AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (200)

•Diagnostic Errors (248)

•Identification Errors (132)

•Discontinuities, Gaps, and Hand-Off Problems (503)

•Fatigue and Sleep Deprivation (119)

•Medication Safety (1352)

•Medical Complications (517)

•Nonsurgical Procedural Complications (146)

•Surgical Complications (582)

•Transfusion Complications (25)

•Psychological and Social Complications (175)

Origin/Sponsor

•Africa (5)

•Asia (60)

•Australia and New Zealand (118)

•Central and South America (10)

•Europe (561)

•North America (4082)

Resource Types

•Clinical Guideline (8)

•Journal Article (3688)

•Legislation/Regulation (61)

•Meeting/Conference (41)

•Newsletter/Journal (14)

•Newspaper/Magazine Article (403)

•Press Release/Announcement (29)

•Special or Theme Issue (81)

•Tools/Toolkit (65)

•Web Resource (135)

•Grant (10)

Error Types

•Epidemiology of Errors and Adverse Events (1456)

•Active Errors (685)

•Latent Errors (261)

•Near Miss (82)

Approach to Improving Safety

•Quality Improvement Strategies (1135)

•Legal and Policy Approaches (401)

•Error Reporting and Analysis (1426)

•Communication Improvement (1124)

•Human Factors Engineering (596)

•Teamwork (493)

•Specialization of Care (299)

•Logistical Approaches (342)

•Culture of Safety (930)

•Technologic Approaches (760)

•Education and Training (1179)

Clinical Areas

•Allied Health Services (14)

•Complementary and Alternative Medicine (2)

Target Audience

•Health Care Providers (3680)

•Health Care Executives and Administrators (3943)

•Non-Health Care Professionals (1959)

•Patients (314)

Setting of Care

•Hospitals (2904)

•Psychiatric Facilities (16)

•Residential Facilities (88)

•Ambulatory Care (438)

•Outpatient Surgery (55)

•Patient Transport (37)

1 - 20 of 4874

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STUDY

A comprehensive obstetrics patient safety program improves safety climate and culture.

Pettker CM, Thung SF, Raab CA, et al. Am J Obstet Gynecol. 2011;204:216.e1-e6.

STUDY

Interdisciplinary team training identifies discrepancies in institutional policies and practices.

Andreatta P, Frankel J, Smith SB, Bullough A, Marzano D. Am J Obstet Gynecol. 2011;205:298-230.

COMMENTARY

Building team and technical competency for obstetric emergencies: the mobile obstetric emergencies simulator (MOES) system.

Deering S, Rosen MA, Salas E, King HB. Simul Healthc. 2009;4:166-173.

REVIEW

Multidisciplinary team training in a simulation setting for acute obstetric emergencies: a systematic review.

Merién AER, van de Ven J, Mol BW, Houterman S, Oei SG. Obstet Gynecol. 2010;115:1021-1031.

STUDY

Mobile in situ obstetric emergency simulation and teamwork training to improve maternal–fetal safety in hospitals.

Guise J, Lowe NK, Deering S, et al. Jt Comm J Qual Patient Saf. 2010;36:443-453:AP1-AP2.

STUDY

Effect of a comprehensive obstetric patient safety program on compensation payments and sentinel events.

Grunebaum A, Chervenak F, Skupski D. Am J Obstet Gynecol. 2011;204:97-105.

COMMENTARY

Using in situ simulation to identify and resolve latent environmental threats to patient safety: case study involving a labor and delivery ward.

Hamman WR, Beaudin-Seiler BM, Beaubien JM, et al. J Patient Saf. 2009;5:184-187.

BOOK/REPORT

Achieving Strong Teamwork Practices in Hospital Labor and Delivery Units.

Farley DO, Sorbero ME, Lovejoy SL, Salisbury M. Santa Monica, CA: Rand Corporation; 2010. ISBN: 9780833050557.

STUDY

Impact of a comprehensive patient safety strategy on obstetric adverse events.

Pettker CM, Thung SF, Norwitz ER, et al. Am J Obstet Gynecol. 2009 May;200:492.e1-8.

STUDY

Content analysis of team communication in an obstetric emergency scenario.

Siassakos D, Draycott T, Montague I, Harris M. J Obstet Gynaecol. 2009;29:499-503.

COMMENTARY

Surgical team training: promoting high reliability with nontechnical skills.

Paige JT. Surg Clin North Am. 2010;90:569-581.

STUDY

Attitudes toward safety and teamwork in a maternity unit with embedded team training.

Siassakos D, Fox R, Hunt L, et al. Am J Med Qual. 2011;26:132-137.

REVIEW

Simulation in obstetric anesthesia.

Pratt SD. Anesth Analg. 2012;114:186-190.

REVIEW

The case for simulation as part of a comprehensive patient safety program.

Argani CH, Eichelberger M, Deering S, Satin AJ. Am J Obstet Gynecol. 2012;206:451-455.

SPECIAL OR THEME ISSUE

Medical errors and safety systems.

Pearlman MD, ed. Clin Obstet Gynecol. 2010;53:471-585.

STUDY

The efficacy of medical team training: improved team performance and decreased operating room delays: a detailed analysis of 4863 cases.

Wolf FA, Way LW, Stewart L. Ann Surg. 2010;252:477-485.

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.

STUDY

Communication failure in the operating room.

Halverson AL, Casey JT, Andersson J, et al. Surgery. 2011;49:305-310.

STUDY

Recurrent obstetric management mistakes identified by simulation.

Maslovitz S, Barkai G, Lessing JB, Ziv A, Many A. Obstet Gynecol Surv. 2007;62:636-638.

REVIEW

Overview of progress on patient safety.

Pronovost PJ, Holzmueller CG, Ennen CS, Fox HE. Am J Obstet Gynecol. 2011;204:5-10.

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