AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (201)

•Diagnostic Errors (153)

•Identification Errors (119)

•Discontinuities, Gaps, and Hand-Off Problems (403)

•Fatigue and Sleep Deprivation (86)

•Medication Safety (1093)

•Medical Complications (457)

•Nonsurgical Procedural Complications (95)

•Surgical Complications (467)

•Transfusion Complications (22)

•Psychological and Social Complications (205)

Origin/Sponsor

•Australia and New Zealand (102)

•Central and South America (7)

•Europe (386)

•North America (3783)

Resource Types

•Audiovisual (49)

•Bibliography (4)

•Book/Report (333)

•Clinical Guideline (7)

•Journal Article (2965)

•Legislation/Regulation (67)

•Meeting/Conference (53)

•Newsletter/Journal (15)

•Newspaper/Magazine Article (477)

•Press Release/Announcement (39)

•Special or Theme Issue (96)

•Tools/Toolkit (77)

•Web Resource (159)

Error Types

•Epidemiology of Errors and Adverse Events (731)

•Active Errors (527)

•Latent Errors (276)

•Near Miss (70)

Approach to Improving Safety

•Quality Improvement Strategies (1276)

•Legal and Policy Approaches (523)

•Error Reporting and Analysis (1178)

•Communication Improvement (1031)

•Human Factors Engineering (731)

•Teamwork (435)

•Specialization of Care (252)

•Logistical Approaches (362)

•Culture of Safety (996)

•Technologic Approaches (701)

•Education and Training (841)

Clinical Areas

•Allied Health Services (16)

•Dentistry (6)

•Medicine (2594)

•Nursing (282)

•Pharmacy (395)

Target Audience

•Health Care Providers (3212)

•Health Care Executives and Administrators (3627)

•Non-Health Care Professionals (1939)

•Patients (332)

Setting of Care

•Hospitals (2462)

•Psychiatric Facilities (16)

•Residential Facilities (80)

•Ambulatory Care (370)

•Outpatient Surgery (43)

•Patient Transport (32)

1 - 20 of 4402

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BOOK/REPORT

Through the Eyes of the Workforce: Creating Joy, Meaning, and Safer Health Care.

Roundtable on Joy and Meaning in Work and Workforce Safety, The Lucian Leape Institute. Boston, MA: National Patient Safety Foundation; 2013.

SPECIAL OR THEME ISSUE

Medical errors and safety systems.

Pearlman MD, ed. Clin Obstet Gynecol. 2010;53:471-585.

COMMENTARY

The Preventable Harm Index: an effective motivator to facilitate the drive to zero.

Brilli RJ, McClead RE Jr, Davis T, Stoverock L, Rayburn A, Berry JC. J Pediatr. 2010;157:681-683.

SPECIAL OR THEME ISSUE

Patient Safety and Quality.

Lyndon A, Simpson KR, Bakewell-Sachs S, eds. J Perinat Neonat Nurs. 2010;24:1-89.

NEWSPAPER/MAGAZINE ARTICLE

A hospital races to learn lessons of Ferrari pit stop.

Naik G. Wall Street Journal. November 14, 2006:A1. [reprinted on Post-gazette.com].

NEWSPAPER/MAGAZINE ARTICLE

Healing by design: new hospitals create places that improve patient outcomes.

Trewyn P, Sneider J. The Business Journal of Milwaukee. September 16, 2005.

BOOK/REPORT

Safer Hospital Care: Strategies for Continuous Innovation.

Raheja D. New York, NY: Productivity Press; 2011. ISBN: 9781439821022.

STUDY

Evaluation of organizational culture among different levels of healthcare staff participating in the Institute for Healthcare Improvement's 100,000 Lives Campaign.

Sinkowitz-Cochran RL, Garcia-Williams A, Hackbarth AD, et al. Infect Control Hosp Epidemiol. 2012;33:135-143.

REVIEW

Assessment of patient safety research from an organizational ergonomics and structural perspective.

Schutz AL, Counte MA, Meurer S. Ergonomics. 2007;50:1451-1484.

BOOK/REPORT classic

classic

Patient Safety in Emergency Medicine.

Croskerry P, Cosby KS, Schenkel SM, Wears RL, eds. Philadelphia, PA: Lippincott Williams & Wilkins; 2009. ISBN: 9780781777278.

STUDY

Organisational culture: variation across hospitals and connection to patient safety climate.

Speroff T, Nwosu S, Greevy R, et al. Qual Saf Health Care. 2010;19:592-596.

ORGANIZATIONAL POLICY/GUIDELINES

Preventing violence in the health care setting.

Sentinel Event Alert. June 3, 2010;(45):1-3.

STUDY

Health care workers as second victims of medical errors.

Edrees HH, Paine LA, Feroli ER, Wu AW. Pol Arch Med Wewn. 2011;121:101-108.

REVIEW

Intimidation: a concept analysis.

Lamontagne C. Nurs Forum. 2010;45:54-65.

MULTI-USE WEBSITE

BOOSTing Care Transitions Resource Room.

Project BOOST (Better Outcomes for Older adults through Safe Transitions), Society of Hospital Medicine.

REVIEW

Interdisciplinary teamwork in hospitals: a review and practical recommendations for improvement.

O'Leary KJ, Sehgal NL, Terrell G, Williams MV; High Performance Teams and the Hospital of the Future Project Team. J Hosp Med. 2011 Oct 31; [Epub ahead of print].

NEWSPAPER/MAGAZINE ARTICLE

Safe practice environment chapter proposed by USP.

ISMP Medication Safety Alert! Acute Care Edition. December 4, 2008;13:1-3.

STUDY

Association between Leapfrog safe practices score and hospital mortality in major surgery.

Qian F, Lustik SJ, Diachun CA, Wissler RN, Zollo RA, Glance LG. Med Care. 2011;49:1082-1088.

AWARD RECIPIENT

2006 Quest for Quality Prize.

Runy LA. Hosp Health Netw. September 2006.

STUDY

Impact of a statewide intensive care unit quality improvement initiative on hospital mortality and length of stay: retrospective comparative analysis.

Lipitz-Snyderman A, Steinwachs D, Needham DM, Colantuoni E, Morlock LL, Pronovost PJ. BMJ. 2011;342:d219.

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