AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (181)

•Diagnostic Errors (225)

•Identification Errors (118)

•Discontinuities, Gaps, and Hand-Off Problems (709)

•Fatigue and Sleep Deprivation (92)

•Medication Safety (1489)

•Medical Complications (417)

•Nonsurgical Procedural Complications (66)

•Surgical Complications (394)

•Transfusion Complications (21)

•Psychological and Social Complications (120)

Origin/Sponsor

•Africa (4)

•Asia (53)

•Australia and New Zealand (101)

•Central and South America (9)

•Europe (320)

•North America (3132)

Resource Types

•Audiovisual (46)

•Award (10)

•Book/Report (104)

•Clinical Guideline (9)

•Journal Article (2912)

•Legislation/Regulation (34)

•Meeting/Conference (8)

•Newsletter/Journal (4)

•Newspaper/Magazine Article (409)

•Press Release/Announcement (17)

•Special or Theme Issue (39)

•Tools/Toolkit (35)

•Web Resource (56)

•Grant (3)

Error Types

•Epidemiology of Errors and Adverse Events (1327)

•Active Errors (708)

•Latent Errors (407)

•Near Miss (91)

Approach to Improving Safety

•Quality Improvement Strategies (772)

•Legal and Policy Approaches (288)

•Error Reporting and Analysis (1143)

•Communication Improvement (1093)

•Human Factors Engineering (476)

•Teamwork (310)

•Specialization of Care (287)

•Logistical Approaches (337)

•Culture of Safety (417)

•Technologic Approaches (669)

•Education and Training (677)

Clinical Areas

•Allied Health Services (12)

Target Audience

•Health Care Providers (2684)

•Health Care Executives and Administrators (2697)

•Non-Health Care Professionals (1130)

•Patients (278)

Setting of Care

•Hospitals (2424)

•Psychiatric Facilities (16)

•Residential Facilities (80)

•Ambulatory Care (366)

•Outpatient Surgery (35)

•Patient Transport (36)

1 - 20 of 3686

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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

Medical errors recovered by critical care nurses.

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

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

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.

IMAGE/POSTER

Distributing Cognition: ICU Handoffs Conform to Grice's Maxims.

Brandwijk M, Nemeth C, O'Conner M, Kahana M, Cook RI. Departments of Pediatrics and Anesthesia and Critical Care: Chicago, IL: University of Chicago.

STUDY

Effect of an anonymous reporting system on near-miss and harmful medical error reporting in a pediatric intensive care unit.

Grant MJ, Larsen GY. J Nurs Care Qual. 2007;22:213-221.

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

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

Toward learning from patient safety reporting systems.

Pronovost PJ, Thompson DA, Holzmueller CG, et al. J Crit Care. 2006;21:305-315.

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.

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.

COMMENTARY

Patient safety and collaboration of the intensive care unit team.

Despins LA. Crit Care Nurse. April 2009;29:85-91.

COMMENTARY

Deciphering the Code

Goldstein MK. AHRQ WebM&M [serial online]. Febuary 2006.

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

Adverse drug events in hospitalized cardiac patients.

Fanikos J, Cina JL, Baroletti S, Fiumara K, Matta L, Goldhaber SZ. Am J Cardiol. 2007;100:1465-1469.

STUDY

Nurses' perceptions of error communication and reporting in the intensive care unit.

Elder NC, Brungs SM, Nagy M, Kudel I, Render ML. J Patient Saf. 2008;4:162-168.

COMMENTARY

On the Other Hand

Henneman EA. AHRQ WebM&M [serial online]. May 2007.

STUDY

Adverse drug event reporting in intensive care units: a survey of current practices.

Kane-Gill SL, Devlin JW. Ann Pharmacother. 2006;40:1267-73.

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.

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.

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