AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (185)

•Diagnostic Errors (168)

•Identification Errors (132)

•Discontinuities, Gaps, and Hand-Off Problems (562)

•Fatigue and Sleep Deprivation (114)

•Medication Safety (1288)

•Medical Complications (513)

•Nonsurgical Procedural Complications (101)

•Surgical Complications (403)

•Transfusion Complications (23)

•Psychological and Social Complications (193)

Origin/Sponsor

•Africa (2)

•Asia (61)

•Australia and New Zealand (108)

•Central and South America (4)

•Europe (402)

•North America (3813)

Resource Types

•Audiovisual (51)

•Award (24)

•Book/Report (220)

•Clinical Guideline (9)

•Journal Article (3300)

•Legislation/Regulation (60)

•Meeting/Conference (22)

•Newsletter/Journal (6)

•Newspaper/Magazine Article (549)

•Press Release/Announcement (12)

•Special or Theme Issue (50)

•Tools/Toolkit (65)

•Web Resource (77)

•Grant (3)

Error Types

•Epidemiology of Errors and Adverse Events (963)

•Active Errors (625)

•Latent Errors (294)

•Near Miss (87)

Approach to Improving Safety

•Quality Improvement Strategies (1073)

•Legal and Policy Approaches (422)

•Error Reporting and Analysis (1343)

•Communication Improvement (1190)

•Human Factors Engineering (516)

•Teamwork (340)

•Specialization of Care (302)

•Logistical Approaches (381)

•Culture of Safety (620)

•Technologic Approaches (737)

•Education and Training (878)

Clinical Areas

•Allied Health Services (11)

Target Audience

•Health Care Providers (3013)

•Health Care Executives and Administrators (3619)

•Non-Health Care Professionals (1562)

•Patients (369)

Setting of Care

•Hospitals (3225)

•Psychiatric Facilities (19)

•Residential Facilities (71)

•Ambulatory Care (385)

•Outpatient Surgery (35)

•Patient Transport (19)

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COMMENTARY

Smart pumps: implications for nurse leaders.

Kirkbride G, Vermace B. Nurs Adm Q. 2011;35:110-118.

REVIEW

Research on nursing handoffs for medical and surgical settings: an integrative review.

Staggers N, Blaz JW. J Adv Nurs. 2013;69:247-262.

STUDY

Adoption of National Quality Forum safe practices by magnet hospitals.

Jayawardhana J, Welton JM, Lindrooth R. J Nurs Adm. 2011;41:350-356.

NEWSPAPER/MAGAZINE ARTICLE

Scanner beep only means the barcode has been scanned.

ISMP Medication Safety Alert! Acute Care Edition. June 30, 2011;16:1-2.

COMMENTARY

A performance improvement plan to increase nurse adherence to use of medication safety software.

Gavriloff C. J Pediatr Nurs. 2012;27:375-382.

COMMENTARY

Cascade iatrogenesis: factors leading to the development of adverse events in hospitalized older adults.

Thornlow DK, Anderson R, Oddone E. Int J Nurs Stud. 2009;46:1528-1535.

COMMENTARY

Using simulation to teach nursing students and licensed clinicians obstetric emergencies.

Alderman JT. MCN Am J Matern Child Nurs. 2012;37:394-400.

STUDY

Do nurse and patient injuries share common antecedents? An analysis of associations with safety climate and working conditions.

Taylor JA, Dominici F, Agnew J, Gerwin D, Morlock L, Miller MR. BMJ Qual Saf. 2012;21:101-111.

COMMENTARY

Increasing the use of 'smart' pump drug libraries by nurses: a continuous quality improvement project.

Harding AD. Am J Nurs. 2012;112:26-35.

NEWSPAPER/MAGAZINE ARTICLE

Patients taking their own medications while in the hospital.

PA-PSRS Patient Saf Advis. June 2012;9:50-57.

STUDY

The effect of hospital electronic health record adoption on nurse-assessed quality of care and patient safety.

Kutney-Lee A, Kelly D. J Nurs Adm. 2011;41:466-472.

REVIEW

Fall prevention in hospitals: an integrative review.

Spoelstra SL, Given BA, Given CW. Clin Nurs Res. 2012;21:92-112.

STUDY

Spreading a medication administration intervention organizationwide in six hospitals.

Kliger J, Singer S, Hoffman F, O'Neil E. Jt Comm J Qual Patient Saf. 2012;38:51-60.

NEWSPAPER/MAGAZINE ARTICLE

Results of ISMP survey on high-alert medications: differences between nursing, pharmacy, and risk/quality/safety perspectives.

ISMP Medication Safety Alert! Acute Care Edition. February 9, 2012;17:1-4.

STUDY

Designing for distractions: a human factors approach to decreasing interruptions at a centralised medication station.

Colligan L, Guerlain S, Steck SE, Hoke TR. BMJ Qual Saf. 2012;21:939-947.

STUDY

Improving patient safety using the sterile cockpit principle during medication administration: a collaborative, unit-based project.

Fore AM, Sculli GL, Albee D, Neily J. J Nurs Manag. 2013;21:106-111.

COMMENTARY

2009 National Patient Safety Goals.

Saufl NM. J Perianesth Nurs. 2009;24:114-118.

STUDY

Medication safety initiative in reducing medication errors.

Nguyen EE, Connolly PM, Wong V. J Nurs Care Qual. 2010;25:224-230.

STUDY

Innovation in patient safety: a new task design in reducing patient falls.

Tzeng HM, Yin CY. J Nurs Care Qual. 2008;23:34-42.

STUDY

Adverse drug events caused by serious medication administration errors.

Kale A, Keohane CA, Maviglia S, Gandhi TK, Poon EG. BMJ Qual Saf. 2012;21:933-938.

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