AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (152)

•Diagnostic Errors (144)

•Identification Errors (109)

•Discontinuities, Gaps, and Hand-Off Problems (453)

•Fatigue and Sleep Deprivation (123)

•Medication Safety (977)

•Medical Complications (474)

•Nonsurgical Procedural Complications (98)

•Surgical Complications (416)

•Transfusion Complications (12)

•Psychological and Social Complications (121)

Origin/Sponsor

•Asia (38)

•Australia and New Zealand (87)

•Central and South America (4)

•Europe (246)

•North America (2854)

Resource Types

•Audiovisual (21)

•Award (11)

•Book/Report (89)

•Clinical Guideline (7)

•Journal Article (2645)

•Legislation/Regulation (39)

•Meeting/Conference (14)

•Newsletter/Journal (6)

•Newspaper/Magazine Article (293)

•Press Release/Announcement (9)

•Special or Theme Issue (42)

•Tools/Toolkit (31)

•Web Resource (48)

•Grant (4)

Error Types

•Epidemiology of Errors and Adverse Events (743)

•Active Errors (515)

•Latent Errors (180)

•Near Miss (72)

Approach to Improving Safety

•Quality Improvement Strategies (758)

•Legal and Policy Approaches (191)

•Error Reporting and Analysis (810)

•Communication Improvement (926)

•Human Factors Engineering (433)

•Teamwork (365)

•Specialization of Care (264)

•Logistical Approaches (348)

•Culture of Safety (431)

•Technologic Approaches (528)

•Education and Training (831)

Clinical Areas

•Allied Health Services (13)

Target Audience

•Health Care Providers (2416)

•Health Care Executives and Administrators (2834)

•Non-Health Care Professionals (1186)

•Patients (147)

Setting of Care

•Hospitals (2243)

•Psychiatric Facilities (11)

•Residential Facilities (55)

•Ambulatory Care (196)

•Outpatient Surgery (21)

•Patient Transport (36)

1 - 20 of 3259

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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.

COMMENTARY

Implementation of a rapid response team: a success story.

Scott SS, Elliott S. Crit Care Nurse. 2009;29:66-75.

STUDY

An examination of technical efficiency, quality, and patient safety in acute care nursing units.

Mark B, Jones C, Lindley L, Ozcan Y. Policy Polit Nurs Pract. 2009;10:180-186.

STUDY

Nurses' satisfaction with medication administration point-of-care technology.

Hurley AC, Bane A, Fotakis S, et al. J Nurs Adm. 2007;37:343-349.

STUDY

Nurse decision making in the prearrest period.

Gazarian PK, Henneman EA, Chandler GE. Clin Nurs Res. 2010;19:21-37.

STUDY

Nurses' perceptions of how rapid response teams affect the nurse, team, and system.

Williams DJ, Newman A, Jones C, Woodard B. J Nurs Care Qual. 2011;26:265-272.

COMMENTARY

Clinical nurse specialists as leaders in rapid response.

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

STUDY

Rapid response teams seen through the eyes of the nurse.

Shapiro SE, Donaldson NE, Scott MB. Am J Nurs. 2010;110:28-34.

STUDY

Bar code medication administration technology: characterization of high-alert medication triggers and clinician workarounds.

Miller DF, Fortier CR, Garrison KL. Ann Pharmacother. 2011;45:162-168.

REVIEW

Literature review: do rapid response systems reduce the incidence of major adverse events in the deteriorating ward patient?

Massey D, Aitken LM, Chaboyer W. J Clin Nurs. 2010;19:3260-3273.

STUDY

A relational leadership perspective on unit-level safety climate.

Thompson DN, Hoffman LA, Sereika SM, et al. J Nurs Adm. 2011;41:479-487.

STUDY

How RNs rescue patients: a qualitative study of RNs' perceived involvement in rapid response teams.

Leach LS, Mayo A, O'Rourke M. Qual Saf Health Care. 2010;19:e13.

STUDY

Clinical triggers: an alternative to a rapid response team.

Moldenhauer K, Sabel A, Chu ES, Mehler PS. Jt Comm J Qual Patient Saf. 2009;35:164-174.

STUDY

Causes of near misses: perceptions of perioperative nurses.

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

STUDY

The content and context of change of shift report on medical and surgical units.

Staggers N, Jennings BM. J Nurs Adm. 2009;39:393-398.

STUDY

Lessons learned: use of event reporting by nurses to improve patient safety and quality.

Hession-Laband E, Mantell P. J Pediatr Nurs. 2011;26:149-155.

COMMENTARY

Development of a modified early warning score using the electronic medical record.

Albert BL, Huesman L. Dimens Crit Care Nurs. 2011;30:283-292.

COMMENTARY

Communication in the perioperative setting.

Cvetic E. AORN J. 2011;94:261-270.

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

Incorrect surgical counts: a qualitative analysis.

Rowlands A, Steeves R. AORN J. 2010;92:410-419.

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