AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (168)

•Diagnostic Errors (204)

•Identification Errors (117)

•Discontinuities, Gaps, and Hand-Off Problems (455)

•Fatigue and Sleep Deprivation (129)

•Medication Safety (1385)

•Medical Complications (404)

•Nonsurgical Procedural Complications (94)

•Surgical Complications (465)

•Transfusion Complications (15)

•Psychological and Social Complications (183)

Origin/Sponsor

•Africa (2)

•Asia (23)

•Australia and New Zealand (53)

•Central and South America (2)

•Europe (211)

•North America (3824)

Resource Types

•Clinical Guideline (12)

•Journal Article (2735)

•Legislation/Regulation (64)

•Meeting/Conference (29)

•Newsletter/Journal (14)

•Newspaper/Magazine Article (694)

•Press Release/Announcement (31)

•Special or Theme Issue (70)

•Tools/Toolkit (70)

•Web Resource (115)

•Grant (10)

Error Types

•Epidemiology of Errors and Adverse Events (725)

•Active Errors (574)

•Latent Errors (255)

•Near Miss (67)

Approach to Improving Safety

•Quality Improvement Strategies (1116)

•Legal and Policy Approaches (550)

•Error Reporting and Analysis (1115)

•Communication Improvement (1150)

•Human Factors Engineering (449)

•Teamwork (351)

•Specialization of Care (253)

•Logistical Approaches (330)

•Culture of Safety (587)

•Technologic Approaches (725)

•Education and Training (829)

Clinical Areas

•Allied Health Services (13)

Target Audience

•Health Care Providers (3065)

•Health Care Executives and Administrators (3060)

•Non-Health Care Professionals (1437)

•Patients (675)

Setting of Care

•Hospitals (2439)

•Psychiatric Facilities (17)

•Residential Facilities (76)

•Ambulatory Care (357)

•Outpatient Surgery (38)

•Patient Transport (17)

1 - 20 of 4194

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COMMENTARY classic

A 38-year-old woman with fetal loss and hysterectomy.

Sachs BP. JAMA. 2005;294:833-840.

STUDY

Failure to rescue as a process measure to evaluate fetal safety during labor.

Beaulieu MJ. MCN Am J Matern Child Nurs. 2009;34:18-23.

COMMENTARY

Pregnant with Danger.

Pearlman MD, Desmond JS. WebM&M [serial online]. May 2005.

STUDY

Major congenital malformations after first-trimester exposure to ACE inhibitors.

Cooper WO, Hernandez-Diaz S, Arbogast PG, et al. N Engl J Med. 2006;354:2443-2451.

COMMENTARY

System errors in intrapartum electronic fetal monitoring: a case review.

Miller LA. J Midwifery Womens Health. 2005;50:507-516.

STUDY

Nurse-physician communication during labor and birth: implications for patient safety.

Simpson KR, James DC, Knox GE. J Obset Gynol Neonatal Nurs. 2006;35:547-556.

NEWSPAPER/MAGAZINE ARTICLE

Lights. Camera. Robot Action!

Shute N. U.S. News & World Report. January 23, 2006;140:62-63.

COMMENTARY

Improving safety throughout the medication use process in a neonatal intensive care unit.

Asdigha MN. Hosp Pharm. 2006;41:1067-1075.

NEWSPAPER/MAGAZINE ARTICLE

Nurse is charged in death of patient.

Wahlberg D, Treleven E. Wisconsin State Journal. November 3, 2006:A1.

COMMENTARY

Best-practice protocols: Preventing adverse drug events.

Weir VL. Nurs Manage. 2005;36:24-30.

TOOLKIT

Looking Collectively at Risk.

Pathways for Medication Safety Tool #2. Chicago, IL: American Hospital Association; 2003.

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.

NEWSPAPER/MAGAZINE ARTICLE

Accuracy at every step: the challenge of medication reconciliation.

Institute for Healthcare Improvement Web site. March 20, 2006.

STUDY

Predictors of likelihood of speaking up about safety concerns in labour and delivery.

Lyndon A, Sexton JB, Simpson KR, Rosenstein A, Lee KA, Wachter RM. BMJ Qual Saf. 2012;21;791-799.

STUDY

Effective physician–nurse communication: a patient safety essential for labor and delivery.

Lyndon A, Zlatnik MG, Wachter RM. Am J Obstet Gynecol. 2011;205:91-96.

NEWSPAPER/MAGAZINE ARTICLE

Loud wake-up call: unlabeled containers lead to patient’s death.

ISMP Medication Safety Alert! Acute Care Edition. December 1, 2004;9:1-3.

NEWSPAPER/MAGAZINE ARTICLE

Bringing surgeons down to earth.

Landro L. Wall Street Journal (Eastern edition). November 16, 2005:D1.

COMMENTARY

Failure to Latch

Rodriguez M., Mannel R., Frye D. MN AHRQ WebM&M [serial online]. September 2008.

NEWSPAPER/MAGAZINE ARTICLE

Tomorrow's operating room to harness Net, RFID.

Olsen S. CNET News.com; October 19, 2005.

COMMENTARY

A nurse-led approach to developing and implementing a collaborative count policy.

Norton EK, Micheli AJ, Gedney J, Felkerson TM. AORN J. 2012;95:222-227.

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