AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (126)

•Diagnostic Errors (82)

•Identification Errors (88)

•Discontinuities, Gaps, and Hand-Off Problems (285)

•Fatigue and Sleep Deprivation (61)

•Medication Safety (796)

•Medical Complications (276)

•Nonsurgical Procedural Complications (89)

•Surgical Complications (297)

•Transfusion Complications (10)

•Psychological and Social Complications (81)

Origin/Sponsor

•Asia (29)

•Australia and New Zealand (45)

•Central and South America (4)

•Europe (115)

•North America (2282)

Resource Types

•Audiovisual (16)

•Award (6)

•Book/Report (67)

•Clinical Guideline (6)

•Journal Article (2031)

•Legislation/Regulation (41)

•Meeting/Conference (12)

•Newsletter/Journal (6)

•Newspaper/Magazine Article (200)

•Press Release/Announcement (6)

•Special or Theme Issue (35)

•Tools/Toolkit (24)

•Web Resource (37)

•Grant (3)

Error Types

•Epidemiology of Errors and Adverse Events (557)

•Active Errors (391)

•Latent Errors (159)

•Near Miss (58)

Approach to Improving Safety

•Quality Improvement Strategies (599)

•Legal and Policy Approaches (132)

•Error Reporting and Analysis (642)

•Communication Improvement (575)

•Human Factors Engineering (357)

•Teamwork (253)

•Specialization of Care (167)

•Logistical Approaches (244)

•Culture of Safety (341)

•Technologic Approaches (416)

•Education and Training (536)

Clinical Areas

•Allied Health Services (9)

Target Audience

•Health Care Providers (1897)

•Health Care Executives and Administrators (2315)

•Non-Health Care Professionals (835)

•Patients (90)

Setting of Care

•Hospitals (1616)

•Psychiatric Facilities (10)

•Residential Facilities (46)

•Ambulatory Care (161)

•Outpatient Surgery (22)

•Patient Transport (17)

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COMMENTARY

Using technology to promote perinatal patient safety.

McCartney PR. J Obstet Gynecol Neonatal Nurs. 2006;35:424-431.

COMMENTARY

The perinatal safety nurse: exemplar of transformational leadership.

Raab C, Palmer-Byfield R. MCN Am J Matern Child Nurs. 2011;36:280-287.

STUDY

The nurse's role in the causation of compensable injury.

Painter LM, Dudjak LA, Kidwell KM, Simmons RL, Kidwell RP. J Nurs Care Qual. 2011;4:311-319.

COMMENTARY

Making FMEA work for you.

Reams J. Nurs Manage. 2011;42:18-20.

STUDY

Use of temporary nurses and nurse and patient safety outcomes in acute care hospital units.

Bae SH, Mark B, Fried B. Health Care Manage Rev. 2010;35:333-344.

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.

MULTI-USE WEBSITE

Nursing Care Quality at NQF.

National Quality Forum.

STUDY

Nursing home error and level of staff credentials.

Scott-Cawiezell J, Pepper GA, Madsen RW, Petroski G, Vogelsmeier A, Zellmer D. Clin Nurs Res. 2007;16:72-78.

COMMENTARY

Improving patient safety with team coordination: challenges and strategies of implementation.

Harris KT, Treanor CM, Salisbury ML. J Obset Gynol Neonatal Nurs. 2006;35:557-566.

REVIEW

Fall prevention in hospitals: an integrative review.

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

COMMENTARY

Patient safety outcomes: the importance of understanding the organizational culture and safety climate.

Ross J. J Perianesth Nurs. 2011;26:347-348.

STUDY

Strategic work-arounds to accommodate new technology: the case of smart pumps in hospital care.

McAlearney AS, Vrontos J Jr, Schneider PJ, Curran CR, Czerwinski BS, Pedersen CA. J Patient Saf. 2007;3:75-81.

STUDY

Effects of technological interventions on the safety of a medication-use system.

Skibinski KA, White BA, Lin LI, Dong Y, Wu W. Am J Health Syst Pharm. 2007;64:90-96.

STUDY

Effect of antiseptic handwashing vs alcohol sanitizer on health care-associated infections in neonatal intensive care units.

Larson EL, Cimiotti J, Haas J, et al. Arch Pediatr Adolesc Med. 2005;159:377-383.

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.

STUDY

Variations in nursing care quality across hospitals.

Lucero RJ, Lake ET, Aiken LH. J Adv Nurs. 2009;65:2299-2310.

STUDY

It's always something: hospital nurses managing risk.

Groves PS, Finfgeld-Connett D, Wakefield BJ. Clin Nurs Res. 2012 Dec 4; [Epub ahead of print].

STUDY

Nursing care quality and adverse events in US hospitals.

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

COMMENTARY

Standardizing hand-off processes.

Crum Gregory BS. AORN J. 2006;84:1059-1061.

STUDY

Challenges in posthospital care: nurses as coaches for medication management.

Costa LL, Poe SS, Lee MC. J Nurs Care Qual. 2011;26:243-251.

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