AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (84)

•Diagnostic Errors (128)

•Identification Errors (63)

•Discontinuities, Gaps, and Hand-Off Problems (325)

•Fatigue and Sleep Deprivation (92)

•Medication Safety (672)

•Medical Complications (199)

•Nonsurgical Procedural Complications (75)

•Surgical Complications (344)

•Transfusion Complications (6)

•Psychological and Social Complications (173)

Origin/Sponsor

•Africa (1)

•Asia (33)

•Australia and New Zealand (59)

•Central and South America (3)

•Europe (214)

•North America (2259)

Resource Types

•Audiovisual (21)

•Award (5)

•Book/Report (93)

•Clinical Guideline (7)

•Journal Article (2045)

•Legislation/Regulation (37)

•Meeting/Conference (14)

•Newsletter/Journal (5)

•Newspaper/Magazine Article (255)

•Press Release/Announcement (11)

•Special or Theme Issue (56)

•Tools/Toolkit (29)

•Web Resource (32)

•Grant (1)

Error Types

•Epidemiology of Errors and Adverse Events (392)

•Active Errors (335)

•Latent Errors (151)

•Near Miss (46)

Approach to Improving Safety

•Quality Improvement Strategies (589)

•Legal and Policy Approaches (184)

•Error Reporting and Analysis (618)

•Communication Improvement (842)

•Human Factors Engineering (292)

•Teamwork (496)

•Specialization of Care (143)

•Logistical Approaches (256)

•Culture of Safety (421)

•Technologic Approaches (338)

•Education and Training (616)

Clinical Areas

•Allied Health Services (8)

Target Audience

•Health Care Providers (2188)

•Health Care Executives and Administrators (1937)

•Non-Health Care Professionals (1028)

•Patients (119)

Setting of Care

•Hospitals (1562)

•Psychiatric Facilities (8)

•Residential Facilities (39)

•Ambulatory Care (184)

•Outpatient Surgery (18)

•Patient Transport (13)

1 - 20 of 2611

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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.

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.

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.

COMMENTARY classic

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

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

COMMENTARY

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

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

STUDY

Managing disruptive behaviors in the health care setting: focus on obstetrics services.

Rosenstein AH. Am J Obstet Gynecol. 2011;204:187-192.

COMMENTARY

In situ simulation: a method of experiential learning to promote safety and team behavior.

Miller KK, Riley W, Davis S, Hansen HE. J Perinat Neonatal Nurs. 2008;22:105-113.

SPECIAL OR THEME ISSUE

2009 Doctor-Nurse Behavior Survey.

Physician Exec. Nov-Dec 2009;5-22.

STUDY

Causes of near misses: perceptions of perioperative nurses.

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

STUDY

Discharge rounds in the 80-hour workweek: importance of the trauma nurse practitioner.

Haan JM, Dutton RP, Willis M, Leone S, Kramer ME, Scalea TM. J Trauma. 2007;63:339-343.

BOOK/REPORT

Silence Kills: The Seven Crucial Conversations for Healthcare.

Maxfield D, Grenny J, McMillan R, Patterson K, Switzler A. VitalSmarts; 2005.E45

COMMENTARY

Perinatal patient safety from the perspective of nurse executives: a round table discussion.

Thorman KE, Capitulo KL, Dubow J, Hanold K, Noonan M, Wehmeyer J. J Obstet Gynecol Neonatal Nurs. 2006;35:409-416.

COMMENTARY

"Managing up" can improve teamwork in the OR.

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

NEWSPAPER/MAGAZINE ARTICLE

New practices reduce childbirth risks.

Landro L. Wall Street Journal. July 12, 2006:D1. [Reprinted on Post-gazette.com].

STUDY

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

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

SPECIAL OR THEME ISSUE

Positive Working Relationships Matter for Better Nurse and Patient Outcomes.

Spence Laschinger HK, ed. J Nurs Manag. 2010;18:875-1086.

STUDY

Using ORA to explore the relationship of nursing unit communication to patient safety and quality outcomes.

Effken JA, Carley KM, Gephart S, et al. Int J Med Inform. 2011;80:507-517.

NEWSPAPER/MAGAZINE ARTICLE

How to master the new art of training: teamwork on the fly.

Edmondson AC. Harv Bus Rev. April 2012;90:72-80.

COMMENTARY

The perinatal safety nurse: exemplar of transformational leadership.

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

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