AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (179)

•Diagnostic Errors (186)

•Identification Errors (115)

•Discontinuities, Gaps, and Hand-Off Problems (531)

•Fatigue and Sleep Deprivation (109)

•Medication Safety (1269)

•Medical Complications (523)

•Nonsurgical Procedural Complications (72)

•Surgical Complications (393)

•Transfusion Complications (24)

•Psychological and Social Complications (206)

Origin/Sponsor

•Africa (5)

•Asia (57)

•Australia and New Zealand (104)

•Central and South America (6)

•Europe (460)

•North America (3903)

Resource Types

•Clinical Guideline (5)

•Journal Article (3284)

•Legislation/Regulation (50)

•Meeting/Conference (33)

•Newsletter/Journal (6)

•Newspaper/Magazine Article (543)

•Press Release/Announcement (16)

•Special or Theme Issue (75)

•Tools/Toolkit (69)

•Web Resource (97)

•Grant (9)

Error Types

•Epidemiology of Errors and Adverse Events (1362)

•Active Errors (537)

•Latent Errors (278)

•Near Miss (76)

Approach to Improving Safety

•Quality Improvement Strategies (1127)

•Legal and Policy Approaches (541)

•Error Reporting and Analysis (1418)

•Communication Improvement (1022)

•Human Factors Engineering (481)

•Teamwork (390)

•Specialization of Care (312)

•Logistical Approaches (353)

•Culture of Safety (992)

•Technologic Approaches (785)

•Education and Training (851)

Clinical Areas

•Allied Health Services (12)

Target Audience

•Health Care Providers (2874)

•Health Care Executives and Administrators (3663)

•Non-Health Care Professionals (1892)

•Patients (385)

Setting of Care

•Hospitals (3232)

•Psychiatric Facilities (17)

•Residential Facilities (86)

•Ambulatory Care (438)

•Outpatient Surgery (40)

•Patient Transport (24)

1 - 20 of 4589

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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

A multidisciplinary approach to reduce central line–associated bloodstream infections.

McMullan C, Propper G, Schuhmacher C, et al. Jt Comm J Qual Patient Saf. 2013;39:61-69.

BOOK/REPORT

Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2012.

Oakbrook Terrace, IL: The Joint Commission; September 2012.

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

A novel approach to increase residents' involvement in reporting adverse events.

Scott DR, Weimer M, English C, et al. Acad Med. 2011;86:742-746.

STUDY

Patient safety, satisfaction, and quality of hospital care: cross sectional surveys of nurses and patients in 12 countries in Europe and the United States.

Aiken LH, Sermeus W, Van den Heede K, et al. BMJ. 2012;344:e1717.

BOOK/REPORT

Pulse Report 2009: Safety Culture: Staff Perspectives on American Health Care.

South Bend, IN: Press Ganey Associates, Inc: 2009.

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.

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].

BOOK/REPORT

Second Victim: Error, Guilt, Trauma, and Resilience.

Dekker S. Boca Raton, FL: CRC Press; 2013. ISBN: 9781466583412.

STUDY

Variations in surgical outcomes associated with hospital compliance with safety practices.

Brooke BS, Dominici F, Pronovost PJ, Makary MA, Schneider E, Pawlik TM. Surgery. 2012;151:651-659.

STUDY

Exploring relationships between hospital patient safety culture and adverse events.

Mardon RE, Khanna K, Sorra J, Dyer N, Famolaro T. J Patient Saf. 2010;6:226-232.

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.

STUDY

Sustained effectiveness of a primary-team-based rapid response system.

Howell MD, Ngo L, Folcarelli P, et al. Crit Care Med. 2012;40:2562-2568.

COMMENTARY

Integrating CUSP and TRIP to improve patient safety.

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

STUDY

AHRQ's Hospital Survey on Patient Safety Culture: psychometric analyses.

Blegen MA, Gearhart S, O'Brien R, Sehgal NL, Alldredge BK. J Patient Saf. 2009;5:139-144.

STUDY

Patient safety climate in US hospitals: variation by management level.

Singer SJ, Falwell A, Gaba DM, Baker LC. Med Care. 2008;46:1149-1156.

STUDY

Identifying organizational cultures that promote patient safety.

Singer SJ, Falwell A, Gaba DM, et al. Health Care Manage Rev. 2009;34:300-311.

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