AHRQ Patient Safety Network

The Collection >

The Collection

Narrow By

clear selections

Safety Target

•Device-related Complications (93)

•Diagnostic Errors (151)

•Identification Errors (94)

•Discontinuities, Gaps, and Hand-Off Problems (243)

•Fatigue and Sleep Deprivation (110)

•Medication Safety (511)

•Medical Complications (201)

•Nonsurgical Procedural Complications (61)

•Surgical Complications (782)

•Transfusion Complications (8)

•Psychological and Social Complications (190)

Origin/Sponsor

•Africa (1)

•Asia (21)

•Australia and New Zealand (53)

•Central and South America (2)

•Europe (254)

•North America (2378)

Resource Types

•Audiovisual (30)

•Award (6)

•Book/Report (113)

•Clinical Guideline (7)

•Journal Article (2059)

•Legislation/Regulation (37)

•Meeting/Conference (12)

•Newsletter/Journal (5)

•Newspaper/Magazine Article (320)

•Press Release/Announcement (5)

•Special or Theme Issue (52)

•Tools/Toolkit (31)

•Web Resource (61)

•Grant (3)

Error Types

•Epidemiology of Errors and Adverse Events (466)

•Active Errors (405)

•Latent Errors (133)

•Near Miss (41)

Approach to Improving Safety

•Quality Improvement Strategies (569)

•Legal and Policy Approaches (295)

•Error Reporting and Analysis (786)

•Communication Improvement (738)

•Human Factors Engineering (348)

•Teamwork (361)

•Specialization of Care (113)

•Logistical Approaches (224)

•Culture of Safety (398)

•Technologic Approaches (315)

•Education and Training (1012)

Clinical Areas

•Allied Health Services (7)

•Complementary and Alternative Medicine (1)

Target Audience

•Health Care Providers (2055)

•Health Care Executives and Administrators (1880)

•Non-Health Care Professionals (1356)

•Patients (213)

Setting of Care

•Hospitals (1654)

•Residential Facilities (18)

•Ambulatory Care (162)

•Outpatient Surgery (40)

•Patient Transport (9)

1 - 20 of 2741

Show ExcerptDon't Show Excerpt

dropdown

NEWSPAPER/MAGAZINE ARTICLE

Challenges ahead in technology training: a report on the training initiative of the Committee on Technology.

Olympio MA, Reinke B, Abramovich A. APSF Newsletter. Fall 2006;21:43-48.

STUDY

Knowledge-based errors in anesthesia: a paired, controlled trial of learning and retention.

Goldhaber-Fiebert SN, Goldhaber-Fiebert JD, Rosow CE. Can J Anaesth. 2009;56:35-45.

REVIEW

Life after death: the aftermath of perioperative catastrophes.

Gazoni FM, Durieux ME, Wells L. Anesth Analg. 2008;107:591-600.

STUDY

Framing family conversation after early diagnosis of iatrogenic injury and incidental findings.

Barrios L, Tsuda S, Derevianko A, et al. Surg Endosc. 2009;23:2535-2542.

SPECIAL OR THEME ISSUE

Quality of Anesthesia Care.

Neuman MD, Martinez EA, eds. Anesthesiol Clin. 2011;29:1-178.

COMMENTARY

What happens when things go wrong?

Brandom BW, Callahan P, Micalizzi DA. Paediatr Anaesth. 2011;21:730-736.

STUDY

Information needs in operating room teams: what is right, what is wrong, and what is needed?

Wong HW, Forrest D, Healey A, et al. Surg Endosc. 2011;25:1913-1920.

STUDY

Reliability of a revised NOTECHS scale for use in surgical teams.

Sevdalis N, Davis R, Koutantji M, et al. Am J Surg. 2008;196:184-190.

STUDY

Does teamwork improve performance in the operating room? A multilevel evaluation.

Weaver SJ, Rosen MA, DiazGranados D, et al. Jt Comm J Qual Patient Saf. 2010;36:133-142.

STUDY

Operating room teamwork among physicians and nurses: teamwork in the eye of the beholder.

Makary MA, Sexton JB, Freischlag JA, et al. J Am Coll Surg. 2006;202:746-752.

STUDY

Violations of behavioral practices revealed in closed claims reviews.

Griffen FD, Stephens LS, Alexander JB, et al. Ann Surg. 2008;248:468-474.

COMMENTARY

The increased incidence of anesthetic adverse events in late afternoon surgeries.

Johnson J. AORN J. 2008;88:79-87.

REVIEW

Minimizing surgical error by incorporating objective assessment into surgical education.

Champion HR, Meglan DA, Shair EK. J Am Coll Surg. 2008;207:284-291.

STUDY

A novel method for reproducibly measuring the effects of interventions to improve emotional climate, indices of team skills and communication, and threat to patient outcome in a high-volume thoracic surgery center.

Nurok M, Lipsitz S, Satwicz P, Kelly A, Frankel A. Arch Surg. 2010;145:489-495.

NEWSPAPER/MAGAZINE ARTICLE

One group of doctors changes its ways.

Hallinan JT. Post-Gazette.com. June 21, 2005.

NEWSPAPER/MAGAZINE ARTICLE

Revealing their medical errors: why three doctors went public.

O'Reilly KB. American Medical News. August 15, 2011.

NEWSPAPER/MAGAZINE ARTICLE

Personal best.

Gawande A. New Yorker. October 3, 2011.

STUDY

Discovering healthcare cognition: the use of cognitive artifacts to reveal cognitive work.

Nemeth C, O’Connor M, Klock PA, Cook R. Org Stud. 2006;27:1011-1035.

COMMENTARY classic

40 years behind the mask: safety revisited.

Pierce EC. Anesthesiology. 1996;29:965-975.

STUDY

Medical error disclosure training: evidence for values-based ethical environments.

Rathert C, Phillips W. J Bus Ethics. 2010;97:491-503.

1 2 3 4 5 6 7 8 9 10 11 Next >