AHRQ Patient Safety Network

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The Collection

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Safety Target

•Device-related Complications (80)

•Diagnostic Errors (111)

•Identification Errors (59)

•Discontinuities, Gaps, and Hand-Off Problems (372)

•Fatigue and Sleep Deprivation (55)

•Medication Safety (910)

•Medical Complications (245)

•Nonsurgical Procedural Complications (42)

•Surgical Complications (262)

•Transfusion Complications (11)

•Psychological and Social Complications (69)

Origin/Sponsor

•Africa (2)

•Asia (51)

•Australia and New Zealand (76)

•Central and South America (7)

•Europe (320)

•North America (1821)

Resource Types
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Study

Error Types

•Epidemiology of Errors and Adverse Events (1185)

•Active Errors (315)

•Latent Errors (89)

•Near Miss (58)

Approach to Improving Safety

•Quality Improvement Strategies (477)

•Legal and Policy Approaches (74)

•Error Reporting and Analysis (727)

•Communication Improvement (493)

•Human Factors Engineering (209)

•Teamwork (150)

•Specialization of Care (182)

•Logistical Approaches (198)

•Culture of Safety (212)

•Technologic Approaches (435)

•Education and Training (357)

Clinical Areas

•Allied Health Services (7)

Target Audience

•Health Care Providers (1638)

•Health Care Executives and Administrators (1905)

•Non-Health Care Professionals (745)

•Patients (19)

Setting of Care

•Hospitals (1574)

•Psychiatric Facilities (11)

•Residential Facilities (63)

•Ambulatory Care (264)

•Outpatient Surgery (14)

•Patient Transport (22)

1 - 20 of 2278

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STUDY

Effects of technological interventions on the safety of a medication-use system.

Skibinski KA, White BA, Lin LI, Dong Y, Wu W. Am J Health Syst Pharm. 2007;64:90-96.

STUDY

Nursing home error and level of staff credentials.

Scott-Cawiezell J, Pepper GA, Madsen RW, Petroski G, Vogelsmeier A, Zellmer D. Clin Nurs Res. 2007;16:72-78.

STUDY

Interruptions and multitasking in nursing care.

Kalisch BJ, Aebersold M. Jt Comm J Qual Patient Saf. 2010;36:126-132.

STUDY

Adverse drug events in hospitalized cardiac patients.

Fanikos J, Cina JL, Baroletti S, Fiumara K, Matta L, Goldhaber SZ. Am J Cardiol. 2007;100:1465-1469.

STUDY

Achieving quality improvement in the nursing home: influence of nursing leadership on communication and teamwork.

Vogelsmeier A, Scott-Cawiezell J. J Nurs Care Qual. 2011;26:236-242.

STUDY

The impact of teamwork on missed nursing care.

Kalisch BJ, Lee KH. Nurs Outlook. 2010;58:233-241.

STUDY

The effect on medication errors of pharmacists charting medication in an emergency department.

Vasileff HM, Whitten LE, Pink JA, Goldsworthy SJ, Angley MT. Pharm World Sci. 2009;31:373-379.

STUDY

A human factors framework and study of the effect of nursing workload on patient safety and employee quality of working life.

Holden RJ, Scanlon MC, Patel NR, et al. BMJ Qual Saf. 2011;20:15-24.

STUDY

Nurse working conditions and patient safety outcomes.

Stone PW, Mooney-Kane C, Larson EL, et al. Med Care. 2007;45:571-578.

STUDY

Nurses' work schedule characteristics, nurse staffing, and patient mortality.

Trinkoff AM, Johantgen M, Storr CL, Gurses AP, Liang Y, Han K. Nurs Res. 2011;60:1-8.

STUDY

Effectiveness of a pharmacist–nurse intervention on resolving medication discrepancies for patients transitioning from hospital to home health care.

Setter SM, Corbett CF, Neumiller JJ, Gates BJ, Sclar DA, Sonnett TE. Am J Health Syst Pharm. 2009;66:2027-2031.

STUDY

Horus meets Nightingale in the modern age: how nursing communicates with pharmacy in HCIT era.

Armstrong I, Cox MA. Stud Health Technol Inform. 2006;122:585-586.

STUDY

Pharmacist-supported medication review training for general practitioners: feasibility and acceptability.

Krska J, Gill D, Hansford D. Med Educ. 2006;40:1217-1225.

STUDY

Adoption of National Quality Forum safe practices by magnet hospitals.

Jayawardhana J, Welton JM, Lindrooth R. J Nurs Adm. 2011;41:350-356.

STUDY

Lessons learned: use of event reporting by nurses to improve patient safety and quality.

Hession-Laband E, Mantell P. J Pediatr Nurs. 2011;26:149-155.

STUDY

Nurses relate the contributing factors involved in medication errors.

Tang FI, Sheu SJ, Yu S, Wei IL, Chen CH. J Clin Nurs. 2007;16:447-457.

STUDY

Empowering frontline nurses: a structured intervention enables nurses to improve medication administration accuracy.

Kliger J, Blegen MA, Gootee D, O'Neil E. Jt Comm J Qual Patient Saf. 2009;35:604-612.

STUDY

Barriers and facilitators to nursing handoffs: recommendations for redesign.

Welsh CA, Flanagan ME, Ebright P. Nurs Outlook. 2010;58:148-154.

STUDY

Pharmacist staffing, technology use, and implementation of medication safety practices in rural hospitals.

Casey MM, Moscovice IS, Davidson G. J Rural Health. 2006;22:321-330.

STUDY

Hospital RNs' experiences with disruptive behavior: a qualitative study.

Walrath JM, Dang D, Nyberg D. J Nurs Care Qual. 2010;25:105-116.

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