AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (140)

•Diagnostic Errors (79)

•Identification Errors (88)

•Discontinuities, Gaps, and Hand-Off Problems (365)

•Fatigue and Sleep Deprivation (83)

•Medication Safety (774)

•Medical Complications (407)

•Nonsurgical Procedural Complications (75)

•Surgical Complications (370)

•Transfusion Complications (17)

•Psychological and Social Complications (98)

Origin/Sponsor

•Asia (28)

•Australia and New Zealand (60)

•Central and South America (4)

•Europe (255)

•North America (2490)

Resource Types

•Audiovisual (32)

•Award (20)

•Book/Report (139)

•Clinical Guideline (5)

•Journal Article (2087)

•Legislation/Regulation (36)

•Meeting/Conference (11)

•Newspaper/Magazine Article (411)

•Press Release/Announcement (10)

•Special or Theme Issue (31)

•Tools/Toolkit (35)

•Web Resource (47)

•Grant (3)

Error Types

•Epidemiology of Errors and Adverse Events (662)

•Active Errors (388)

•Latent Errors (200)

•Near Miss (44)

Approach to Improving Safety

•Quality Improvement Strategies (714)

•Legal and Policy Approaches (275)

•Error Reporting and Analysis (772)

•Communication Improvement (681)

•Human Factors Engineering (459)

•Teamwork (343)

•Specialization of Care (252)

•Logistical Approaches (268)

•Culture of Safety (569)

•Technologic Approaches (478)

•Education and Training (561)

Clinical Areas

•Allied Health Services (3)

•Medicine (2083)

•Nursing (332)

•Pharmacy (302)

Target Audience

•Health Care Providers (1807)

•Health Care Executives and Administrators (2350)

•Non-Health Care Professionals (1015)

•Patients (248)

Setting of Care
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Hospitals

•General Hospitals (773)

•Children’s Hospitals (83)

•Specialty Hospitals (36)

1 - 20 of 2867

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BOOK/REPORT

Safer Hospital Care: Strategies for Continuous Innovation.

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

STUDY

Creating safety culture on nursing units: human performance and organizational system factors that make a difference.

Moody RF, Pesut DJ, Harrington CF. J Patient Saf. 2006;2:198-206.

NEWSPAPER/MAGAZINE ARTICLE

Are we finally getting serious about medical errors?

Burns J. Managed Care Magazine. May 2011;20:23-28.

REVIEW

Pediatric patient safety in the prehospital/emergency department setting.

Barata IA, Benjamin LS, Mace SE, Herman MI, Goldman RD. Pediatr Emerg Care. 2007;23:412-418.

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.

NEWSPAPER/MAGAZINE ARTICLE

Medication errors: a year in review.

Institute for Safe Medication Practices. Pharmacy Practice News. October 2011:7-14.

BOOK/REPORT

Hand Hygiene Project: Best Practices from Hospitals Participating in the Joint Commission Center for Transforming Healthcare Project.

Health Research and Educational Trust. Chicago, IL: American Hospital Association; 2010.

BOOK/REPORT

Committed to Safety: Ten Case Studies on Reducing Harm to Patients.

McCarthy D, Blumenthal D. New York, NY: The Commonwealth Fund; April 2006.

COMMENTARY

A model for developing high-reliability teams.

Riley W, Davis SE, Miller KK, McCullough M. J Nurs Manag. 2010;18:556-563.

STUDY

Nurse decision making in the prearrest period.

Gazarian PK, Henneman EA, Chandler GE. Clin Nurs Res. 2010;19:21-37.

REVIEW

What is patient safety culture? A review of the literature.

Sammer CE, Lykens K, Singh KP, Mains DA, Lackan NA. J Nurs Scholarsh. 2010;42:156-165.

COMMENTARY

Relationships among teams, culture, safety, and cost outcomes.

Brewer BB. West J Nurs Res. 2006;28:641-653.

NEWSPAPER/MAGAZINE ARTICLE

The dawn of the robo-docs.

Weber DO. Hosp Health Netw. March 14, 2006.

STUDY

Getting doctors to clean their hands: lead the followers.

Haessler S, Bhagavan A, Kleppel R, Hinchey K, Visintainer P. BMJ Qual Saf. 2012;21:499-502.

STUDY

Adopting National Quality Forum medication safe practices: progress and barriers to hospital implementation.

Rask K, Culler S, Scott T, et al. J Hosp Med. 2007;2:212-218.

STUDY

Medication safety infrastructure in critical-access hospitals in Florida.

Winterstein AG, Hartzema AG, Johns TE, et al. Am J Health Syst Pharm. 2006;63:442-450.

NEWSPAPER/MAGAZINE ARTICLE

Fault trees uncover complex causes.

Spath P. Hosp Peer Review. April 2007;32:49-52.

STUDY

A patient safety curriculum for medical residents based on the perspectives of residents and supervisors.

Jansma JD, Wagner C, Bijnen AB. J Patient Saf. 2011;7:99-105.

STUDY

The impact of a tele-ICU on provider attitudes about teamwork and safety climate.

Chu-Weininger MYL, Wueste L, Lucke JF, Weavind L, Mazabob J, Thomas EJ. Qual Saf Health Care. 2010;19:e39.

REVIEW

Fall prevention in hospitals: an integrative review.

Spoelstra SL, Given BA, Given CW. Clin Nurs Res. 2012;21:92-112.

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