AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (163)

•Diagnostic Errors (145)

•Identification Errors (98)

•Discontinuities, Gaps, and Hand-Off Problems (497)

•Fatigue and Sleep Deprivation (101)

•Medication Safety (1151)

•Medical Complications (501)

•Nonsurgical Procedural Complications (71)

•Surgical Complications (337)

•Transfusion Complications (18)

•Psychological and Social Complications (159)

Origin/Sponsor

•Africa (2)

•Asia (40)

•Australia and New Zealand (77)

•Central and South America (1)

•Europe (404)

•North America (3660)

Resource Types

•Clinical Guideline (5)

•Journal Article (2912)

•Legislation/Regulation (53)

•Meeting/Conference (35)

•Newsletter/Journal (5)

•Newspaper/Magazine Article (563)

•Press Release/Announcement (19)

•Special or Theme Issue (87)

•Tools/Toolkit (68)

•Web Resource (98)

•Grant (10)

Error Types

•Epidemiology of Errors and Adverse Events (789)

•Active Errors (501)

•Latent Errors (281)

•Near Miss (57)

Approach to Improving Safety

•Quality Improvement Strategies (1156)

•Legal and Policy Approaches (530)

•Error Reporting and Analysis (1175)

•Communication Improvement (1006)

•Human Factors Engineering (638)

•Teamwork (473)

•Specialization of Care (304)

•Logistical Approaches (342)

•Culture of Safety (967)

•Technologic Approaches (832)

•Education and Training (791)

Clinical Areas

•Allied Health Services (12)

Target Audience

•Health Care Providers (2643)

•Health Care Executives and Administrators (3434)

•Non-Health Care Professionals (1733)

•Patients (386)

Setting of Care

•Hospitals (3038)

•Psychiatric Facilities (14)

•Residential Facilities (70)

•Ambulatory Care (374)

•Outpatient Surgery (37)

•Patient Transport (16)

1 - 20 of 4250

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BOOK/REPORT

Safer Hospital Care: Strategies for Continuous Innovation.

Raheja D. New York, NY: Productivity Press; 2011. ISBN: 9781439821022.

BOOK/REPORT classic

Safe Patients, Smart Hospitals: How One Doctor's Checklist Can Help Us Change Health Care from the Inside Out.

Pronovost P, Vohr E. New York, NY: Hudson Street Press; 2010. ISBN: 9781594630644.

STUDY

Temporal trends in rates of patient harm resulting from medical care.

Landrigan CP, Parry GJ, Bones CB, Hackbarth AD, Goldmann DA, Sharek PJ. N Engl J Med. 2010;363:2124-2134.

STUDY

Comparing safety climate in naval aviation and hospitals: implications for improving patient safety.

Singer SJ, Rosen A, Zhao S, Ciavarelli AP, Gaba DM. Health Care Manage Rev. 2010;35:134-146.

BOOK/REPORT

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

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

NEWSPAPER/MAGAZINE ARTICLE

Driving out errors, with mom in mind.

Weinstock M. Hosp Health Netw. April 2011.

STUDY

Revealing and resolving patient safety defects: the impact of leadership WalkRounds on frontline caregiver assessments of patient safety.

Frankel A, Grillo SP, Pittman M, et al. Health Serv Res. 2008;43:2050-2066.

NEWSPAPER/MAGAZINE ARTICLE

Patient safety front and center.

Terry K. Hosp Health Netw. July 2011;85:38-40, 42.

MEASUREMENT TOOL/INDICATOR

Medication Safety Self Assessment for Automated Dispensing Cabinets.

Horsham, PA: Institute for Safe Medication Practices; 2009.

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

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

Analysis of staff safety concerns.

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

ORGANIZATIONAL POLICY/GUIDELINES

Preventing violence in the health care setting.

Sentinel Event Alert. June 3, 2010;(45):1-3.

STUDY

Practically speaking: rethinking hand hygiene improvement programs in health care settings.

Son C, Chuck T, Childers T, et al. Am J Infect Control. 2011;39:716-724.

BOOK/REPORT

Tennessee Center for Patient Safety Annual Report 2010.

Nashville, TN: Tennessee Center for Patient Safety; August 2011.

STUDY

Measuring patient safety culture: an assessment of the clustering of responses at unit level and hospital level.

Smits M, Wagner C, Spreeuwenberg P, van der Wal G, Groenewegen PP. Qual Saf Health Care. 2009;18:292-296.

COMMENTARY

Learning accountability for patient outcomes.

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

STUDY

'Global Trigger Tool' shows that adverse events in hospitals may be ten times greater than previously measured.

Classen DC, Resar R, Griffin F, et al. Health Aff (Millwood). 2011;30:581-589.

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.

NEWSPAPER/MAGAZINE ARTICLE

Strengthening the core. Middle managers play a vital role in improving safety.

Federico F, Bonacum D. Healthc Exec. January/February 2010;25:68-70.

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