AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (180)

•Diagnostic Errors (118)

•Identification Errors (95)

•Discontinuities, Gaps, and Hand-Off Problems (393)

•Fatigue and Sleep Deprivation (105)

•Medication Safety (1059)

•Medical Complications (507)

•Nonsurgical Procedural Complications (88)

•Surgical Complications (302)

•Transfusion Complications (21)

•Psychological and Social Complications (107)

Origin/Sponsor

•Asia (44)

•Australia and New Zealand (68)

•Central and South America (3)

•Europe (217)

•North America (3108)

Resource Types

•Audiovisual (45)

•Award (19)

•Book/Report (167)

•Clinical Guideline (7)

•Journal Article (2473)

•Legislation/Regulation (53)

•Meeting/Conference (25)

•Newsletter/Journal (5)

•Newspaper/Magazine Article (493)

•Press Release/Announcement (15)

•Special or Theme Issue (57)

•Tools/Toolkit (45)

•Web Resource (60)

•Grant (9)

Error Types

•Epidemiology of Errors and Adverse Events (698)

•Active Errors (442)

•Latent Errors (250)

•Near Miss (62)

Approach to Improving Safety

•Quality Improvement Strategies (798)

•Legal and Policy Approaches (376)

•Error Reporting and Analysis (986)

•Communication Improvement (739)

•Human Factors Engineering (647)

•Teamwork (251)

•Specialization of Care (246)

•Logistical Approaches (324)

•Culture of Safety (488)

•Technologic Approaches (560)

•Education and Training (630)

Clinical Areas

•Allied Health Services (9)

Target Audience

•Health Care Providers (2294)

•Health Care Executives and Administrators (2780)

•Non-Health Care Professionals (1244)

•Patients (279)

Setting of Care

•Hospitals (2572)

•Psychiatric Facilities (14)

•Residential Facilities (56)

•Ambulatory Care (225)

•Outpatient Surgery (27)

•Patient Transport (18)

1 - 20 of 3473

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STUDY

Expanding what we know about off-peak mortality in hospitals.

Hamilton P, Mathur S, Gemeinhardt G, Eschiti V, Campbell M. J Nurs Admin. 2010;40:124-128.

COMMENTARY

Cascade iatrogenesis: factors leading to the development of adverse events in hospitalized older adults.

Thornlow DK, Anderson R, Oddone E. Int J Nurs Stud. 2009;46:1528-1535.

NEWSPAPER/MAGAZINE ARTICLE

Hospitals cutting nurses' long shifts.

Kowalczyk L. Boston Globe. September 17, 2005:A1.

STUDY

The role of the non-ICU staff nurse on a medical emergency team: perceptions and understanding.

Pusateri ME, Prior MM, Kiely SC. Am J Nurs. 2011;111:22-29.

STUDY

What causes near-misses and how are they mitigated?

Speroni KG, Fisher J, Dennis M, Daniel M. Nursing. 2013;43(4):19-24.

STUDY

Detection and prevention of medication errors using real-time bedside nurse charting.

Nelson NC, Evans RS, Samore MH, Gardner RM. J Am Med Inform Assoc. 2005;12:390-397.

STUDY

Hospital nurse staffing and patient mortality, emotional exhaustion, and job dissatisfaction.

Halm M, Peterson M, Kandels M, et al. Clin Nurse Spec. 2005;19:241-251.

STUDY

No interruptions please: impact of a no interruption zone on medication safety in intensive care units.

Anthony K, Wiencek C, Bauer C, Daly B, Anthony MK. Crit Care Nurse. 2010;30:21-29.

STUDY

Hospital staff nurses' shift length associated with safety and quality of care.

Stimpfel AW, Aiken LH. J Nurs Care Qual. 2013;28:122-129.

REVIEW

A concept analysis of situational awareness in nursing.

Fore AM, Sculli GL. J Adv Nurs. 2013 Mar 25; [Epub ahead of print].

COMMENTARY

Time to get off this pig's back?: the human factors aspects of the mismatch between device and real-world knowledge in the health care environment.

Nunnally ME, Bitan Y. J Patient Saf. 2006;2:124-131.

STUDY

Nurse interruptions pre- and post-implementation of a point-of-care medication administration system.

Stamp KD, Willis DG. J Nurs Care Qual. 2010;25:231-239.

REVIEW

Fall prevention in hospitals: an integrative review.

Spoelstra SL, Given BA, Given CW. Clin Nurs Res. 2012;21:92-112.

COMMENTARY

Clinical nurse specialists as leaders in rapid response.

Jenkins SD, Lindsey PL. Clin Nurse Spec. 2010;24:24-30.

COMMENTARY

A model of chemotherapy education for novice oncology nurses that supports a culture of safety.

Sheridan-Leos N. Clin J Oncol Nurs. 2007;11:545-551.

STUDY

Nurse staffing, burnout, and health care–associated infection.

Cimiotti JP, Aiken LH, Sloane DM, Wu ES. Am J Infect Control. 2012;40:486-490.

COMMENTARY

Mentoring staff members as patient safety leaders: the Clarian Safe Passage Program.

Rapala K. Crit Care Nurs Clin North Am. 2005;17:121-126.

COMMENTARY

Relationships among teams, culture, safety, and cost outcomes.

Brewer BB. West J Nurs Res. 2006;28:641-653.

SPECIAL OR THEME ISSUE

Adverse events: expecting too much of nurses and too little of nursing research.

Jordan S, ed. J Nurs Manag. 2011;19:287-417.

STUDY

The nurse's role in the causation of compensable injury.

Painter LM, Dudjak LA, Kidwell KM, Simmons RL, Kidwell RP. J Nurs Care Qual. 2011;4:311-319.

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