AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (113)

•Diagnostic Errors (21)

•Identification Errors (37)

•Discontinuities, Gaps, and Hand-Off Problems (167)

•Fatigue and Sleep Deprivation (36)

•Medication Safety (497)

•Medical Complications (251)

•Nonsurgical Procedural Complications (43)

•Surgical Complications (156)

•Transfusion Complications (4)

•Psychological and Social Complications (53)

Origin/Sponsor

•Africa (1)

•Asia (22)

•Australia and New Zealand (42)

•Central and South America (6)

•Europe (138)

•North America (1549)

Resource Types

•Audiovisual (15)

•Award (16)

•Book/Report (73)

•Clinical Guideline (6)

•Journal Article (1383)

•Legislation/Regulation (20)

•Meeting/Conference (10)

•Newsletter/Journal (3)

•Newspaper/Magazine Article (163)

•Press Release/Announcement (7)

•Special or Theme Issue (37)

•Tools/Toolkit (18)

•Web Resource (24)

•Grant (2)

Error Types

•Epidemiology of Errors and Adverse Events (313)

•Active Errors (195)

•Latent Errors (113)

•Near Miss (34)

Approach to Improving Safety

•Quality Improvement Strategies (461)

•Legal and Policy Approaches (115)

•Error Reporting and Analysis (425)

•Communication Improvement (371)

•Human Factors Engineering (245)

•Teamwork (234)

•Specialization of Care (157)

•Logistical Approaches (166)

•Culture of Safety (687)

•Technologic Approaches (219)

•Education and Training (354)

Clinical Areas

•Allied Health Services (4)

Target Audience

•Health Care Providers (1353)

•Health Care Executives and Administrators (1501)

•Non-Health Care Professionals (560)

•Patients (89)

Setting of Care

•Hospitals (1228)

•Psychiatric Facilities (7)

•Residential Facilities (33)

•Ambulatory Care (70)

•Outpatient Surgery (7)

•Patient Transport (11)

1 - 20 of 1777

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STUDY

Structural empowerment and patient safety culture among registered nurses working in adult critical care units.

Armellino D, Quinn Griffin MT, Fitzpatrick JJ. J Nurs Manag. 2010;18:796-803.

STUDY

Role of registered nurses in error prevention, discovery and correction.

Rogers AE, Dean GE, Hwang WT, Scott LD. Qual Saf Health Care. 2008;17:117-121.

STUDY

Frequency and type of errors and near errors reported by critical care nurses.

Balas MC, Scott LD, Rogers AE. Can J Nurs Res. 2006;38:24-41.

STUDY

Moral distress, compassion fatigue, and perceptions about medication errors in certified critical care nurses.

Maiden J, Georges JM, Connelly CD. Dimens Crit Care Nurs. 2011;30:339-345.

STUDY

A model of recovering medical errors in the coronary care unit.

Hurley AC, Rothschild JM, Moore ML, Snydeman C, Dykes PC, Fotakis S. Heart Lung. 2008;37:219-226.

STUDY

Comparing errors in ED computer-assisted vs conventional pediatric drug dosing and administration.

Yamamoto L, Kanemori J. Am J Emerg Med. 2010;28:588-592.

STUDY

Intensive care unit nurses' perceptions of safety after a highly specific safety intervention.

Elder NC, Brungs SM, Nagy M, Kudel I, Render ML. Qual Saf Health Care. 2008;17:25-30.

COMMENTARY

Failure to rescue in neonatal care.

Gephart SM, McGrath JM, Effken JA. J Perinat Neonatal Nurs. 2011;25:275-282.

STUDY

Strategies used by critical care nurses to identify, interrupt, and correct medical errors.

Henneman EA, Gawlinski A, Blank FS, Henneman PL, Jordan D, McKenzie JB. Am J Crit Care. 2010;19:500-509.

COMMENTARY

Preventing sentinel events caused by family members.

Wall Y, Kautz DD. Dimens Crit Care Nurs. 2011;30:25-27.

STUDY

Medical errors recovered by critical care nurses.

Dykes PC, Rothschild JM, Hurley AC. J Nurs Adm. 2010;40:241-246.

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

On the ball: leadership for patient safety and learning in critical care.

Tregunno D, Jeffs L, Hall LM, Baker R, Doran D, Bassett SB. J Nurs Adm. 2009;39:334-339.

STUDY

Implementing and validating a comprehensive unit-based safety program.

Pronovost P, Weast B, Rosenstein B. J Patient Saf. 2005;1:33-40.

STUDY

Developing and testing a tool to measure nurse/physician communication in the intensive care unit.

Manojlovich M, Saint S, Forman J, Fletcher CE, Keith R, Krein S. J Patient Saf. 2011;7:72-76.

REVIEW

Patient safety in the NICU: a comprehensive review.

Samra HA, McGrath JM, Rollins W. J Perinat Neonatal Nurs. 2011;25:123-132.

SPECIAL OR THEME ISSUE

Safety.

Simmons D, ed. Crit Care Nurs Clin North Am. 2010;22:161-290.

COMMENTARY

Unreported errors in the intensive care unit: a case study of the way we work.

Henneman EA. Crit Care Nurse. 2007;27:27-34.

STUDY

Nurses' behaviors and visual scanning patterns may reduce patient identification errors.

Marquard JL, Henneman PL, He Z, Jo J, Fisher DL, Henneman EA. J Exp Psychol Appl. 2011;17:247-256.

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.

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