455)

•Patients (13)

Setting of Care

•Hospitals (742)

•Psychiatric Facilities (3)

•Residential Facilities (16)

•Ambulatory Care (72)

•Outpatient Surgery (12)

•Patient Transport (32)

1 - 20 of 979

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STUDY

Recurrent obstetric management mistakes identified by simulation.

Maslovitz S, Barkai G, Lessing JB, Ziv A, Many A. Obstet Gynecol Surv. 2007;62:636-638.

STUDY

Multidisciplinary crisis simulations: the way forward for training surgical teams.

Undre S, Koutantji M, Sevdalis N, et al. World J Surg. 2007;31:1843-1853.

STUDY

Association between implementation of a medical team training program and surgical mortality.

Neily J, Mills PD, Young-Xu Y, et al. JAMA. 2010;304:1693-1700.

STUDY

High-fidelity, simulation-based, interdisciplinary operating room team training at the point of care.

Paige JT, Kozmenko V, Yang T, et al. Surgery. 2009;145:138-146.

STUDY

Multidisciplinary obstetric simulated emergency scenarios (MOSES): promoting patient safety in obstetrics with teamwork-focused interprofessional simulations.

Freeth D, Ayida G, Berridge EJ, et al. J Contin Educ Health Prof. 2009;29:98-104.

STUDY

Design and evaluation of simulation scenarios for a program introducing patient safety, teamwork, safety leadership, and simulation to healthcare leaders and managers.

Cooper JB, Singer SJ, Hayes J, et al. Simul Healthc. 2011;6:231-238.

STUDY

Content analysis of team communication in an obstetric emergency scenario.

Siassakos D, Draycott T, Montague I, Harris M. J Obstet Gynaecol. 2009;29:499-503.

STUDY

Team training in the neonatal resuscitation program for interns: teamwork and quality of resuscitations.

Thomas EJ, Williams AL, Reichman EF, Lasky RE, Crandell S, Taggart WR. Pediatrics. 2010;125:539-546.

STUDY

Target-focused medical emergency team training using a human patient simulator: effects on behaviour and attitude.

Wallin CJ, Meurling L, Hedman L, Hedegard J, Fellander-Tsai L. Med Educ. 2007;41:173-180.

STUDY

The "July phenomenon": is trauma the exception?

Schroeppel TJ, Fischer PE, Magnotti LJ, Croce MA, Fabian TC. J Am Coll Surg. 2009;209:378-384.

STUDY

Uncomfortable prescribing decisions in hospitals: the impact of teamwork.

Lewis PJ, Tully MP. J R Soc Med. 2009;102:481-488.

STUDY

Simulation based teamwork training for emergency department staff: does it improve clinical team performance when added to an existing didactic teamwork curriculum?

Shapiro MJ, Morey JC, Small SD, et al. Qual Saf Health Care. 2004;13:417-421.

STUDY

Association between implementation of a medical team training program and surgical morbidity.

Young-Xu Y, Neily J, Mills PD, et al. Arch Surg. 2011;146:1368-1373.

STUDY

Didactic and simulation nontechnical skills team training to improve perinatal patient outcomes in a community hospital.

Riley W, Davis S, Miller K, Hansen H, Sainfort F, Sweet R. Jt Comm J Qual Patient Saf. 2011;37:357-364.

STUDY

Code debriefing from the Department of Veterans Affairs (VA) Medical Team Training Program improves the cardiopulmonary resuscitation code process.

Percarpio KB, Harris FS, Hatfield BA, et al. Jt Comm J Qual Patient Saf. 2010;36:424-429:AP1.

STUDY

Mihai R, Scott S, Cook TM. Anaesthesia. 2009;64:829-835.

STUDY

Use of the Safety Attitudes Questionnaire as a measure in patient safety improvement.

Watts BV, Percarpio K, West P, Mills PD. J Patient Saf. 2010;6:206-209.

STUDY

The Oxford NOTECHS System: reliability and validity of a tool for measuring teamwork behaviour in the operating theatre.

Mishra A, Catchpole K, McCulloch P. Qual Saf Health Care. 2009;18:104-108.

STUDY

Attitudinal changes resulting from repetitive training of operating room personnel using high-fidelity simulation at the point of care.

Paige JT, Kozmenko V, Yang T, et al. Am Surg. 2009;75:584-591.

STUDY

Simulator-based crew resource management training for interhospital transfer of critically ill patients by a mobile ICU.

Droogh JM, Kruger HL, Ligtenberg JJM, Zijlstra JG. Jt Comm J Qual Patient Saf. 2012;38:554-559.

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