AHRQ Patient Safety Network

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The Collection

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Safety Target

•Device-related Complications (36)

•Diagnostic Errors (50)

•Identification Errors (39)

•Discontinuities, Gaps, and Hand-Off Problems (149)

•Fatigue and Sleep Deprivation (32)

•Medication Safety (357)

•Medical Complications (134)

•Nonsurgical Procedural Complications (26)

•Surgical Complications (144)

•Transfusion Complications (9)

•Psychological and Social Complications (39)

Origin/Sponsor

•Asia (6)

•Australia and New Zealand (15)

•Europe (30)

•North America (1015)

Resource Types
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Study

Error Types

•Epidemiology of Errors and Adverse Events (439)

•Active Errors (160)

•Latent Errors (55)

•Near Miss (35)

Approach to Improving Safety

•Quality Improvement Strategies (232)

•Legal and Policy Approaches (44)

•Error Reporting and Analysis (351)

•Communication Improvement (228)

•Human Factors Engineering (102)

•Teamwork (89)

•Specialization of Care (88)

•Logistical Approaches (111)

•Culture of Safety (121)

•Technologic Approaches (224)

•Education and Training (193)

Clinical Areas

•Allied Health Services (2)

•Complementary and Alternative Medicine (1)

•Medicine (817)

•Nursing (142)

•Pharmacy (96)

Target Audience

•Health Care Providers (742)

•Health Care Executives and Administrators (1067)

•Non-Health Care Professionals (410)

•Patients (8)

Setting of Care

•Hospitals (753)

•Psychiatric Facilities (5)

•Residential Facilities (35)

•Ambulatory Care (110)

•Outpatient Surgery (8)

•Patient Transport (9)

1 - 20 of 1067

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STUDY

The effects of work-hour limitations on resident well-being, patient care, and education in an internal medicine residency program.

Goitein L, Shanafelt TD, Wipf JE, Slatore CG, Back AL. Arch Intern Med. 2005;165:2601-2606.

STUDY

What is the measure of a safe hospital? Medication errors missed by risk management, clinical staff, and surveyors.

Grasso BC, Rothschild JM, Jordan CW, Jayaram G. J Psychiatr Pract. 2005;11:268-273.

STUDY

Physician characteristics, attitudes, and use of computerized order entry.

Lindenauer PK, Ling D, Pekow PS, et al. J Hosp Med. 2006;1:221-230.

STUDY

Complying with ACGME resident duty hours restrictions: restructuring the 80-hour workweek to enhance education and patient safety at Texas A&M/Scott & White Memorial Hospital.

Ogden PE, Sibbitt S, Howell M, et al. Acad Med. 2006;81:1026-1031.

STUDY

Iatrogenic events resulting in intensive care admission: frequency, cause, and disclosure to patients and institutions.

Lehmann LS, Puopolo AL, Shaykevich S, Brennan TA. Am J Med. 2005;118:409-413.

STUDY

Introducing new technology into the operating room: measuring the impact on job performance and satisfaction.

Stahl JE, Egan MT, Goldman JM, et al. Surgery. 2005;137:518-526.

STUDY

Direct observation approach for detecting medication errors and adverse drug events in a pediatric intensive care unit.

Buckley MS, Erstad BL, Kopp BJ, Theodorou AA, Priestley G. Pediatr Crit Care Med. 2007;8:145-152.

STUDY

Competition and health plan performance: evidence from health maintenance organization insurance markets.

Scanlon DP, Swaminathan S, Chernew M, Bost JE, Shevock J. Med Care. 2005;43:338-346.

STUDY

Return on investment for a computerized physician order entry system.

Kaushal R, Jha AK, Franz C, et al. J Am Med Inform Assoc. 2006;13:261-266.

STUDY

Alternatives to potentially inappropriate medications for use in e-prescribing software: triggers and treatment algorithms.

Hume AL, Quilliam BJ, Goldman R, Eaton C, Lapane KL. BMJ Qual Saf. 2011;20:875-884.

STUDY

Outcomes of care by hospitalists, general internists, and family physicians.

Lindenauer PK, Rothberg MB, Pekow PS, Kenwood C, Benjamin EM, Auerbach AD. N Engl J Med. 2007;357:2589-2600.

STUDY

Implementation of a medication reconciliation process in an ambulatory internal medicine clinic.

Nassaralla CL, Naessens JM, Chaudhry R, Hansen MA, Scheitel SM. Qual Saf Health Care. 2007;16:90-94.

STUDY

Personalised performance feedback reduces narcotic prescription errors in a NICU.

Sullivan KM, Suh S, Monk H, Chuo J. BMJ Qual Saf. 2013;22:256-262.

STUDY

Bridging the communication gap in the operating room with medical team training.

Awad SS, Fagan SP, Bellows C, et al. Am J Surg. 2005;190:770-774.

STUDY

Decreasing errors in pediatric continuous intravenous infusions.

Lehmann CU, Kim GR, Gujral R, Veltri MA, Clark JS, Miller MR. Pediatr Crit Care Med. 2006;7:225-230.

STUDY

Patient-reported service quality on a medicine unit.

Weingart SN, Pagovich O, Sands DZ, et al. Int J Qual Health Care. 2005;18:95-101.

STUDY

Repeat medication errors in nursing homes: contributing factors and their association with patient harm.

Crespin DJ, Modi AV, Wei D, et al. Am J Geriatr Pharmacother. 2010;8:258-270.

STUDY

Improving follow-up of high-risk psychiatry outpatients at resident year-end transfer.

Young JQ, Pringle Z, Wachter RM. Jt Comm J Qual Patient Saf. 2011;37:300-308.

STUDY

Healthcare provider complaints to the emergency department: a preliminary report on a new quality improvement instrument.

Griffey RT, Bohan JS. Qual Saf Health Care. 2006;15:344-346.

STUDY

Organizational and cultural changes for providing safe patient care.

Odwazny R, Hasler S, Abrams R, McNutt R. Qual Manag Health Care. 2005;14:132-143.

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