AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (94)

•Diagnostic Errors (107)

•Identification Errors (78)

•Discontinuities, Gaps, and Hand-Off Problems (239)

•Fatigue and Sleep Deprivation (30)

•Medication Safety (655)

•Medical Complications (283)

•Nonsurgical Procedural Complications (69)

•Surgical Complications (303)

•Transfusion Complications (11)

•Psychological and Social Complications (72)

Origin/Sponsor

•Africa (6)

•Asia (41)

•Australia and New Zealand (91)

•Central and South America (10)

•Europe (523)

•North America (1413)

Resource Types

•Audiovisual (12)

•Award (10)

•Book/Report (80)

•Clinical Guideline (3)

•Journal Article (1706)

•Legislation/Regulation (27)

•Meeting/Conference (19)

•Newsletter/Journal (5)

•Newspaper/Magazine Article (100)

•Press Release/Announcement (18)

•Special or Theme Issue (42)

•Tools/Toolkit (24)

•Web Resource (42)

•Grant (7)

Error Types

•Epidemiology of Errors and Adverse Events (552)

•Active Errors (422)

•Latent Errors (159)

•Near Miss (45)

Approach to Improving Safety

•Quality Improvement Strategies (521)

•Legal and Policy Approaches (104)

•Error Reporting and Analysis (521)

•Communication Improvement (580)

•Human Factors Engineering (348)

•Teamwork (390)

•Specialization of Care (152)

•Logistical Approaches (143)

•Culture of Safety (288)

•Technologic Approaches (346)

•Education and Training (420)

Clinical Areas

•Allied Health Services (11)

•Complementary and Alternative Medicine (1)

Target Audience

•Health Care Providers (1844)

•Health Care Executives and Administrators (1959)

•Non-Health Care Professionals (791)

•Patients (76)

Setting of Care

•Hospitals (1360)

•Psychiatric Facilities (9)

•Residential Facilities (42)

•Ambulatory Care (169)

•Outpatient Surgery (15)

•Patient Transport (16)

1 - 20 of 2095

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BOOK/REPORT

Teaming: How Organizations Learn, Innovate, and Compete in the Knowledge Economy.

Edmondson AC, Schein EH. San Franscisco, CA: Jossey-Bass; 2012. ISBN: 9780787970932.

STUDY

Multidisciplinary system for detecting medication errors in antineoplastic chemotherapy.

Serrano-Fabiá A, Albert-Marí A, Almenar-Cubells D, Jiménez-Torres NV. J Oncol Pharm Pract. 2010;16:105-112.

STUDY

Prioritising the prevention of medication handling errors.

Bertsche T, Niemann D, Mayer Y, Ingram K, Hoppe-Tichy T, Haefeli WE. Pharm World Sci. 2008;30:907-915.

STUDY

Worries and concerns experienced by nurse specialists during inter-hospital transports of critically ill patients: a critical incident study.

Gustafsson M, Wennerholm S, Fridlund B. Intensive Crit Care Nurs. 2010;26:138-145.

REVIEW

Human factors in surgery: from Three Mile Island to the operating room.

D'Addessi A, Bongiovanni L, Volpe A, Pinto F, Bassi P. Urol Int. 2009;83:249-257.

STUDY

Physician order entry or nurse order entry? Comparison of two implementation strategies for a computerized order entry system aimed at reducing dosing medication errors.

Kazemi A, Fors UG, Tofighi S, Tessma M, Ellenius J. J Med Internet Res. 2010;12:e5.

REVIEW

Strategies to reduce the risk of iatrogenic illness in complex older adults.

Onder G, van der Cammen TJ, Petrovic M, Somers A, Rajkumar C. Age Ageing. 2013;42:284-291.

REVIEW

Noise in the operating room—what do we know? A review of the literature.

Hasfeldt D, Laerkner E, Birkelund R. J Perianesth Nurs. 2010;25:380-386.

REVIEW

Determining the state of knowledge for implementing the Universal Protocol recommendations: an integrative review of the literature.

Conrardy JA, Brenek B, Myers S. AORN J. 2010;92:194-207.

STUDY

Behavioral integrity for safety, priority of safety, psychological safety, and patient safety: a team-level study.

Leroy H, Dierynck B, Anseel F, et al. J Appl Psychol. 2012;97:1273-1281.

STUDY

Insufficient communication about medication use at the interface between hospital and primary care.

Glintborg B, Andersen SE, Dalhoff K. Qual Saf Health Care. 2007;16:34-39.

STUDY

Interruptions and miscommunications in surgery: an observational study.

Gillespie BM, Chaboyer W, Fairweather N. AORN J. 2012;95:576-590.

STUDY

The impact of organisational and individual factors on team communication in surgery: a qualitative study.

Gillespie BM, Chaboyer W, Longbottom P, Wallis M. Int J Nurs Stud. 2010;47:732-741.

STUDY

Evaluation of postoperative handover using a tool to assess information transfer and teamwork.

Nagpal K, Abboudi M, Fischler L, et al. Ann Surg. 2011;253:831-837.

STUDY

Interruption handling strategies during paediatric medication administration.

Colligan L, Bass EJ. BMJ Qual Saf. 2012;21:912-917.

STUDY

Safety climate and its association with office type and team involvement in primary care.

Gehring K, Schwappach DL, Battaglia M, et al. Int J Qual Health Care. 2013 May 10; [Epub ahead of print].

COMMENTARY

Look-alike and sound-alike medicines: risks and 'solutions.'

Emmerton LM, Rizk MFS. Int J Clin Pharm. 2012;34:4-8.

STUDY

Chemotherapy safety and severe adverse events in cancer patients: strategies to efficiently avoid chemotherapy errors in in- and outpatient treatment.

Markert A, Thierry V, Kleber M, Behrens M, Engelhardt M. Int J Cancer. 2009;124:722-728.

STUDY

Errors and omissions in hospital prescriptions: a survey of prescription writing in a hospital.

Calligaris L, Panzera A, Arnoldo L, et al. BMC Clin Pharmacol. 2009;9:9.

STUDY

Analysis of overridden alerts in a drug–drug interaction detection system.

Mille F, Schwartz C, Brion F, et al. Int J Qual Health Care. 2008 Dec; 20:400-5.

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