AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (180)

•Diagnostic Errors (104)

•Identification Errors (100)

•Discontinuities, Gaps, and Hand-Off Problems (475)

•Fatigue and Sleep Deprivation (113)

•Medication Safety (1419)

•Medical Complications (485)

•Nonsurgical Procedural Complications (80)

•Surgical Complications (348)

•Transfusion Complications (18)

•Psychological and Social Complications (195)

Origin/Sponsor

•Africa (4)

•Asia (57)

•Australia and New Zealand (103)

•Central and South America (4)

•Europe (338)

•North America (3895)

Resource Types

•Clinical Guideline (7)

•Journal Article (3108)

•Legislation/Regulation (56)

•Meeting/Conference (37)

•Newsletter/Journal (9)

•Newspaper/Magazine Article (587)

•Press Release/Announcement (23)

•Special or Theme Issue (84)

•Tools/Toolkit (80)

•Web Resource (103)

•Grant (9)

Error Types

•Epidemiology of Errors and Adverse Events (819)

•Active Errors (507)

•Latent Errors (289)

•Near Miss (75)

Approach to Improving Safety

•Quality Improvement Strategies (1149)

•Legal and Policy Approaches (541)

•Error Reporting and Analysis (1259)

•Communication Improvement (1015)

•Human Factors Engineering (525)

•Teamwork (412)

•Specialization of Care (304)

•Logistical Approaches (365)

•Culture of Safety (1009)

•Technologic Approaches (750)

•Education and Training (896)

Clinical Areas

•Allied Health Services (15)

Target Audience

•Health Care Providers (2958)

•Health Care Executives and Administrators (3619)

•Non-Health Care Professionals (1811)

•Patients (389)

Setting of Care

•Hospitals (3034)

•Psychiatric Facilities (20)

•Residential Facilities (93)

•Ambulatory Care (331)

•Outpatient Surgery (37)

•Patient Transport (20)

1 - 20 of 4491

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STUDY

An investigation of the relationship between safety climate and medication errors as well as other nurse and patient outcomes.

Hofmann DA, Mark B. Personnel Psychol. 2006;59:847-869.

STUDY

The Safety Organizing Scale: development and validation of a behavioral measure of safety culture in hospital nursing units.

Vogus TJ, Sutcliffe KM. Med Care. 2007;45:46-54.

STUDY

Adoption of National Quality Forum safe practices by magnet hospitals.

Jayawardhana J, Welton JM, Lindrooth R. J Nurs Adm. 2011;41:350-356.

NEWSPAPER/MAGAZINE ARTICLE

Scanner beep only means the barcode has been scanned.

ISMP Medication Safety Alert! Acute Care Edition. June 30, 2011;16:1-2.

STUDY

Achieving quality improvement in the nursing home: influence of nursing leadership on communication and teamwork.

Vogelsmeier A, Scott-Cawiezell J. J Nurs Care Qual. 2011;26:236-242.

STUDY

Speaking up, being heard: registered nurses' perceptions of workplace communication.

Garon M. J Nurs Manag. 2012;20:361-371.

COMMENTARY

Improving patient safety: patient-focused, high-reliability team training.

McKeon LM, Cunningham PD, Detty Oswaks JS. J Nurs Care Qual. 2009;24:76-82.

STUDY

Oncology nurses' perceptions about involving patients in the prevention of chemotherapy administration errors.

Schwappach DLB, Hochreutener MA, Wernli M. Oncol Nurs Forum. 2010;37:E84-E91.

STUDY

A human factors framework and study of the effect of nursing workload on patient safety and employee quality of working life.

Holden RJ, Scanlon MC, Patel NR, et al. BMJ Qual Saf. 2011;20:15-24.

COMMENTARY

A performance improvement plan to increase nurse adherence to use of medication safety software.

Gavriloff C. J Pediatr Nurs. 2012;27:375-382.

STUDY

Implementing a fatigue countermeasures program for nurses: a focus group analysis.

Scott LD, Hofmeister N, Rogness N, Rogers AE. J Nurs Adm. 2010;40:233-240.

STUDY

Expanding what we know about off-peak mortality in hospitals.

Hamilton P, Mathur S, Gemeinhardt G, Eschiti V, Campbell M. J Nurs Admin. 2010;40:124-128.

STUDY

A secondary care nursing perspective on medication administration safety.

McBride-Henry K, Foureur M. J Adv Nurs. 2007;60:58-66.

STUDY

Performance-based payment incentives increase burden and blame for hospital nurses.

Kurtzman ET, O'Leary D, Sheingold BH, Devers KJ, Dawson EM, Johnson JE. Health Aff (Millwood). 2011;30:211-218.

REVIEW

The Nurse's Role in Promoting a Culture of Patient Safety.

Friesen MA, Farquhar MB, Hughes R. American Nurses Association (ANA) Continuing Education, Center for American Nurses; 2005.

NEWSPAPER/MAGAZINE ARTICLE

Raising the index of suspicion: red flags that represent credible threats to patient safety.

ISMP Medication Safety Alert! Acute Care Edition. July 26, 2012;17:1-3.

STUDY

A relational leadership perspective on unit-level safety climate.

Thompson DN, Hoffman LA, Sereika SM, et al. J Nurs Adm. 2011;41:479-487.

COMMENTARY

Improving heparin safety: a multidisciplinary invited conference.

Peterson C, Ham CW, Vanderveen T. Hosp Pharm. 2008;43:491-497.

STUDY

Nurses' perceptions of causes of medication errors and barriers to reporting.

Ulanimo VM, O'Leary-Kelley C, Connolly PM. J Nurs Care Qual. 2007;22:28-33.

COMMENTARY

A plan for achieving significant improvement in patient safety.

Johnson K, Maultsby CC. J Nurs Care Qual. 2007;22:164-171.

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