AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (26)

•Diagnostic Errors (12)

•Identification Errors (19)

•Discontinuities, Gaps, and Hand-Off Problems (79)

•Fatigue and Sleep Deprivation (21)

•Medication Safety (265)

•Medical Complications (95)

•Nonsurgical Procedural Complications (19)

•Surgical Complications (71)

•Transfusion Complications (2)

•Psychological and Social Complications (38)

Origin/Sponsor

•Africa (1)

•Asia (23)

•Australia and New Zealand (33)

•Central and South America (3)

Resource Types

•Clinical Guideline (2)

•Journal Article (690)

•Legislation/Regulation (16)

•Meeting/Conference (10)

•Newsletter/Journal (1)

•Newspaper/Magazine Article (53)

•Press Release/Announcement (3)

•Special or Theme Issue (24)

•Tools/Toolkit (7)

•Web Resource (13)

•Grant (1)

Error Types

•Epidemiology of Errors and Adverse Events (123)

•Active Errors (106)

•Latent Errors (62)

•Near Miss (25)

Approach to Improving Safety

•Quality Improvement Strategies (182)

•Legal and Policy Approaches (172)

•Error Reporting and Analysis (212)

•Communication Improvement (171)

•Human Factors Engineering (105)

•Teamwork (92)

•Specialization of Care (34)

•Logistical Approaches (117)

•Culture of Safety (155)

•Technologic Approaches (108)

•Education and Training (185)

Clinical Areas

•Allied Health Services (4)

•Medicine (368)

•Nursing (561)

•Pharmacy (57)

Target Audience

•Health Care Providers (743)

•Health Care Executives and Administrators (807)

•Non-Health Care Professionals (365)

•Patients (37)

Setting of Care

•Hospitals (485)

•Psychiatric Facilities (6)

•Residential Facilities (22)

•Ambulatory Care (44)

•Outpatient Surgery (4)

•Patient Transport (3)

1 - 20 of 875

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STUDY

Nurse staffing and inpatient hospital mortality.

Needleman J, Buerhaus P, Pankratz VS, Leibson CL, Stevens SR, Harris M. N Engl J Med. 2011;364:1037-1045.

NEWSPAPER/MAGAZINE ARTICLE

Guidelines for timely medication administration: response to the CMS "30-minute rule."

ISMP Medication Safety Alert! Acute Care Edition. January 13, 2011;16:1-4.

STUDY

The struggle to improve patient care in the face of professional boundaries.

Powell AE, Davies HT. Soc Sci Med. 2012;75:807-814.

SPECIAL OR THEME ISSUE

Adverse events: expecting too much of nurses and too little of nursing research.

Jordan S, ed. J Nurs Manag. 2011;19:287-417.

BOOK/REPORT

Addressing the quality and safety gap—parts I-II.

Princeton, NJ: Robert Wood Johnson Foundation; July 2009.

SPECIAL OR THEME ISSUE

Positive Working Relationships Matter for Better Nurse and Patient Outcomes.

Spence Laschinger HK, ed. J Nurs Manag. 2010;18:875-1086.

STUDY

Using the internet to deliver education on drug safety.

Franklin BD, O'Grady K, Parr J, Walton I. Qual Saf Health Care. 2006;15:329-333.

NEWSPAPER/MAGAZINE ARTICLE

Promoting patient safety in continence care.

Mangnall J. Nurs Stand. 2012;26:49-56.

STUDY

Making patients safer: nurses' responses to patient safety alerts.

Lankshear A, Lowson K, Harden J, Lowson P, Saxby RC. J Adv Nurs. 2008;63:567-575.

STUDY

Factors influencing nurses' decisions to raise concerns about care quality.

Attree M. J Nurs Manag. May 2007;15:392-402.

COMMENTARY

Building a safety culture.

Milligan F, Dennis S. Nurs Stand. November 2005;20:48-52.

STUDY

Nurse prescribing: reflections on safety in practice.

Bradley E, Hynam B, Nolan P. Soc Sci Med. 2007;65:599-609.

SPECIAL OR THEME ISSUE

Risk, Safety and Reliability Special Issue.

Newbold D, Attree M, eds. J Nurs Manag. 2009;17:145-266.

STUDY

Creating an improvement culture for enhanced patient safety: service improvement learning in pre-registration education.

Christiansen A, Robson L, Griffith-Evans C. J Nurs Manag. 2010;18:782-788.

NEWSPAPER/MAGAZINE ARTICLE

Innovation and teamwork: introducing multidisciplinary team ward rounds.

Moroney N, Knowles C. Nurs Manag (Harrow). April 2006;13:28-31.

PENNSYLVANIA LEGISLATION

Prohibition of Excessive Overtime for Nurses Act.

The General Assembly of Pennsylvania. HB957 (2005).

REVIEW

Current assessment of patient safety education.

Mansour M. Br J Nurs. 2012;21:536-543.

STUDY

Nurses' perceptions of multidisciplinary team work in acute health-care.

Atwal A, Caldwell K. Int J Nurs Pract. 2006;12:359-365.

COMMENTARY

The criminalization of mistakes in nursing.

Philipsen NC. J Nurse Pract. 2011;7:719-726.

REVIEW

Do calculation errors by nurses cause medication errors in clinical practice? A literature review.

Wright K. Nurse Educ Today. 2010;30:85-97.

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