AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (86)

•Diagnostic Errors (31)

•Identification Errors (39)

•Discontinuities, Gaps, and Hand-Off Problems (215)

•Fatigue and Sleep Deprivation (29)

•Medication Safety (458)

•Medical Complications (195)

•Nonsurgical Procedural Complications (27)

•Surgical Complications (154)

•Transfusion Complications (4)

•Psychological and Social Complications (62)

Origin/Sponsor

•Asia (20)

•Australia and New Zealand (34)

•Central and South America (2)

•Europe (85)

•North America (1281)

Resource Types

•Audiovisual (9)

•Award (5)

•Book/Report (34)

•Clinical Guideline (6)

•Journal Article (1154)

•Legislation/Regulation (20)

•Meeting/Conference (5)

•Newsletter/Journal (3)

•Newspaper/Magazine Article (146)

•Press Release/Announcement (3)

•Special or Theme Issue (25)

•Tools/Toolkit (14)

•Web Resource (15)

Error Types

•Epidemiology of Errors and Adverse Events (247)

•Active Errors (182)

•Latent Errors (80)

•Near Miss (31)

Approach to Improving Safety

•Quality Improvement Strategies (318)

•Legal and Policy Approaches (74)

•Error Reporting and Analysis (282)

•Communication Improvement (542)

•Human Factors Engineering (209)

•Teamwork (219)

•Specialization of Care (136)

•Logistical Approaches (160)

•Culture of Safety (232)

•Technologic Approaches (197)

•Education and Training (301)

Clinical Areas

•Allied Health Services (4)

•Medicine (915)

•Nursing (595)

•Pharmacy (119)

Target Audience

•Health Care Providers (1215)

•Health Care Executives and Administrators (1190)

•Non-Health Care Professionals (412)

•Patients (65)

Setting of Care

•Hospitals (1002)

•Psychiatric Facilities (7)

•Residential Facilities (31)

•Ambulatory Care (78)

•Outpatient Surgery (7)

•Patient Transport (7)

1 - 20 of 1439

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STUDY

Nurses' perceptions of simulation-based interprofessional training program for rapid response and code blue events.

Wehbe-Janek H, Lenzmeier CR, Ogden PE, et al. J Nurs Care Qual. 2012;27:43-50.

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

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.

BOOK/REPORT

Silence Kills: The Seven Crucial Conversations for Healthcare.

Maxfield D, Grenny J, McMillan R, Patterson K, Switzler A. VitalSmarts; 2005.E45

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

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.

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

A transdisciplinary team acting on evidence through analyses of moot malpractice cases.

Constantino RE. Dimens Crit Care Nurs. 2007;26:150-155.

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.

STUDY

Nurses' perceptions of how rapid response teams affect the nurse, team, and system.

Williams DJ, Newman A, Jones C, Woodard B. J Nurs Care Qual. 2011;26:265-272.

COMMENTARY

Clinical nurse specialists as leaders in rapid response.

Jenkins SD, Lindsey PL. Clin Nurse Spec. 2010;24:24-30.

COMMENTARY

Patient safety and collaboration of the intensive care unit team.

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

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

Medical errors recovered by critical care nurses.

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

COMMENTARY

Preventing sentinel events caused by family members.

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

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.

COMMENTARY

Implementing a rapid response team: a practical guide.

Garretson S, Dip HE, Rauzi MB. Nursing. 2008;38:56cc1-56cc3.

COMMENTARY

Rolling out the rapid response team.

Gallagher-Ford L, Fineout-Overholt E, Melnyk BM, Stillwell SB. Am J Nurs. 2011;111:42-47.

COMMENTARY

Development of a modified early warning score using the electronic medical record.

Albert BL, Huesman L. Dimens Crit Care Nurs. 2011;30:283-292.

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