AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (78)

•Diagnostic Errors (118)

•Identification Errors (56)

•Discontinuities, Gaps, and Hand-Off Problems (244)

•Fatigue and Sleep Deprivation (60)

•Medication Safety (657)

•Medical Complications (290)

•Nonsurgical Procedural Complications (50)

•Surgical Complications (287)

•Transfusion Complications (11)

•Psychological and Social Complications (67)

Origin/Sponsor

•Africa (2)

•Asia (42)

•Australia and New Zealand (58)

•Central and South America (5)

•Europe (286)

•North America (1701)

Resource Types
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Study

Error Types

•Epidemiology of Errors and Adverse Events (1125)

•Active Errors (302)

•Latent Errors (76)

•Near Miss (48)

Approach to Improving Safety

•Quality Improvement Strategies (446)

•Legal and Policy Approaches (73)

•Error Reporting and Analysis (682)

•Communication Improvement (402)

•Human Factors Engineering (175)

•Teamwork (200)

•Specialization of Care (162)

•Logistical Approaches (177)

•Culture of Safety (312)

•Technologic Approaches (345)

•Education and Training (476)

Clinical Areas

•Allied Health Services (4)

•Complementary and Alternative Medicine (1)

Target Audience

•Health Care Providers (1412)

•Health Care Executives and Administrators (1785)

•Non-Health Care Professionals (833)

•Patients (16)

Setting of Care

•Hospitals (1487)

•Psychiatric Facilities (8)

•Residential Facilities (50)

•Ambulatory Care (204)

•Outpatient Surgery (17)

•Patient Transport (22)

1 - 20 of 2088

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STUDY

A comprehensive obstetrics patient safety program improves safety climate and culture.

Pettker CM, Thung SF, Raab CA, et al. Am J Obstet Gynecol. 2011;204:216.e1-e6.

STUDY

Didactic and simulation nontechnical skills team training to improve perinatal patient outcomes in a community hospital.

Riley W, Davis S, Miller K, Hansen H, Sainfort F, Sweet R. Jt Comm J Qual Patient Saf. 2011;37:357-364.

STUDY

Effect of a comprehensive obstetric patient safety program on compensation payments and sentinel events.

Grunebaum A, Chervenak F, Skupski D. Am J Obstet Gynecol. 2011;204:97-105.

STUDY

Attitudes toward safety and teamwork in a maternity unit with embedded team training.

Siassakos D, Fox R, Hunt L, et al. Am J Med Qual. 2011;26:132-137.

STUDY

Mobile in situ obstetric emergency simulation and teamwork training to improve maternal–fetal safety in hospitals.

Guise J, Lowe NK, Deering S, et al. Jt Comm J Qual Patient Saf. 2010;36:443-453:AP1-AP2.

STUDY

Evaluating efforts to optimize TeamSTEPPS implementation in surgical and pediatric intensive care units.

Mayer CM, Cluff L, Lin WT, et al. Jt Comm J Qual Patient Saf. 2011;37:365-374.

STUDY

Interdisciplinary team training identifies discrepancies in institutional policies and practices.

Andreatta P, Frankel J, Smith SB, Bullough A, Marzano D. Am J Obstet Gynecol. 2011;205:298-230.

STUDY

Assessing teamwork attitudes in healthcare: development of the TeamSTEPPS teamwork attitudes questionnaire.

Baker DP, Amodeo AM, Krokos KJ, Slonim A, Herrera H. Qual Saf Health Care. 2010;19:e49.

STUDY

Effects of teamwork training on adverse outcomes and process of care in labor and delivery: a randomized controlled trial.

Nielsen PE, Goldman MB, Mann S, et al. Obstet Gynecol. 2007;109:48-55.

STUDY

Content analysis of team communication in an obstetric emergency scenario.

Siassakos D, Draycott T, Montague I, Harris M. J Obstet Gynaecol. 2009;29:499-503.

STUDY

Assessing and improving safety culture throughout an academic medical centre: a prospective cohort study.

Paine LA, Rosenstein BJ, Sexton JB, Kent P, Holzmueller CG, Pronovost PJ. Qual Saf Health Care. 2010;19:547-554.

STUDY

Team training in the neonatal resuscitation program for interns: teamwork and quality of resuscitations.

Thomas EJ, Williams AL, Reichman EF, Lasky RE, Crandell S, Taggart WR. Pediatrics. 2010;125:539-546.

STUDY

Structured interdisciplinary rounds in a medical teaching unit: improving patient safety.

O’Leary KJ, Buck R, Fligiel HM, et al. Arch Intern Med. 2011;171:678-684.

STUDY

Speaking up and sharing information improves trainee neonatal resuscitations.

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

STUDY

Crew resource management improved perception of patient safety in the operating room.

Gore DC, Powell JM, Baer JG, et al. Am J Med Qual. 2010;25:60-63.

STUDY

A novel method for reproducibly measuring the effects of interventions to improve emotional climate, indices of team skills and communication, and threat to patient outcome in a high-volume thoracic surgery center.

Nurok M, Lipsitz S, Satwicz P, Kelly A, Frankel A. Arch Surg. 2010;145:489-495.

STUDY

The efficacy of medical team training: improved team performance and decreased operating room delays: a detailed analysis of 4863 cases.

Wolf FA, Way LW, Stewart L. Ann Surg. 2010;252:477-485.

STUDY

Communication failure in the operating room.

Halverson AL, Casey JT, Andersson J, et al. Surgery. 2011;49:305-310.

STUDY

Does teamwork improve performance in the operating room? A multilevel evaluation.

Weaver SJ, Rosen MA, DiazGranados D, et al. Jt Comm J Qual Patient Saf. 2010;36:133-142.

STUDY

The relationship of the emotional climate of work and threat to patient outcome in a high-volume thoracic surgery operating room team.

Nurok M, Evans LA, Lipsitz S, Satwicz P, Kelly A, Frankel A. BMJ Qual Saf. 2011;20:237-242.

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