AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (62)

•Diagnostic Errors (45)

•Identification Errors (41)

•Discontinuities, Gaps, and Hand-Off Problems (118)

•Fatigue and Sleep Deprivation (27)

•Medication Safety (352)

•Medical Complications (101)

•Nonsurgical Procedural Complications (16)

•Surgical Complications (140)

•Transfusion Complications (8)

•Psychological and Social Complications (33)

Origin/Sponsor

•Asia (14)

•Australia and New Zealand (56)

•Central and South America (2)

Resource Types

•Journal Article (937)

•Legislation/Regulation (10)

•Meeting/Conference (10)

•Newspaper/Magazine Article (84)

•Press Release/Announcement (8)

•Special or Theme Issue (35)

•Tools/Toolkit (13)

•Web Resource (20)

•Grant (5)

Error Types

•Epidemiology of Errors and Adverse Events (239)

•Active Errors (178)

•Latent Errors (82)

•Near Miss (24)

Approach to Improving Safety

•Quality Improvement Strategies (327)

•Legal and Policy Approaches (82)

•Error Reporting and Analysis (392)

•Communication Improvement (313)

•Human Factors Engineering (392)

•Teamwork (112)

•Specialization of Care (51)

•Logistical Approaches (75)

•Culture of Safety (183)

•Technologic Approaches (209)

•Education and Training (202)

Clinical Areas

•Allied Health Services (3)

•Complementary and Alternative Medicine (1)

Target Audience

•Health Care Providers (682)

•Health Care Executives and Administrators (1146)

•Non-Health Care Professionals (585)

•Patients (44)

Setting of Care

•Hospitals (645)

•Psychiatric Facilities (6)

•Residential Facilities (21)

•Ambulatory Care (109)

•Outpatient Surgery (12)

•Patient Transport (11)

1 - 20 of 1189

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STUDY

Patient safety, systems design and ergonomics.

Buckle P, Clarkson PJ, Coleman R, Ward J, Anderson J. Appl Ergon. 2006;37:491-500.

BOOK/REPORT classic

The Human Contribution: Unsafe Acts, Accidents and Heroic Recoveries.

Reason J. Farnham Surrey, UK: Ashgate; 2008. ISBN: 9780754674023.

STUDY

A prospective hazard and improvement analytic approach to predicting the effectiveness of medication error interventions.

Karnon J, McIntosh A, Dean J, et al. Safety Sci. 2007;45:523-539.

STUDY

The influence of formulation and medicine delivery system on medication administration errors in care homes for older people.

Alldred DP, Standage C, Fletcher O, et al. BMJ Qual Saf. 2011;20:397-402.

COMMENTARY

Fewer but better auditory alarms will improve patient safety.

Edworthy J, Hellier E. Qual Saf Health Care. 2005;14:212-215.

BOOK/REPORT

The Patients' View: 2004 ISQSH National Survey.

Dublin, Ireland: Irish Society for Quality & Safety in Healthcare; 2005.

SPECIAL OR THEME ISSUE

Human Factors and Ergonomics in Healthcare Delivery: A Special Issue on Health Information Technology and Medication Administration Safety.

Garrett SK, Khasawneh MT, eds. Int J Indust Ergon. 2011;41:333-400.

STUDY

The culture of a trauma team in relation to human factors.

Cole E, Crichton N. J Clin Nurs. 2006;15:1257-1266.

NEWSPAPER/MAGAZINE ARTICLE

Ounce of prevention: to reduce errors, hospitals prescribe innovative designs.

Naik G. The Wall Street Journal. May 8, 2006:A1.

NEWSPAPER/MAGAZINE ARTICLE

How hospital design saves lives.

Blum A. Business Week. August 15, 2006.

STUDY

Variability in the concentrations of intravenous drug infusions prepared in a critical care unit.

Wheeler DW, Degnan BA, Sehmi JS, et al. Intensive Care Med. 2008;34:1441-1447.

ORGANIZATIONAL POLICY/GUIDELINES

Guidelines for Design and Construction of Health Care Facilities.

Washington, DC: The American Institute of Architects; 2006.

STUDY

Improving general practice computer systems for patient safety: qualitative study of key stakeholders.

Avery AJ, Savelyich BSP, Sheikh A, Morris CJ, Bowler I, Teasdale S. Qual Saf Health Care. 2007;16:28-33.

STUDY

Improving the quality of drug error reporting.

Armitage G, Newell R, Wright J. J Eval Clin Pract. 2010;16:1189-1197.

STUDY

The value of 'gentle reminder' on safe medical behaviour.

Erev I, Rodensky D, Levi MA, Englard-Hershler M, Admi H, Donchin Y. Qual Saf Health Care. 2010;19:e49.

STUDY

The influence of 'Tall Man' lettering on errors of visual perception in the recognition of written drug names.

Darker IT, Gerret D, Filik R, Purdy KJ, Gale AG. Ergonomics. 2011;54:21-33.

STUDY

Patient safety issues in advanced practice nursing students' care settings.

Schnall R, Cook S, John RM, et al. J Nurs Care Qual. 2012;27:132-138.

STUDY

Assessing the quality of patient handoffs at care transitions.

Manser T, Foster S, Gisin S, Jaeckel D, Ummenhofer W. Qual Saf Health Care. 2010;19:e44.

TOOLKIT

Manchester Patient Safety Framework (MaPSaF).

Manchester, UK: University of Manchester; 2006.

NEWSPAPER/MAGAZINE ARTICLE

Ferrari's Formula One handovers and handovers from surgery to intensive care.

Sower VE, Duffy JA, Kohers G. American Society for Quality. August 2008.

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