AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (63)

•Diagnostic Errors (36)

•Identification Errors (40)

•Discontinuities, Gaps, and Hand-Off Problems (193)

•Fatigue and Sleep Deprivation (136)

•Medication Safety (463)

•Medical Complications (147)

•Nonsurgical Procedural Complications (29)

•Surgical Complications (110)

•Transfusion Complications (7)

•Psychological and Social Complications (57)

Origin/Sponsor

•Australia and New Zealand (60)

•Central and South America (5)

•Europe (161)

•North America (1091)

Resource Types

•Audiovisual (6)

•Book/Report (48)

•Clinical Guideline (3)

•Journal Article (1185)

•Legislation/Regulation (17)

•Meeting/Conference (5)

•Newsletter/Journal (1)

•Newspaper/Magazine Article (116)

•Press Release/Announcement (5)

•Special or Theme Issue (23)

•Tools/Toolkit (14)

•Web Resource (12)

Error Types

•Epidemiology of Errors and Adverse Events (311)

•Active Errors (192)

•Latent Errors (120)

•Near Miss (41)

Approach to Improving Safety

•Quality Improvement Strategies (299)

•Legal and Policy Approaches (100)

•Error Reporting and Analysis (408)

•Communication Improvement (291)

•Human Factors Engineering (190)

•Teamwork (115)

•Specialization of Care (78)

•Logistical Approaches (309)

•Culture of Safety (207)

•Technologic Approaches (205)

•Education and Training (293)

Clinical Areas

•Allied Health Services (4)

•Medicine (788)

•Nursing (611)

•Pharmacy (129)

Target Audience

•Health Care Providers (1128)

•Health Care Executives and Administrators (1332)

•Non-Health Care Professionals (432)

•Patients (45)

Setting of Care

•Hospitals (1073)

•Psychiatric Facilities (8)

•Residential Facilities (35)

•Ambulatory Care (69)

•Outpatient Surgery (8)

•Patient Transport (9)

1 - 20 of 1437

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STUDY

Hospital nurse staffing and patient mortality, emotional exhaustion, and job dissatisfaction.

Halm M, Peterson M, Kandels M, et al. Clin Nurse Spec. 2005;19:241-251.

STUDY

Hospital staff nurses' shift length associated with safety and quality of care.

Stimpfel AW, Aiken LH. J Nurs Care Qual. 2013;28:122-129.

REVIEW

The effect of nurse staffing patterns on medical errors and nurse burnout.

Garrett C. AORN J. 2008;87:1191-1192, 1194, 1196-1200, 1202-1204.

STUDY

Effects of nursing rounds on patients' call light use, satisfaction, and safety.

Meade CM, Bursell AL, Ketelsen L. Am J Nurs. 2006;106:58-70.

COMMENTARY

The Unfinished Patient Safety Agenda

Aiken LH. AHRQ WebM&M [serial online]. July/August 2005.

STUDY

Effects of working conditions on intravenous medication errors in a Japanese hospital.

Seki Y, Yamazaki Y. J Nurs Manag. March 2006;14:128-139.

STUDY

Implementing a fatigue countermeasures program for nurses: a focus group analysis.

Scott LD, Hofmeister N, Rogness N, Rogers AE. J Nurs Adm. 2010;40:233-240.

STUDY

Expanding what we know about off-peak mortality in hospitals.

Hamilton P, Mathur S, Gemeinhardt G, Eschiti V, Campbell M. J Nurs Admin. 2010;40:124-128.

NEWSPAPER/MAGAZINE ARTICLE

Hospitals cutting nurses' long shifts.

Kowalczyk L. Boston Globe. September 17, 2005:A1.

COMMENTARY

A nurse-driven system for improving patient quality outcomes.

Johnson K, Hallsey D, Meredith RL, Warden E. J Nurs Care Qual. 2006;21:168-175.

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

classic

The working hours of hospital staff nurses and patient safety.

Rogers AE, Hwang WT, Scott LD, Aiken LH, Dinges DF. Health Aff (Millwood). 2004;23:202-212.

STUDY

Fatigue, performance and the work environment: a survey of registered nurses.

Barker LM, Nussbaum MA. J Adv Nurs. 2011;67:1370-1382.

STUDY

Barriers to nurses' reporting of medication administration errors in Taiwan.

Chiang HY, Pepper GA. J Nurs Scholarsh. 2006;38:392-399.

STUDY

Nurse staffing, burnout, and health care–associated infection.

Cimiotti JP, Aiken LH, Sloane DM, Wu ES. Am J Infect Control. 2012;40:486-490.

STUDY

Using a computerized sign-out system to improve physician–nurse communication.

Sidlow R, Katz-Sidlow RJ. Jt Comm J Qual Patient Saf. 2006;32:32-36.

STUDY

Nursing care quality and adverse events in US hospitals.

Lucero RJ, Lake ET, Aiken LH. J Clin Nurs. 2010;19:2185-2195.

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.

COMMENTARY

Detection of patient risk by nurses: a theoretical framework.

Despins LA, Scott-Cawiezell J, Rouder JN. J Adv Nurs. 2010;66:465-474.

BOOK/REPORT classic

classic

Keeping Patients Safe: Transforming the Work Environment of Nurses.

Committee on the Work Environment for Nurses and Patient Safety, Board on Health Care Services, Page A, ed. Washington, DC: National Academies Press; 2004.

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