AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (198)

•Diagnostic Errors (185)

•Identification Errors (120)

•Discontinuities, Gaps, and Hand-Off Problems (462)

•Fatigue and Sleep Deprivation (116)

•Medication Safety (1293)

•Medical Complications (554)

•Nonsurgical Procedural Complications (111)

•Surgical Complications (484)

•Transfusion Complications (18)

•Psychological and Social Complications (126)

Origin/Sponsor

•Africa (2)

•Asia (63)

•Australia and New Zealand (123)

•Central and South America (9)

•Europe (415)

•North America (3389)

Resource Types

•Audiovisual (31)

•Award (12)

•Book/Report (128)

•Clinical Guideline (7)

•Journal Article (3296)

•Legislation/Regulation (41)

•Meeting/Conference (17)

•Newsletter/Journal (7)

•Newspaper/Magazine Article (321)

•Press Release/Announcement (13)

•Special or Theme Issue (45)

•Tools/Toolkit (45)

•Web Resource (71)

•Grant (6)

Error Types

•Epidemiology of Errors and Adverse Events (1397)

•Active Errors (583)

•Latent Errors (200)

•Near Miss (77)

Approach to Improving Safety

•Quality Improvement Strategies (898)

•Legal and Policy Approaches (235)

•Error Reporting and Analysis (1142)

•Communication Improvement (902)

•Human Factors Engineering (500)

•Teamwork (365)

•Specialization of Care (339)

•Logistical Approaches (342)

•Culture of Safety (481)

•Technologic Approaches (648)

•Education and Training (1018)

Clinical Areas

•Allied Health Services (11)

Target Audience

•Health Care Providers (2838)

•Health Care Executives and Administrators (3318)

•Non-Health Care Professionals (1488)

•Patients (241)

Setting of Care

•Hospitals (2693)

•Psychiatric Facilities (13)

•Residential Facilities (66)

•Ambulatory Care (312)

•Outpatient Surgery (34)

•Patient Transport (30)

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STUDY

Nurses' perceptions of simulation-based interprofessional training program for rapid response and code blue events.

Wehbe-Janek H, Lenzmeier CR, Ogden PE, et al. J Nurs Care Qual. 2012;27:43-50.

STUDY

Comparing errors in ED computer-assisted vs conventional pediatric drug dosing and administration.

Yamamoto L, Kanemori J. Am J Emerg Med. 2010;28:588-592.

STUDY

A reduction in cardiac arrests and duration of clinical instability after implementation of a paediatric rapid response system.

Hanson CC, Randolph GD, Erickson JA, et al. Qual Saf Health Care. 2009;18:500-504.

COMMENTARY

Implementation of a rapid response team: a success story.

Scott SS, Elliott S. Crit Care Nurse. 2009;29:66-75.

STUDY

Retrospective review of emergency response activations during a 13-year period at a tertiary care children's hospital.

Wang GS, Erwin N, Zuk J, Henry DB, Dobyns EL. J Hosp Med. 2011;6:131-135.

STUDY

Nurses' perceptions of how rapid response teams affect the nurse, team, and system.

Williams DJ, Newman A, Jones C, Woodard B. J Nurs Care Qual. 2011;26:265-272.

COMMENTARY

Clinical nurse specialists as leaders in rapid response.

Jenkins SD, Lindsey PL. Clin Nurse Spec. 2010;24:24-30.

STUDY

Rapid response teams seen through the eyes of the nurse.

Shapiro SE, Donaldson NE, Scott MB. Am J Nurs. 2010;110:28-34.

STUDY

Team training in the neonatal resuscitation program for interns: teamwork and quality of resuscitations.

Thomas EJ, Williams AL, Reichman EF, Lasky RE, Crandell S, Taggart WR. Pediatrics. 2010;125:539-546.

STUDY

Leading successful rapid response teams: a multisite implementation evaluation.

Donaldson N, Shapiro S, Scott M, Foley M, Spetz J. J Nurs Adm. 2009;39:176-181.

STUDY

Attitudes and barriers to a medical emergency team system at a tertiary paediatric hospital.

Azzopardi P, Kinney S, Moulden A, Tibballs J. Resuscitation. 2011;82:167-174.

STUDY

Nurse decision making in the prearrest period.

Gazarian PK, Henneman EA, Chandler GE. Clin Nurs Res. 2010;19:21-37.

STUDY

How RNs rescue patients: a qualitative study of RNs' perceived involvement in rapid response teams.

Leach LS, Mayo A, O'Rourke M. Qual Saf Health Care. 2010;19:e13.

COMMENTARY

Failure to rescue in neonatal care.

Gephart SM, McGrath JM, Effken JA. J Perinat Neonatal Nurs. 2011;25:275-282.

STUDY

Speaking up and sharing information improves trainee neonatal resuscitations.

Katakam LI, Trickey AW, Thomas EJ. J Patient Saf. 2012;8:202-209.

REVIEW

Literature review: do rapid response systems reduce the incidence of major adverse events in the deteriorating ward patient?

Massey D, Aitken LM, Chaboyer W. J Clin Nurs. 2010;19:3260-3273.

STUDY

Reduction in hospital mortality over time in a hospital without a pediatric medical emergency team: limitations of before-and-after study designs.

Joffe AR, Anton NR, Burkholder SC. Arch Pediatr Adolesc Med. 2011;165:419-423.

COMMENTARY

Development of a modified early warning score using the electronic medical record.

Albert BL, Huesman L. Dimens Crit Care Nurs. 2011;30:283-292.

STUDY

The role of the non-ICU staff nurse on a medical emergency team: perceptions and understanding.

Pusateri ME, Prior MM, Kiely SC. Am J Nurs. 2011;111:22-29.

STUDY

Nurses' work schedule characteristics, nurse staffing, and patient mortality.

Trinkoff AM, Johantgen M, Storr CL, Gurses AP, Liang Y, Han K. Nurs Res. 2011;60:1-8.

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