AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (47)

•Diagnostic Errors (17)

•Identification Errors (11)

•Discontinuities, Gaps, and Hand-Off Problems (65)

•Fatigue and Sleep Deprivation (9)

•Medication Safety (176)

•Medical Complications (80)

•Nonsurgical Procedural Complications (10)

•Surgical Complications (55)

•Transfusion Complications (1)

•Psychological and Social Complications (16)

Origin/Sponsor

•Africa (1)

•Asia (40)

•Australia and New Zealand (29)

•Central and South America (5)

•Europe (103)

•North America (354)

Resource Types
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Study

Error Types

•Epidemiology of Errors and Adverse Events (191)

•Active Errors (67)

•Latent Errors (19)

•Near Miss (14)

Approach to Improving Safety

•Quality Improvement Strategies (102)

•Legal and Policy Approaches (9)

•Error Reporting and Analysis (144)

•Communication Improvement (152)

•Human Factors Engineering (103)

•Teamwork (72)

•Specialization of Care (52)

•Logistical Approaches (47)

•Culture of Safety (63)

•Technologic Approaches (61)

•Education and Training (84)

Clinical Areas

•Medicine (433)

•Nursing (111)

•Pharmacy (29)

Target Audience

•Health Care Providers (448)

•Health Care Executives and Administrators (412)

•Non-Health Care Professionals (137)

•Patients (4)

Setting of Care

•Hospitals (448)

•Psychiatric Facilities (3)

•Residential Facilities (2)

•Ambulatory Care (12)

•Outpatient Surgery (1)

•Patient Transport (4)

1 - 20 of 532

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STUDY

Healthy work environments, nurse-physician communication, and patients' outcomes.

Manojlovich M, DeCicco B. Am J Crit Care. 2007;16:536-543.

STUDY

The attitudes and beliefs of healthcare professionals on the causes and reporting of medication errors in a UK intensive care unit.

Sanghera IS, Franklin BD, Dhillon S. Anaesthesia. 2007;62:53-61.

STUDY

Developing and testing a tool to measure nurse/physician communication in the intensive care unit.

Manojlovich M, Saint S, Forman J, Fletcher CE, Keith R, Krein S. J Patient Saf. 2011;7:72-76.

STUDY

The nurses' experience of barriers to safe practice in the neonatal intensive care unit in Thailand.

Jirapaet V, Jirapaet K, Sopajaree C. J Obstet Gynecol Neonatal Nurs. 2006;35:746-754.

STUDY

Interdisciplinary communication in the intensive care unit.

Reader TW, Flin R, Mearns K, Cuthbertson BH. Br J Anaesth. 2007;98:347-52.

STUDY

Specificity of computerized physician order entry has a significant effect on the efficiency of workflow for critically ill patients.

Ali NA, Mekhjian HS, Kuehn PL, et al. Crit Care Med. 2005;33:110-114.

STUDY

The effects of computerized provider order entry implementation on communication in intensive care units.

Hoonakker PL, Carayon P, Walker JM, Brown RL, Cartmill RS. Int J Med Inform. 2013;82:e107-e117.

STUDY

Airway carts: a systems-based approach to airway safety.

Kane BG, Bond WF, Worrilow CC, Richardson DM, on behalf of the Lehigh Valley Hospital Airway Task Force. J Patient Saf. 2006;2:154-161.

STUDY

Worries and concerns experienced by nurse specialists during inter-hospital transports of critically ill patients: a critical incident study.

Gustafsson M, Wennerholm S, Fridlund B. Intensive Crit Care Nurs. 2010;26:138-145.

STUDY

Nurses' behaviors and visual scanning patterns may reduce patient identification errors.

Marquard JL, Henneman PL, He Z, Jo J, Fisher DL, Henneman EA. J Exp Psychol Appl. 2011;17:247-256.

STUDY

Checklists change communication about key elements of patient care.

Newkirk M, Pamplin JC, Kuwamoto R, Allen DA, Chung KK. J Trauma Acute Care Surg. 2012;73(2 suppl 1):S75-S82.

STUDY

Design and implementation of an ICU incident registry.

van der Veer S, Cornet R, de Jonge E. Int J Med Inform. 2007;76:103-108.

STUDY

Development of the ICU safety reporting system.

Wu AW, Holzmueller CG, Lubomski LH, et al. J Patient Saf. 2005;1:23-32.

STUDY

Strategies used by critical care nurses to identify, interrupt, and correct medical errors.

Henneman EA, Gawlinski A, Blank FS, Henneman PL, Jordan D, McKenzie JB. Am J Crit Care. 2010;19:500-509.

STUDY

Safety Climate Survey: reliability of results from a multicenter ICU survey.

Kho ME, Carbone JM, Lucas J, Cook DJ. Qual Saf Health Care. 2005;14:273-278.

STUDY

Error, stress, and teamwork in medicine and aviation: cross sectional surveys.

Sexton JB, Thomas EJ, Helmreich RL. BMJ. 2000;320:745-749.

STUDY

The culture of a trauma team in relation to human factors.

Cole E, Crichton N. J Clin Nurs. 2006;15:1257-1266.

STUDY

A multicenter, phased, cluster-randomized controlled trial to reduce central line–associated bloodstream infections in intensive care units.

Marsteller JA, Sexton JB, Hsu YJ, et al. Crit Care Med. 2012;40:2933-2939.

STUDY

Implementing and validating a comprehensive unit-based safety program.

Pronovost P, Weast B, Rosenstein B. J Patient Saf. 2005;1:33-40.

STUDY

In search of common ground in handoff documentation in an intensive care unit.

Collins SA, Mamykina L, Jordan D, et al. J Biomed Inform. 2012;45:307-315.

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