AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (11)

•Diagnostic Errors (7)

•Identification Errors (2)

•Discontinuities, Gaps, and Hand-Off Problems (8)

•Fatigue and Sleep Deprivation (1)

•Medication Safety (35)

•Medical Complications (25)

•Nonsurgical Procedural Complications (2)

•Surgical Complications (16)

•Psychological and Social Complications (7)

Origin/Sponsor

•Asia (6)

•Australia and New Zealand (10)

•Europe (32)

•North America (108)

Resource Types
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Study

Error Types

•Epidemiology of Errors and Adverse Events (47)

•Active Errors (8)

•Latent Errors (1)

•Near Miss (5)

Approach to Improving Safety

•Quality Improvement Strategies (96)

•Legal and Policy Approaches (15)

•Error Reporting and Analysis (79)

•Communication Improvement (18)

•Human Factors Engineering (9)

•Teamwork (9)

•Specialization of Care (8)

•Logistical Approaches (8)

•Culture of Safety (37)

•Technologic Approaches (21)

•Education and Training (59)

Clinical Areas

•Allied Health Services (2)

•Medicine (102)

•Nursing (13)

•Pharmacy (10)

Target Audience

•Health Care Providers (90)

•Health Care Executives and Administrators (156)

•Non-Health Care Professionals (71)

•Patients (1)

Setting of Care

•Hospitals (100)

•Residential Facilities (6)

•Ambulatory Care (14)

•Outpatient Surgery (1)

•Patient Transport (1)

1 - 20 of 158

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STUDY

Exploring strategies for reducing hospital errors.

McFadden KL, Stock GN, Gowen CR III. J Healthc Manag. 2006;51:123-136.

STUDY

Incident reporting practices in the preanalytical phase: low reported frequencies in the primary health care setting.

Söderberg J, Grankvist K, Brulin C, Wallin O. Scand J Clin Lab Invest. 2009;69:731-735.

STUDY

Actions and implementation strategies to reduce suicidal events in the Veterans Health Administration.

Mills PD, Neily J, Luan D, Osborne A, Howard K. Jt Comm J Qual Patient Saf. 2006;32:130-141.

STUDY

Patient safety perceptions: a survey of Iowa physicians, pharmacists, and nurses.

Durbin J, Hansen MM, Sinkowitz-Cochran R, Cardo D. Am J Infect Control. 2006;34:25-30.

STUDY

Building safer systems by ecological design: using restoration science to develop a medication safety intervention.

Marck PB, Kwan JA, Preville B, et al. Qual Saf Health Care. 2006;15:92-97.

STUDY

Stories from the sharp end: case studies in safety improvement.

McCarthy D, Blumenthal D. Milbank Q. 2006;84:165-200.

STUDY

Barriers and motivators for making error reports from family medicine offices: a report from the American Academy of Family Physicians National Research Network (AAFP NRN).

Elder NC, Graham D, Brandt E, Hickner J. J Am Board Fam Med. 2007;20:115-123.

STUDY

Hospital governance and the quality of care.

Jha AK, Epstein AM. Health Aff (Millwood). 2010;29:182-187.

STUDY

Implementation of medication error reporting through Med Safe Tool: the clinical pharmacists and the inpatient nursing staff collaborative approach.

Elnour AA, Ellahham NH, Al Qassas HI. J Patient Saf. 2007;3:177-183.

STUDY

Hospitalization-associated disability: "She was probably able to ambulate, but I'm not sure."

Covinsky KE, Pierluissi E, Johnston CB. JAMA. 2011;306:1782-1793.

STUDY

Reporting of sentinel events in Swedish hospitals: a comparison of severe adverse events reported by patients and providers.

Öhrn A, Elfström J, Liedgren C, Rutberg H. Jt Comm J Qual Patient Saf. 2011;37:495-501.

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

Anatomic pathology databases and patient safety.

Raab SS, Grzybicki DM, Zarbo RJ, Meier FA, Geyer SJ, Jensen C. Arch Pathol Lab Med. 2005;129:1246-1251.

STUDY

Antiretroviral medication errors in a national medication error database.

Gray J, Hicks RW, Hutchings C. AIDS Patient Care STDS. 2005;19:803-812.

STUDY

Engineering a safe landing: engaging medical practitioners in a systems approach to patient safety.

Brand C, Ibrahim J, Bain C, Jones C, King B. Intern Med J. 2007;37:295-302.

STUDY

'Matching Michigan': a 2-year stepped interventional programme to minimise central venous catheter-blood stream infections in intensive care units in England.

Bion J, Richardson A, Hibbert P; Matching Michigan Collaboration & Writing Committee. BMJ Qual Saf. 2013;22:110-123.

STUDY

The Patient Safety Leadership Academy at the University of Pennsylvania: the first cohort's learning experience.

Wurster AB, Pearson K, Sonnad SS, Mullen JL, Kaiser LR. Qual Manag Health Care. 2007;16:166-173.

STUDY

Nurses' perceptions of error communication and reporting in the intensive care unit.

Elder NC, Brungs SM, Nagy M, Kudel I, Render ML. J Patient Saf. 2008;4:162-168.

STUDY

Association between implementation of a medical team training program and surgical morbidity.

Young-Xu Y, Neily J, Mills PD, et al. Arch Surg. 2011;146:1368-1373.

STUDY

Differentiating close calls from errors: a multidisciplinary perspective.

Etchegaray JM, Thomas EJ, Geraci JM, Simmons D, Martin SK. J Patient Saf. 2005;1:133-137.

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