AHRQ Patient Safety Network

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The Collection

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Safety Target

•Device-related Complications (27)

•Diagnostic Errors (52)

•Identification Errors (21)

•Discontinuities, Gaps, and Hand-Off Problems (158)

•Fatigue and Sleep Deprivation (51)

•Medication Safety (333)

•Medical Complications (102)

•Nonsurgical Procedural Complications (26)

•Surgical Complications (160)

•Transfusion Complications (1)

•Psychological and Social Complications (91)

Origin/Sponsor

•Africa (1)

•Asia (30)

•Australia and New Zealand (41)

•Central and South America (3)

•Europe (131)

•North America (1020)

Resource Types
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Study

Error Types

•Epidemiology of Errors and Adverse Events (327)

•Active Errors (118)

•Latent Errors (49)

•Near Miss (29)

Approach to Improving Safety

•Quality Improvement Strategies (215)

•Legal and Policy Approaches (53)

•Error Reporting and Analysis (319)

•Communication Improvement (360)

•Human Factors Engineering (92)

•Teamwork (225)

•Specialization of Care (71)

•Logistical Approaches (148)

•Culture of Safety (176)

•Technologic Approaches (155)

•Education and Training (269)

Clinical Areas

•Allied Health Services (4)

•Medicine (842)

•Nursing (327)

•Pharmacy (76)

Target Audience

•Health Care Providers (1040)

•Health Care Executives and Administrators (936)

•Non-Health Care Professionals (509)

•Patients (12)

Setting of Care

•Hospitals (832)

•Psychiatric Facilities (6)

•Residential Facilities (25)

•Ambulatory Care (101)

•Outpatient Surgery (5)

•Patient Transport (7)

1 - 20 of 1220

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STUDY

Predictors of likelihood of speaking up about safety concerns in labour and delivery.

Lyndon A, Sexton JB, Simpson KR, Rosenstein A, Lee KA, Wachter RM. BMJ Qual Saf. 2012;21;791-799.

STUDY

Effective physician–nurse communication: a patient safety essential for labor and delivery.

Lyndon A, Zlatnik MG, Wachter RM. Am J Obstet Gynecol. 2011;205:91-96.

STUDY

Managing disruptive behaviors in the health care setting: focus on obstetrics services.

Rosenstein AH. Am J Obstet Gynecol. 2011;204:187-192.

STUDY

Causes of near misses: perceptions of perioperative nurses.

Cohoon B. AORN J. 2011;93:551-565.

STUDY

Discharge rounds in the 80-hour workweek: importance of the trauma nurse practitioner.

Haan JM, Dutton RP, Willis M, Leone S, Kramer ME, Scalea TM. J Trauma. 2007;63:339-343.

STUDY

Perceptions of patient safety culture among physicians and RNs in the perioperative area.

Scherer D, Fitzpatrick JJ. AORN J. 2008;87:163-175.

STUDY

Using ORA to explore the relationship of nursing unit communication to patient safety and quality outcomes.

Effken JA, Carley KM, Gephart S, et al. Int J Med Inform. 2011;80:507-517.

STUDY

Nurse and nurse assistant perceptions of missed nursing care: what does it tell us about teamwork?

Kalisch BJ. J Nurs Adm. 2009;39:485-493.

STUDY

Unit-based care teams and the frequency and quality of physician–nurse communications.

Gordon MB, Melvin P, Graham D, et al. Arch Pediatr Adolesc Med. 2011;165:424-428.

STUDY

Michigan Health & Hospital Association Keystone Obstetrics: a statewide collaborative for perinatal patient safety in Michigan.

Simpson KR, Knox GE, Martin M, George C, Watson SR. Jt Comm J Qual Patient Saf. 2011;37:544-551.

STUDY

Disruptive behavior and clinical outcomes: perceptions of nurses and physicians.

Rosenstein AH, O'Daniel M. Am J Nurs. 2005;105:54-64.

STUDY

Development and usability of a behavioural marking system for performance assessment of obstetrical teams.

Tregunno D, Pittini R, Haley M, Morgan PJ. Qual Saf Health Care. 2009;18:393-396.

STUDY

Healthy work environments, nurse-physician communication, and patients' outcomes.

Manojlovich M, DeCicco B. Am J Crit Care. 2007;16:536-543.

STUDY

Skilful anticipation: maternity nurses' perspectives on maintaining safety.

Lyndon A. Qual Saf Health Care. 2010;19:e8.

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

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

Performance-based payment incentives increase burden and blame for hospital nurses.

Kurtzman ET, O'Leary D, Sheingold BH, Devers KJ, Dawson EM, Johnson JE. Health Aff (Millwood). 2011;30:211-218.

STUDY

The impact of teamwork on missed nursing care.

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

STUDY

Nurses' and nursing assistants' perceptions of patient safety culture in nursing homes.

Hughes CM, Lapane KL. Int J Qual Health Care. 2006;18:281-286.

STUDY

Governing the surgical count through communication interactions: implications for patient safety.

Riley R, Manias E, Polglase A. Qual Saf Health Care. 2006;15:369-374.

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