AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (45)

•Diagnostic Errors (19)

•Identification Errors (11)

•Discontinuities, Gaps, and Hand-Off Problems (75)

•Fatigue and Sleep Deprivation (9)

•Medication Safety (162)

•Medical Complications (85)

•Nonsurgical Procedural Complications (15)

•Surgical Complications (82)

•Transfusion Complications (1)

•Psychological and Social Complications (26)

Origin/Sponsor

•Africa (1)

•Asia (16)

•Australia and New Zealand (25)

•Central and South America (5)

•Europe (199)

•North America (360)

Resource Types
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Study

Error Types

•Epidemiology of Errors and Adverse Events (199)

•Active Errors (62)

•Latent Errors (19)

•Near Miss (12)

Approach to Improving Safety

•Quality Improvement Strategies (123)

•Legal and Policy Approaches (15)

•Error Reporting and Analysis (152)

•Communication Improvement (205)

•Human Factors Engineering (64)

•Teamwork (146)

•Specialization of Care (59)

•Logistical Approaches (49)

•Culture of Safety (83)

•Technologic Approaches (64)

•Education and Training (117)

Clinical Areas

•Allied Health Services (1)

•Medicine (501)

•Nursing (115)

•Pharmacy (30)

Target Audience

•Health Care Providers (499)

•Health Care Executives and Administrators (469)

•Non-Health Care Professionals (186)

•Patients (4)

Setting of Care

•Hospitals (490)

•Psychiatric Facilities (4)

•Residential Facilities (3)

•Ambulatory Care (21)

•Outpatient Surgery (1)

•Patient Transport (6)

1 - 20 of 604

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STUDY

The attitudes and beliefs of healthcare professionals on the causes and reporting of medication errors in a UK intensive care unit.

Sanghera IS, Franklin BD, Dhillon S. Anaesthesia. 2007;62:53-61.

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

Observational assessment of surgical teamwork: a feasibility study.

Undre S, Healey AN, Darzi A, Vincent CA. World J Surg. 2006;30:1774-1783.

STUDY

Developing and testing a tool to measure nurse/physician communication in the intensive care unit.

Manojlovich M, Saint S, Forman J, Fletcher CE, Keith R, Krein S. J Patient Saf. 2011;7:72-76.

STUDY

The culture of a trauma team in relation to human factors.

Cole E, Crichton N. J Clin Nurs. 2006;15:1257-1266.

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

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

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

STUDY

Error, stress, and teamwork in medicine and aviation: cross sectional surveys.

Sexton JB, Thomas EJ, Helmreich RL. BMJ. 2000;320:745-749.

STUDY

Teamwork in the operating theatre: cohesion or confusion?

Undre S, Sevdalis N, Healey AN, Darzi A, Vincent CA. J Eval Clin Pract. 2006;12:182-189.

STUDY

A look into the nature and causes of human errors in the intensive care unit.

Donchin Y, Gopher D, Olin M, et al. Crit Care Med. 1995;23:294-300.

STUDY

Patient-safety and quality initiatives in the intensive-care unit.

Winters B, Dorman T. Curr Opin Anaesthesiol. 2006;19:140-145.

STUDY

Nurses' perceptions of simulation-based interprofessional training program for rapid response and code blue events.

Wehbe-Janek H, Lenzmeier CR, Ogden PE, et al. J Nurs Care Qual. 2012;27:43-50.

STUDY

In search of common ground in handoff documentation in an intensive care unit.

Collins SA, Mamykina L, Jordan D, et al. J Biomed Inform. 2012;45:307-315.

STUDY

Communication in critical care environments: mobile telephones improve patient care.

Soto RG, Chu LF, Goldman JM, Rampil IJ, Ruskin KJ. Anesth Analg. 2006;102:535-541.

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

Reporting and classification of patient safety events in a cardiothoracic intensive care unit and cardiothoracic postoperative care unit.

Nast PA, Avidan M, Harris CB, et al. J Thorac Cardiovasc Surg. 2005;130:1137.

STUDY

A model of recovering medical errors in the coronary care unit.

Hurley AC, Rothschild JM, Moore ML, Snydeman C, Dykes PC, Fotakis S. Heart Lung. 2008;37:219-226.

STUDY

Surgical crisis management skills training and assessment: a stimulation-based approach to enhancing operating room performance.

Moorthy K, Munz Y, Forrest D, et al. Ann Surg. 2006;244:139-147.

STUDY

Perceptions of safety culture vary across the intensive care units of a single institution.

Huang DT, Clermont G, Sexton JB, et al. Crit Care Med. 2007;35:165-176.

STUDY

Team situation awareness and the anticipation of patient progress during ICU rounds.

Reader TW, Flin R, Mearns K, Cuthbertson BH. BMJ Qual Saf. 2011;20:1035-1042.

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