AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (205)

•Diagnostic Errors (232)

•Identification Errors (142)

•Discontinuities, Gaps, and Hand-Off Problems (624)

•Fatigue and Sleep Deprivation (123)

•Medication Safety (1392)

•Medical Complications (609)

•Nonsurgical Procedural Complications (107)

•Surgical Complications (544)

•Transfusion Complications (24)

•Psychological and Social Complications (304)

Origin/Sponsor

•Africa (9)

•Asia (60)

•Australia and New Zealand (143)

•Central and South America (7)

•Europe (708)

•North America (4499)

Resource Types

•Clinical Guideline (10)

•Journal Article (3864)

•Legislation/Regulation (78)

•Meeting/Conference (47)

•Newsletter/Journal (13)

•Newspaper/Magazine Article (619)

•Press Release/Announcement (31)

•Special or Theme Issue (97)

•Tools/Toolkit (89)

•Web Resource (162)

•Grant (16)

Error Types

•Epidemiology of Errors and Adverse Events (1067)

•Active Errors (727)

•Latent Errors (370)

•Near Miss (85)

Approach to Improving Safety

•Quality Improvement Strategies (1351)

•Legal and Policy Approaches (648)

•Error Reporting and Analysis (1573)

•Communication Improvement (1431)

•Human Factors Engineering (636)

•Teamwork (524)

•Specialization of Care (358)

•Logistical Approaches (402)

•Culture of Safety (1050)

•Technologic Approaches (901)

•Education and Training (1079)

Clinical Areas

•Allied Health Services (18)

•Complementary and Alternative Medicine (1)

Target Audience

•Health Care Providers (3834)

•Health Care Executives and Administrators (4284)

•Non-Health Care Professionals (2268)

•Patients (473)

Setting of Care

•Hospitals (3593)

•Psychiatric Facilities (23)

•Residential Facilities (93)

•Ambulatory Care (503)

•Outpatient Surgery (50)

•Patient Transport (34)

1 - 20 of 5507

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NEWSPAPER/MAGAZINE ARTICLE

Raising the index of suspicion: red flags that represent credible threats to patient safety.

ISMP Medication Safety Alert! Acute Care Edition. July 26, 2012;17:1-3.

STUDY

Professionalism: a necessary ingredient in a culture of safety.

DuPree E, Anderson R, McEvoy MD, Brodman M. Jt Comm J Qual Patient Saf. 2011;37:447-455.

STUDY

Improving safety culture on adult medical units through multidisciplinary teamwork and communication interventions: the TOPS Project.

Blegen MA, Sehgal NL, Alldredge BK, Gearhart S, Auerbach AD, Wachter RM. Qual Saf Health Care. 2010;19:346-350.

REVIEW

Outcomes of classroom-based team training interventions for multiprofessional hospital staff. A systematic review.

Rabøl LI, Østergaard D, Mogensen T. Qual Saf Health Care. 2010;19:e27.

STUDY

The importance of leadership in preventing healthcare–associated infection: results of a multisite qualitative study.

Saint S, Kowalski CP, Banaszak-Holl J, Forman J, Damschroder L, Krein SL. Infect Control Hosp Epidemiol. 2010;31:901-907.

STUDY

Analysis of staff safety concerns.

Davidson J, Lamontagne G, Burnell L, et al. J Nurs Care Qual. 2013;28:147-152.

STUDY

Peer support: healthcare professionals supporting each other after adverse medical events.

van Pelt F. Qual Saf Health Care. 2008;17:249-252.

COMMENTARY

Integrating CUSP and TRIP to improve patient safety.

Romig M, Goeschel C, Pronovost P, Berenholtz SM. Hosp Pract (Minneap). 2010;38:114-121.

SPECIAL OR THEME ISSUE

Front-Line Ownership: Generating a Cure Mindset for Patient Safety.

Kitts J, ed. Healthcare Papers. 2013;13:1-82.

STUDY

Safety leadership: a meta-analytic review of transformational and transactional leadership styles as antecedents of safety behaviours.

Clarke S. J Occup Organ Psychol. 2013;86:22-49.

REVIEW

Promoting a culture of safety as a patient safety strategy: a systematic review.

Weaver SJ, Lubomski LH, Wilson RF, Pfoh ER, Martinez KA, Dy SM. Ann Intern Med. 2013;158(5 Pt 2):369-374.

MISSOURI MEETING/CONFERENCE

The Second Victim Experience: Train-the-Trainer Workshop.

Center for Patient Safety. June 11, 2013; University of Missouri Health System Health System, Columbia, MO.

COMMENTARY

Learning accountability for patient outcomes.

Pronovost PJ. JAMA. 2010;304:204-205.

BOOK/REPORT

First, Do Less Harm: Confronting the Inconvenient Problems of Patient Safety.

Koppel R, Gordon S, ed. Ithaca, NY: Cornell University Press; 2012. ISBN: 9780801450778.

COMMENTARY

Culture, language, and patient safety: making the link.

Johnstone MJ, Kanitsaki O. Int J Qual Health Care. 2006;18:383-8.

STUDY

An organizational assessment of disruptive clinician behavior: findings and implications.

Walrath JM, Dang D, Nyberg D. J Nurs Care Qual. 2013;28:110-121.

COMMENTARY

Perspective: a culture of respect—part 1 and part 2.

Leape LL, Shore MF, Dienstag JL, et al. Acad Med. 2012;87:845-858.

STUDY

Evaluation of organizational culture among different levels of healthcare staff participating in the Institute for Healthcare Improvement's 100,000 Lives Campaign.

Sinkowitz-Cochran RL, Garcia-Williams A, Hackbarth AD, et al. Infect Control Hosp Epidemiol. 2012;33:135-143.

STUDY

Attitude is everything?: The impact of workload, safety climate, and safety tools on medical errors: a study of intensive care units.

Steyrer J, Schiffinger M, Huber C, Valentin A, Strunk G. Health Care Manage Rev. 2012 Oct 18; [Epub ahead of print].

COMMENTARY

Frontline hospital workers and the worker safety/patient safety nexus.

Sokas R, Braun B, Chenven L, et al. Jt Comm J Qual Patient Saf. 2013;39:185-192.

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