AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (116)

•Diagnostic Errors (131)

•Identification Errors (64)

•Discontinuities, Gaps, and Hand-Off Problems (381)

•Fatigue and Sleep Deprivation (67)

•Medication Safety (789)

•Medical Complications (377)

•Nonsurgical Procedural Complications (45)

•Surgical Complications (217)

•Transfusion Complications (20)

•Psychological and Social Complications (114)

Origin/Sponsor

•Africa (4)

•Asia (51)

•Australia and New Zealand (99)

•Central and South America (6)

•Europe (676)

•North America (2011)

Resource Types

•Audiovisual (28)

•Award (15)

•Book/Report (209)

•Clinical Guideline (1)

•Journal Article (2144)

•Legislation/Regulation (24)

•Meeting/Conference (16)

•Newsletter/Journal (2)

•Newspaper/Magazine Article (299)

•Press Release/Announcement (10)

•Special or Theme Issue (37)

•Tools/Toolkit (38)

•Web Resource (62)

•Grant (6)

Error Types

•Epidemiology of Errors and Adverse Events (1084)

•Active Errors (316)

•Latent Errors (182)

•Near Miss (47)

Approach to Improving Safety

•Quality Improvement Strategies (709)

•Legal and Policy Approaches (330)

•Error Reporting and Analysis (1180)

•Communication Improvement (610)

•Human Factors Engineering (309)

•Teamwork (195)

•Specialization of Care (195)

•Logistical Approaches (211)

•Culture of Safety (445)

•Technologic Approaches (456)

•Education and Training (463)

Clinical Areas

•Allied Health Services (7)

Target Audience

•Health Care Providers (1684)

•Health Care Executives and Administrators (2396)

•Non-Health Care Professionals (1181)

•Patients (221)

Setting of Care

•Hospitals (2324)

•Psychiatric Facilities (16)

•Residential Facilities (46)

•Ambulatory Care (267)

•Outpatient Surgery (24)

•Patient Transport (13)

1 - 20 of 2891

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STUDY

Weekend hospitalization and additional risk of death: an analysis of inpatient data.

Freemantle N, Richardson M, Wood J, et al. J R Soc Med. 2012;105:74-84.

COMMENTARY

Smart pumps: advanced capabilities and continuous quality improvement.

Vanderveen T. Patient Saf Quality Healthc. January/February 2007.

STUDY

How dangerous is a day in hospital?: A model of adverse events and length of stay for medical inpatients.

Hauck K, Zhao X. Med Care. 2011;49:1068-1075.

REVIEW

Improving patient safety through the systematic evaluation of patient outcomes.

Forster AJ, Dervin G, Martin C, Papp S. Can J Surg. 2012;55:418-425.

STUDY

Dying for the weekend: a retrospective cohort study on the association between day of hospital presentation and the quality and safety of stroke care.

Palmer WL, Bottle A, Davie C, Vincent CA, Aylin P. Arch Neurol. 2012;69:1296-1302.

STUDY

Explaining ethnic disparities in patient safety: a qualitative analysis.

Suurmond J, Uiters E, De Bruijne MC, Stronks K, Essink-Bot ML. Am J Public Health. 2010;100 (suppl 1):S113-117.

STUDY

Improvement in the detection of adverse drug events by the use of electronic health and prescription records: an evaluation of two trigger tools.

Nwulu U, Nirantharakumar K, Odesanya R, McDowell SE, Coleman JJ. Eur J Clin Pharmacol. 2013;69:255-259.

STUDY

Relationship between medication event rates and the Leapfrog computerized physician order entry evaluation tool.

Leung AA, Keohane C, Lipsitz S, et al. J Am Med Inform Assoc. 2013 Apr 18; [Epub ahead of print].

STUDY

Contemporary evidence about hospital strategies for reducing 30-day readmissions: a national study.

Bradley EH, Curry L, Horwitz LI, et al. J Am Coll Cardiol. 2012;60:607-614.

NEWSPAPER/MAGAZINE ARTICLE

The near miss.

Clark C. HealthLeaders Media. December 2012.

STUDY

Anticoagulation-associated adverse drug events.

Piazza G, Nguyen TN, Cios D, et al. Am J Med. 2011;124:1136-1142.

STUDY

Challenges and opportunities to prevent transfusion errors: a Qualitative Evaluation for Safer Transfusion (QUEST).

Heddle NM, Fung M, Hervig T, et al; BEST Collaborative. Transfusion. 2012;52:1687-1695.

STUDY

Assessing patient safety culture in hospitals across countries.

Wagner C, Smits M, Sorra J, Huang CC. Int J Qual Health Care. 2013 Apr 9; [Epub ahead of print].

STUDY

A comprehensive overview of medical error in hospitals using incident-reporting systems, patient complaints and chart review of inpatient deaths.

de Feijter JM, de Grave WS, Muijtjens AM, Scherpbier AJ, Koopmans RP. PLoS One. 2012;7:e31125.

STUDY

Is patient safety improving? National trends in patient safety indicators: 1998–2007.

Downey JR, Hernandez-Boussard T, Banka G, Morton JM. Health Serv Res. 2012;47:414-430.

STUDY

Preventable deaths due to problems in care in English acute hospitals: a retrospective case record review study.

Hogan H, Healey F, Neale G, Thomson R, Vincent C, Black N. BMJ Qual Saf. 2012;21:737-745.

STUDY

Analysis of Australian newspaper coverage of medication errors.

Hinchcliff R, Westbrook J, Greenfield D, Baysari M, Moldovan M, Braithwaite J. Int J Qual Health Care. 2012;24:1-8.

STUDY

A cross-sectional study on the relationship between utilization of root cause analysis and patient safety at 139 Department of Veterans Affairs medical centers.

Percarpio KB, Watts V. Jt Comm J Qual Patient Saf. 2013;39:32-37.

STUDY

Interpreting adverse drug reaction (ADR) reports as hospital patient safety incidents.

Davies EC, Green CF, Mottram DR, Pirmohamed M. Br J Clin Pharmacol. 2010;70:102-108.

COMMENTARY

Toward improving patient safety through voluntary peer-to-peer assessment.

Hudson DW, Holzmueller CG, Pronovost PJ, et al. Am J Med Qual. 2012;27:201-220.

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