AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (182)

•Diagnostic Errors (181)

•Identification Errors (113)

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

•Fatigue and Sleep Deprivation (87)

•Medication Safety (1116)

•Medical Complications (462)

•Nonsurgical Procedural Complications (110)

•Surgical Complications (450)

•Transfusion Complications (20)

•Psychological and Social Complications (141)

Origin/Sponsor

•Africa (2)

•Asia (32)

•Australia and New Zealand (80)

•Central and South America (9)

•Europe (320)

•North America (3371)

Resource Types

•Clinical Guideline (7)

•Journal Article (2893)

•Legislation/Regulation (52)

•Meeting/Conference (28)

•Newsletter/Journal (12)

•Newspaper/Magazine Article (352)

•Press Release/Announcement (26)

•Special or Theme Issue (61)

•Tools/Toolkit (56)

•Web Resource (101)

•Grant (9)

Error Types

•Epidemiology of Errors and Adverse Events (864)

•Active Errors (615)

•Latent Errors (232)

•Near Miss (74)

Approach to Improving Safety

•Quality Improvement Strategies (919)

•Legal and Policy Approaches (312)

•Error Reporting and Analysis (1007)

•Communication Improvement (1124)

•Human Factors Engineering (550)

•Teamwork (410)

•Specialization of Care (304)

•Logistical Approaches (284)

•Culture of Safety (501)

•Technologic Approaches (661)

•Education and Training (778)

Clinical Areas

•Allied Health Services (10)

Target Audience

•Health Care Providers (3168)

•Health Care Executives and Administrators (3208)

•Non-Health Care Professionals (1403)

•Patients (258)

Setting of Care

•Hospitals (2430)

•Psychiatric Facilities (13)

•Residential Facilities (65)

•Ambulatory Care (332)

•Outpatient Surgery (39)

•Patient Transport (32)

1 - 20 of 3859

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STUDY

Statewide NICU central-line–associated bloodstream infection rates decline after bundles and checklists.

Schulman J, Stricof R, Stevens TP, et al; New York State Regional Perinatal Care Centers. Pediatrics. 2011;127:436-444.

STUDY

NICU medication errors: identifying a risk profile for medication errors in the neonatal intensive care unit.

Stavroudis TA, Shore AD, Morlock L, Hicks RW, Bundy D, Miller MR. J Perinatol. 2010;30:459-468.

STUDY

Rethinking resident supervision to improve safety: from hierarchical to interprofessional models.

Tamuz M, Giardina TD, Thomas EJ, Menon S, Singh H. J Hosp Med. 2011;6:448-456.

NEWSPAPER/MAGAZINE ARTICLE

Another tragic parenteral nutrition compounding error.

ISMP Medication Safety Alert! Acute Care Edition. April 21, 2011;16:1-3.

STUDY

Prevalence of copied information by attendings and residents in critical care progress notes.

Thornton JD, Schold JD, Venkateshaiah L, Lander B. Crit Care Med. 2013;41:382-388.

COMMENTARY

Random safety auditing, root cause analysis, failure mode and effects analysis.

Ursprung R, Gray J. Clin Perinatol. 2010;37:141-165.

STUDY

Risk of adverse drug events in neonates treated with opioids and the effect of a bar-code–assisted medication administration system.

Morriss FH, Jr, Abramowitz PW, Nelson SP, Milavetz G, Michael SL, Gordon SN. Am J Health Syst Pharm. 2011;68:57-62.

STUDY

Prevalence of adverse events in pediatric intensive care units in the United States.

Agarwal S, Classen D, Larsen G, et al. Pediatr Crit Care Med. 2010;11:568-578.

STUDY

Teamwork behaviours and errors during neonatal resuscitation.

Williams AL, Lasky RE, Dannemiller JL, Andrei AM, Thomas EJ. Qual Saf Health Care. 2010;19:60-64.

STUDY

Neonatal intensive care unit safety culture varies widely.

Profit J, Etchegaray J, Petersen LA, et al. Arch Dis Child Fetal Neonatal Ed. 2012;97:F120-F126.

STUDY

Measuring communication in the surgical ICU: better communication equals better care.

Williams M, Hevelone N, Alban RF, et al. J Am Coll Surg. 2010;210:17-22.

STUDY

Effectiveness of a barcode medication administration system in reducing preventable adverse drug events in a neonatal intensive care unit: a prospective cohort study.

Morriss FH Jr, Abramowitz PW, Nelson SP, et al. J Pediatr. 2009;197:678-685.

STUDY

Improving communication in the ICU using daily goals.

Pronovost P, Berenholtz S, Dorman T, Lipsett PA, Simmonds T, Haraden C. J Crit Care. 2003;18:71-75.

STUDY

Building collaborative teams in neonatal intensive care.

Brodsky D, Gupta M, Quinn M, et al. BMJ Qual Saf. 2013;374-382.

STUDY

Unplanned transfers to a medical intensive care unit: causes and relationship to preventable errors in care.

Bapoje SR, Gaudiani JL, Narayanan V, Albert RK. J Hosp Med. 2011;6:68-72.

REVIEW

Critical incident monitoring in paediatric and adult critical care: from reporting to improved patient outcomes?

Frey B, Schwappach D. Curr Opin Crit Care. 2010;16: 649-653.

STUDY

Implementation of a mandatory checklist of protocols and objectives improves compliance with a wide range of evidence-based intensive care unit practices.

Byrnes MC, Schuerer DJ, Schallom ME, et al. Crit Care Med. 2009; 37:2775-2781.

STUDY

Team training in the neonatal resuscitation program for interns: teamwork and quality of resuscitations.

Thomas EJ, Williams AL, Reichman EF, Lasky RE, Crandell S, Taggart WR. Pediatrics. 2010;125:539-546.

STUDY

Retrospective review of emergency response activations during a 13-year period at a tertiary care children's hospital.

Wang GS, Erwin N, Zuk J, Henry DB, Dobyns EL. J Hosp Med. 2011;6:131-135.

STUDY

Implementation of the Josie King Care Journal in a pediatric intensive care unit: a quality improvement project.

Turner K, Frush K, Hueckel R, Relf MV, Thornlow D, Champagne MT. J Nurs Care Qual. 2012 Oct 31; [Epub ahead of print].

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