AHRQ Patient Safety Network

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The Collection

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Safety Target

•Device-related Complications (91)

•Diagnostic Errors (129)

•Identification Errors (58)

•Discontinuities, Gaps, and Hand-Off Problems (311)

•Fatigue and Sleep Deprivation (63)

•Medication Safety (822)

•Medical Complications (299)

•Nonsurgical Procedural Complications (43)

•Surgical Complications (270)

•Transfusion Complications (13)

•Psychological and Social Complications (92)

Origin/Sponsor

•Africa (3)

•Asia (54)

•Australia and New Zealand (96)

•Central and South America (4)

•Europe (372)

•North America (1989)

Resource Types
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Study

Error Types

•Epidemiology of Errors and Adverse Events (1224)

•Active Errors (327)

•Latent Errors (104)

•Near Miss (54)

Approach to Improving Safety

•Quality Improvement Strategies (509)

•Legal and Policy Approaches (129)

•Error Reporting and Analysis (820)

•Communication Improvement (498)

•Human Factors Engineering (204)

•Teamwork (166)

•Specialization of Care (193)

•Logistical Approaches (216)

•Culture of Safety (257)

•Technologic Approaches (486)

•Education and Training (398)

Clinical Areas

•Allied Health Services (7)

Target Audience

•Health Care Providers (1766)

•Health Care Executives and Administrators (2018)

•Non-Health Care Professionals (916)

•Patients (28)

Setting of Care

•Hospitals (1859)

•Psychiatric Facilities (9)

•Residential Facilities (54)

•Ambulatory Care (296)

•Outpatient Surgery (18)

•Patient Transport (25)

1 - 20 of 2509

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STUDY

Temporal trends in rates of patient harm resulting from medical care.

Landrigan CP, Parry GJ, Bones CB, Hackbarth AD, Goldmann DA, Sharek PJ. N Engl J Med. 2010;363:2124-2134.

STUDY

Is patient safety improving? National trends in patient safety indicators: 1998–2007.

Downey JR, Hernandez-Boussard T, Banka G, Morton JM. Health Serv Res. 2012;47:414-430.

STUDY

Integrating incident data from five reporting systems to assess patient safety: making sense of the elephant.

Levtzion-Korach O, Frankel A, Alcalai H, et al. Jt Comm J Qual Patient Saf. 2010;36:402-410.

STUDY

National estimates of adverse events during nonpsychiatric hospitalizations for persons with schizophrenia.

Khaykin E, Ford DE, Pronovost PJ, Dixon L, Daumit GL. Gen Hosp Psychiatry. 2010;32:419-425.

STUDY

Hospital performance trends on national quality measures and the association with Joint Commission accreditation.

Schmaltz SP, Williams SC, Chassin MR, Loeb JM, Wachter RM. J Hosp Med. 2011;6:458-465.

STUDY

Improvement in the detection of adverse drug events by the use of electronic health and prescription records: an evaluation of two trigger tools.

Nwulu U, Nirantharakumar K, Odesanya R, McDowell SE, Coleman JJ. Eur J Clin Pharmacol. 2013;69:255-259.

STUDY

Patient safety reporting systems: sustained quality improvement using a multidisciplinary team and "Good Catch" awards.

Herzer KR, Mirrer M, Xie Y, et al. Jt Comm J Qual Patient Saf. 2012;38:339-347.

STUDY

Relationship between medication event rates and the Leapfrog computerized physician order entry evaluation tool.

Leung AA, Keohane C, Lipsitz S, et al. J Am Med Inform Assoc. 2013;20:e85-e90.

STUDY

Analysis of staff safety concerns.

Davidson J, Lamontagne G, Burnell L, et al. J Nurs Care Qual. 2013;28:147-152.

STUDY

Association of a clinical knowledge support system with improved patient safety, reduced complications and shorter length of stay among Medicare beneficiaries in acute care hospitals in the United States.

Bonis PA, Pickens GT, Rind DM, Foster DA. Int J Med Inform. 2008;77:745-753.

STUDY

Impact of a statewide intensive care unit quality improvement initiative on hospital mortality and length of stay: retrospective comparative analysis.

Lipitz-Snyderman A, Steinwachs D, Needham DM, Colantuoni E, Morlock LL, Pronovost PJ. BMJ. 2011;342:d219.

STUDY

Thirty-day, all-cause readmissions for elderly patients who have an injury-related inpatient stay.

Spector WD, Mutter R, Owens P, Limcangco R. Med Care. 2012;50:863-869.

STUDY

Hospital discharge documentation and risk of rehospitalisation.

Hansen LO, Strater A, Smith L, et al. BMJ Qual Saf. 2011;20:773-778.

STUDY

The relationship between patients' perception of care and measures of hospital quality and safety.

Isaac T, Zaslavsky AM, Cleary PD, Landon BE. Health Serv Res. 2010;45:1024-1040.

STUDY

How do black-serving hospitals perform on patient safety indicators?: Implications for national public reporting and pay-for-performance.

Ly DP, Lopez L, Isaac T, Jha AK. Med Care. 2010;48:1133-1137.

STUDY

Examining the impact of the AHRQ Patient Safety Indicators (PSIs) on the Veterans Health Administration: the case of readmissions.

Rosen AK, Loveland S, Shin M, et al. Med Care. 2013;51:37-44.

STUDY

Inpatient fall prevention: use of in-room Webcams.

Hardin SR, Dienemann J, Rudisill P, Mills KK. J Patient Saf. 2013;9:29-35.

STUDY

Using Lean to improve medication administration safety: in search of the "perfect dose."

Ching JM, Long C, Williams BL, Blackmore CC. Jt Comm J Qual Patient Saf. 2013;39:195-204.

STUDY

Impact of diagnosis-timing indicators on measures of safety, comorbidity, and case mix groupings from administrative data sources.

Naessens JM, Campbell CR, Berg B, Williams AR, Culbertson R. Med Care. 2007;45:781-788.

STUDY

Medication administration quality and health information technology: a national study of US hospitals.

Appari A, Carian EK, Johnson ME, Anthony DL. J Am Med Inform Assoc. 2012;19:360-367.

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