AHRQ Patient Safety Network

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The Collection

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Safety Target

•Device-related Complications (67)

•Diagnostic Errors (54)

•Identification Errors (46)

•Discontinuities, Gaps, and Hand-Off Problems (202)

•Fatigue and Sleep Deprivation (40)

•Medication Safety (597)

•Medical Complications (212)

•Nonsurgical Procedural Complications (37)

•Surgical Complications (190)

•Transfusion Complications (9)

•Psychological and Social Complications (87)

Origin/Sponsor

•Africa (1)

•Asia (28)

•Australia and New Zealand (59)

•Central and South America (5)

•Europe (181)

•North America (1450)

Resource Types
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Study

Error Types

•Epidemiology of Errors and Adverse Events (637)

•Active Errors (246)

•Latent Errors (74)

•Near Miss (47)

Approach to Improving Safety

•Quality Improvement Strategies (343)

•Legal and Policy Approaches (63)

•Error Reporting and Analysis (471)

•Communication Improvement (347)

•Human Factors Engineering (171)

•Teamwork (169)

•Specialization of Care (148)

•Logistical Approaches (162)

•Culture of Safety (215)

•Technologic Approaches (489)

•Education and Training (286)

Clinical Areas

•Allied Health Services (3)

•Medicine (1263)

•Nursing (294)

•Pharmacy (186)

Target Audience

•Health Care Providers (1185)

•Health Care Executives and Administrators (1559)

•Non-Health Care Professionals (846)

•Patients (10)

Setting of Care

•Hospitals (1241)

•Psychiatric Facilities (9)

•Residential Facilities (34)

•Ambulatory Care (153)

•Outpatient Surgery (10)

•Patient Transport (14)

1 - 20 of 1722

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STUDY

Moral distress, compassion fatigue, and perceptions about medication errors in certified critical care nurses.

Maiden J, Georges JM, Connelly CD. Dimens Crit Care Nurs. 2011;30:339-345.

STUDY

Comparing errors in ED computer-assisted vs conventional pediatric drug dosing and administration.

Yamamoto L, Kanemori J. Am J Emerg Med. 2010;28:588-592.

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

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

Changes in end-user satisfaction with computerized provider order entry over time among nurses and providers in intensive care units.

Hoonakker PL, Carayon P, Brown RL, Cartmill RS, Wetterneck TB, Walker JM. J Am Med Inform Assoc. 2013;20:252-259.

STUDY

The impact of a tele-ICU on provider attitudes about teamwork and safety climate.

Chu-Weininger MYL, Wueste L, Lucke JF, Weavind L, Mazabob J, Thomas EJ. Qual Saf Health Care. 2010;19:e39.

STUDY

Role of registered nurses in error prevention, discovery and correction.

Rogers AE, Dean GE, Hwang WT, Scott LD. Qual Saf Health Care. 2008;17:117-121.

STUDY

The effect of hospital electronic health record adoption on nurse-assessed quality of care and patient safety.

Kutney-Lee A, Kelly D. J Nurs Adm. 2011;41:466-472.

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

Structural empowerment and patient safety culture among registered nurses working in adult critical care units.

Armellino D, Quinn Griffin MT, Fitzpatrick JJ. J Nurs Manag. 2010;18:796-803.

STUDY

Why patient summaries in electronic health records do not provide the cognitive support necessary for nurses' handoffs on medical and surgical units: insights from interviews and observations.

Staggers N, Clark L, Blaz JW, Kapsandoy S. Health Informatics J. 2011;17:209-223.

STUDY

The effect of two different electronic health record user interfaces on intensive care provider task load, errors of cognition, and performance.

Ahmed A, Chandra S, Herasevich V, Gajic O, Pickering BW. Crit Care Med. 2011;39:1626-1634.

STUDY

Rework and workarounds in nurse medication administration process: implications for work processes and patient safety.

Halbesleben JRB, Savage GT, Wakefield DS, Wakefield BJ. Health Care Manage Rev. 2010;35:124-133.

STUDY

Medical errors recovered by critical care nurses.

Dykes PC, Rothschild JM, Hurley AC. J Nurs Adm. 2010;40:241-246.

STUDY

Impact of performance obstacles on intensive care nurses' workload, perceived quality and safety of care, and quality of working life.

Gurses AP, Carayon P, Wall M. Health Serv Res. 2009;44:422-443.

STUDY

Impact of computerized orders for pediatric continuous drug infusions on detecting infusion pump programming errors: a simulated study.

Sowan AK, Gaffoor MI, Soeken K, Johantgen ME, Vaidya VU. J Pediatr Nurs. 2010;25:108-118.

STUDY

Evaluation of an evidence-based, nurse-driven checklist to prevent hospital-acquired catheter-associated urinary tract infections in intensive care units.

Fuchs MA, Sexton DJ, Thornlow DK, Champagne MT. J Nurs Care Qual. 2011;26:101-109.

STUDY

Use of simulation to assess electronic health record safety in the intensive care unit: a pilot study.

March CA, Steiger D, Scholl G, Mohan V, Hersh WR, Gold JA. BMJ Open. 2013;3:e002549.

STUDY

Risk of adverse drug events in neonates treated with opioids and the effect of a bar-code–assisted medication administration system.

Morriss FH, Jr, Abramowitz PW, Nelson SP, Milavetz G, Michael SL, Gordon SN. Am J Health Syst Pharm. 2011;68:57-62.

STUDY

Prevalence of copied information by attendings and residents in critical care progress notes.

Thornton JD, Schold JD, Venkateshaiah L, Lander B. Crit Care Med. 2013;41:382-388.

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