AHRQ Patient Safety Network

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The Collection

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Safety Target

•Device-related Complications (77)

•Diagnostic Errors (115)

•Identification Errors (52)

•Discontinuities, Gaps, and Hand-Off Problems (238)

•Fatigue and Sleep Deprivation (69)

•Medication Safety (684)

•Medical Complications (218)

•Nonsurgical Procedural Complications (33)

•Surgical Complications (220)

•Transfusion Complications (9)

•Psychological and Social Complications (79)

Origin/Sponsor

•Africa (3)

•Asia (36)

•Australia and New Zealand (52)

•Central and South America (8)

•Europe (187)

•North America (1686)

Resource Types
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Study

Error Types

•Epidemiology of Errors and Adverse Events (1071)

•Active Errors (240)

•Latent Errors (62)

•Near Miss (48)

Approach to Improving Safety

•Quality Improvement Strategies (363)

•Legal and Policy Approaches (95)

•Error Reporting and Analysis (631)

•Communication Improvement (350)

•Human Factors Engineering (166)

•Teamwork (120)

•Specialization of Care (149)

•Logistical Approaches (195)

•Culture of Safety (202)

•Technologic Approaches (354)

•Education and Training (302)

Clinical Areas

•Allied Health Services (4)

•Medicine (1482)

•Nursing (254)

•Pharmacy (214)

Target Audience

•Health Care Providers (1490)

•Health Care Executives and Administrators (1568)

•Non-Health Care Professionals (644)

•Patients (32)

Setting of Care

•Hospitals (1383)

•Psychiatric Facilities (6)

•Residential Facilities (41)

•Ambulatory Care (192)

•Outpatient Surgery (14)

•Patient Transport (20)

1 - 20 of 1966

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STUDY

Computerized provider order entry implementation: no association with increased mortality rates in an intensive care unit.

Del Beccaro MA, Jeffries HE, Eisenberg MA, Harry ED. Pediatrics. 2006;118:290-295.

STUDY

Perceptions of risk to patient safety in the pediatric ICU, a study of American pediatric intensivists.

Bauer P, Hoffmann RG, Bragg D, Scanlon MC. Safety Sci. 2013;53:160-167.

STUDY

Reducing catheter-associated bloodstream infections in the pediatric intensive care unit: business case for quality improvement.

Nowak JE, Brilli RJ, Lake MR, et al. Pediatr Crit Care Med. 2010;11:579-587.

STUDY

The effects of computerized provider order entry implementation on communication in intensive care units.

Hoonakker PL, Carayon P, Walker JM, Brown RL, Cartmill RS. Int J Med Inform. 2013;82:e107-e117.

STUDY

Finding blunders in thyroid testing: experience in newborns.

Zilka LJ, Lott JA, Baker LC, Linard SM. J Clin Lab Anal. 2008;22:254-256.

STUDY

Improving Papanicolaou test quality and reducing medical errors by using Toyota production system methods.

Raab SS, Andrew-Jaja C, Condel JL, Dabbs DJ. Am J Obstet Gynecol. 2006;194:57-64.

STUDY

Effect of antiseptic handwashing vs alcohol sanitizer on health care-associated infections in neonatal intensive care units.

Larson EL, Cimiotti J, Haas J, et al. Arch Pediatr Adolesc Med. 2005;159:377-383.

STUDY

Errors in drug computations during newborn intensive care.

Perlstein PH, Callison C, White M, Barnes B, Edwards NK. Am J Dis Child. 1979;133:376-379.

STUDY

Does patient-centered design guarantee patient safety?: Using human factors engineering to find a balance between provider and patient needs.

France DJ, Throop P, Walczyk B, et al. J Patient Safety. 2005;1:145-153.

STUDY

Checklists change communication about key elements of patient care.

Newkirk M, Pamplin JC, Kuwamoto R, Allen DA, Chung KK. J Trauma Acute Care Surg. 2012;73(2 suppl 1):S75-S82.

STUDY

Infants at risk: when nurse fatigue jeopardizes quality care.

Dean GE, Scott LD, Rogers AE. Adv Neonatal Care. 2006;6:120-126.

STUDY

Surgeon-reported conflict with intensivists about postoperative goals of care.

Paul Olson TJ, Brasel KJ, Redmann AJ, Alexander GC, Schwarze ML. JAMA Surg. 2013;148:29-35.

STUDY

Medical emergency team calls in the radiology department: patient characteristics and outcomes.

Ott LK, Pinsky MR, Hoffman LA, et al. BMJ Qual Saf. 2012 Mar 2; [Epup ahead of print].

STUDY

Airway carts: a systems-based approach to airway safety.

Kane BG, Bond WF, Worrilow CC, Richardson DM, on behalf of the Lehigh Valley Hospital Airway Task Force. J Patient Saf. 2006;2:154-161.

STUDY

Implementation of the Josie King Care Journal in a pediatric intensive care unit: a quality improvement project.

Turner K, Frush K, Hueckel R, Relf MV, Thornlow D, Champagne MT. J Nurs Care Qual. 2012 Oct 31; [Epub ahead of print].

STUDY

Nurses' perceptions of subspecialization in pediatric cardiac intensive care unit: quality and patient safety implications.

Kane JM, Preze E. J Nurs Care Qual. 2009;24:354-361.

STUDY

Voluntary electronic reporting of medical errors and adverse events.

Milch CE, Salem DN, Pauker SG, Lundquist TG, Kumar S, Chen J. J Gen Intern Med. 2006;21:165-170.

STUDY

Patient safety, satisfaction, and quality of hospital care: cross sectional surveys of nurses and patients in 12 countries in Europe and the United States.

Aiken LH, Sermeus W, Van den Heede K, et al. BMJ. 2012;344:e1717.

STUDY

A system factors analysis of "line, tube, and drain" incidents in the intensive care unit.

Needham DM, Sinopoli DJ, Thompson DA, et al. Crit Care Med. 2005;33:1701-1707.

STUDY

Speaking up and sharing information improves trainee neonatal resuscitations.

Katakam LI, Trickey AW, Thomas EJ. J Patient Saf. 2012;8:202-209.

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