AHRQ Patient Safety Network

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The Collection

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Safety Target

•Device-related Complications (13)

•Diagnostic Errors (23)

•Identification Errors (21)

•Discontinuities, Gaps, and Hand-Off Problems (91)

•Fatigue and Sleep Deprivation (24)

•Medication Safety (186)

•Medical Complications (76)

•Nonsurgical Procedural Complications (13)

•Surgical Complications (198)

•Transfusion Complications (2)

•Psychological and Social Complications (55)

Origin/Sponsor

•Asia (21)

•Australia and New Zealand (31)

•Central and South America (1)

•Europe (288)

•North America (409)

Resource Types
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Study

Error Types

•Epidemiology of Errors and Adverse Events (252)

•Active Errors (116)

•Latent Errors (29)

•Near Miss (22)

Approach to Improving Safety

•Quality Improvement Strategies (176)

•Legal and Policy Approaches (22)

•Error Reporting and Analysis (226)

•Communication Improvement (213)

•Human Factors Engineering (100)

•Teamwork (127)

•Specialization of Care (42)

•Logistical Approaches (64)

•Culture of Safety (116)

•Technologic Approaches (119)

•Education and Training (181)

Clinical Areas

•Allied Health Services (2)

•Complementary and Alternative Medicine (1)

Target Audience

•Health Care Providers (500)

•Health Care Executives and Administrators (714)

•Non-Health Care Professionals (407)

•Patients (3)

Setting of Care

•Hospitals (629)

•Psychiatric Facilities (3)

•Residential Facilities (5)

•Ambulatory Care (39)

•Outpatient Surgery (7)

•Patient Transport (5)

1 - 20 of 751

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STUDY

Medication errors with electronic prescribing (eP): two views of the same picture.

Savage I, Cornford T, Klecun E, Barber N, Clifford S, Franklin BD. BMC Health Serv Res. 2010;10:135.

STUDY

Factors associated with disclosure of medical errors by housestaff.

Kronman AC, Paasche-Orlow M, Orlander JD. BMJ Qual Saf. 2012;21:271-278.

STUDY

Some unintended effects of teamwork in healthcare.

Finn R, Learmonth M, Reedy P. Soc Sci Med. 2010;70:1148-1154.

STUDY

Reducing medication prescribing errors in a teaching hospital.

Garbutt J, Milligan PE, McNaughton C, et al. Jt Comm J Qual Patient Saf. 2008;34:528-536.

STUDY

Factors compromising safety in surgery: stressful events in the operating room.

Arora S, Hull L, Sevdalis N, et al. Am J Surg. 2010;199:60-65.

STUDY

“Water cooler” learning: knowledge sharing at the clinical “backstage” and its contribution to patient safety.

Waring JJ, Bishop S. J Health Organ Manag. 2010;24:325-342.

STUDY

Impact of the Comprehensive Unit-Based Safety Program (CUSP) on safety culture in a surgical inpatient unit.

Timmel J, Kent PS, Holzmueller CG, Paine L, Schulick RD, Pronovost PJ. Jt Comm J Qual Patient Saf. 2010:36;252-260.

STUDY

Incorrect surgical procedures within and outside of the operating room: a follow-up report.

Neily J, Mills PD, Eldridge N, et al. Arch Surg. 2011;146 1235-1239.

STUDY

Predictors of the perceived impact of a patient safety collaborative: an exploratory study.

Pinto A, Benn J, Burnett S, Parand A, Vincent C. Int J Qual Health Care. 2011;23:173-181.

STUDY

Hassle in the dispensary: pilot study of a proactive risk monitoring tool for organisational learning based on narratives and staff perceptions.

Sujan MA, Ingram C, McConkey T, Cross S, Cooke MW. BMJ Qual Saf. 2011;20:549-556.

STUDY

Clinical handover incident reporting in one UK general hospital.

Pezzolesi C, Schifano F, Pickles J, et al. Int J Qual Health Care. 2010;22:396-401.

STUDY

Surgeon information transfer and communication: factors affecting quality and efficiency of inpatient care.

Williams RG, Silverman R, Schwind C, et al. Ann Surg. 2007;245:159-169.

STUDY

The effects of stress and coping on surgical performance during simulations.

Wetzel CM, Black SA, Hanna GB, et al. Ann Surg. 2010;251:171-176.

STUDY

Improving teamwork: impact of structured interdisciplinary rounds on a medical teaching unit.

O'Leary KJ, Wayne DB, Haviley C, Slade ME, Lee J, Williams MV. J Gen Intern Med. 2010;25:826-832.

STUDY

Development of a rating system for surgeons' non-technical skills.

Yule S, Flin R, Paterson-Brown S, Maran N, Rowley D. Med Educ. 2006;40:1098-1104.

STUDY

Beyond service quality: the mediating role of patient safety perceptions in the patient experience–satisfaction relationship.

Rathert C, May DR, Williams ES. Health Care Manage Rev. 2011;36:359-368.

STUDY

Patient whiteboards as a communication tool in the hospital setting: A survey of practices and recommendations.

Sehgal NL, Green A, Vidyarthi AR, Blegen MA, Wachter RM. J Hosp Med. 2010;5:234-239.

STUDY

Information needs in operating room teams: what is right, what is wrong, and what is needed?

Wong HW, Forrest D, Healey A, et al. Surg Endosc. 2011;25:1913-1920.

STUDY

A randomised controlled trial of the effect of continuous electronic physiological monitoring on the adverse event rate in high risk medical and surgical patients.

Watkinson PJ, Barber VS, Price JD, et al. Anaesthesia. 2006;61:1031-1039.

STUDY

Communication discrepancies between physicians and hospitalized patients.

Olson DP, Windish DM. Arch Intern Med. 2010;170:1302-1307.

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