AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (152)

•Diagnostic Errors (108)

•Identification Errors (128)

•Discontinuities, Gaps, and Hand-Off Problems (382)

•Fatigue and Sleep Deprivation (81)

•Medication Safety (899)

•Medical Complications (333)

•Nonsurgical Procedural Complications (85)

•Surgical Complications (649)

•Transfusion Complications (12)

•Psychological and Social Complications (142)

Origin/Sponsor

•Asia (35)

•Australia and New Zealand (76)

•Central and South America (5)

•Europe (323)

•North America (2968)

Resource Types

•Audiovisual (27)

•Award (18)

•Book/Report (134)

•Clinical Guideline (8)

•Journal Article (2686)

•Legislation/Regulation (43)

•Meeting/Conference (20)

•Newsletter/Journal (7)

•Newspaper/Magazine Article (318)

•Press Release/Announcement (9)

•Special or Theme Issue (67)

•Tools/Toolkit (40)

•Web Resource (62)

•Grant (5)

Error Types

•Epidemiology of Errors and Adverse Events (675)

•Active Errors (505)

•Latent Errors (213)

•Near Miss (74)

Approach to Improving Safety

•Quality Improvement Strategies (848)

•Legal and Policy Approaches (236)

•Error Reporting and Analysis (884)

•Communication Improvement (999)

•Human Factors Engineering (498)

•Teamwork (537)

•Specialization of Care (203)

•Logistical Approaches (296)

•Culture of Safety (838)

•Technologic Approaches (518)

•Education and Training (761)

Clinical Areas

•Allied Health Services (12)

•Complementary and Alternative Medicine (1)

Target Audience

•Health Care Providers (2491)

•Health Care Executives and Administrators (2994)

•Non-Health Care Professionals (1253)

•Patients (171)

Setting of Care

•Hospitals (2268)

•Psychiatric Facilities (13)

•Residential Facilities (62)

•Ambulatory Care (216)

•Outpatient Surgery (32)

•Patient Transport (23)

1 - 20 of 3444

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STUDY

Causes of near misses: perceptions of perioperative nurses.

Cohoon B. AORN J. 2011;93:551-565.

COMMENTARY

"Managing up" can improve teamwork in the OR.

Smith SL. AORN J. 2010;91:576-582.

COMMENTARY

Increasing patient safety and surgical team communication by using a count/time out board.

Edel EM. AORN J. 2010;92:420-424.

COMMENTARY

Improving patient safety and communication through care rounds in a pediatric oncology outpatient clinic.

Blough CA, Walrath JM. J Nurs Care Qual. 2007;22:159-163.

ORGANIZATIONAL POLICY/GUIDELINES

AORN Guidance Statement: Safe Medication Practices in Perioperative Settings Across the Life Span.

AORN J. 2006;84:276-278, 280-283.

STUDY

Nurses' and nursing assistants' perceptions of patient safety culture in nursing homes.

Hughes CM, Lapane KL. Int J Qual Health Care. 2006;18:281-286.

COMMENTARY

Communication in the perioperative setting.

Cvetic E. AORN J. 2011;94:261-270.

MEETING/CONFERENCE PROCEEDINGS

Safety in the NICU: preventing medical errors.

Stokowski LA. Highlights of the National Association of Neonatal Nurses 22nd Annual Conference [Medscape.com]. March 8, 2007.

STUDY

Achieving quality improvement in the nursing home: influence of nursing leadership on communication and teamwork.

Vogelsmeier A, Scott-Cawiezell J. J Nurs Care Qual. 2011;26:236-242.

STUDY

Incorrect surgical counts: a qualitative analysis.

Rowlands A, Steeves R. AORN J. 2010;92:410-419.

STUDY

Interruptions and miscommunications in surgery: an observational study.

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

COMMENTARY

Creating a culture of safety by using checklists.

Huang L, Kim R, Berry W. AORN J. 2013;97:365-368.

COMMENTARY

The normalization of deviance: what are the perioperative risks?

McNamara SA. AORN J. 2011;93:796-801.

STUDY

Action research, simulation, team communication, and bringing the tacit into voice. Society for Simulation in Healthcare.

Forsythe L. Simul Healthc. 2009;4:143-148.

REVIEW

Communication and teamwork in patient care: how much can we learn from aviation?

Lyndon A. J Obset Gynol Neonatal Nurs. 2006;35:538-546.

COMMENTARY

A model for developing high-reliability teams.

Riley W, Davis SE, Miller KK, McCullough M. J Nurs Manag. 2010;18:556-563.

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.

STUDY

Nurse decision making in the prearrest period.

Gazarian PK, Henneman EA, Chandler GE. Clin Nurs Res. 2010;19:21-37.

STUDY

Medication errors, routines, and differences between perioperative and non-perioperative nurses.

Treiber LA, Jones JH. AORN J. 2012;96:285-294.

STUDY

Perceptions of patient safety culture among physicians and RNs in the perioperative area.

Scherer D, Fitzpatrick JJ. AORN J. 2008;87:163-175.

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