AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (122)

•Diagnostic Errors (105)

•Identification Errors (77)

•Discontinuities, Gaps, and Hand-Off Problems (386)

•Fatigue and Sleep Deprivation (67)

•Medication Safety (709)

•Medical Complications (386)

•Nonsurgical Procedural Complications (59)

•Surgical Complications (277)

•Transfusion Complications (18)

•Psychological and Social Complications (95)

Origin/Sponsor

•Australia and New Zealand (91)

•Central and South America (2)

•Europe (375)

•North America (2020)

Resource Types

•Audiovisual (27)

•Book/Report (166)

•Clinical Guideline (3)

•Journal Article (1870)

•Legislation/Regulation (29)

•Meeting/Conference (9)

•Newspaper/Magazine Article (341)

•Press Release/Announcement (8)

•Special or Theme Issue (32)

•Tools/Toolkit (38)

•Web Resource (67)

Error Types

•Epidemiology of Errors and Adverse Events (633)

•Active Errors (516)

•Latent Errors (232)

•Near Miss (47)

Approach to Improving Safety

•Quality Improvement Strategies (672)

•Legal and Policy Approaches (294)

•Error Reporting and Analysis (738)

•Communication Improvement (745)

•Human Factors Engineering (344)

•Teamwork (219)

•Specialization of Care (222)

•Logistical Approaches (213)

•Culture of Safety (402)

•Technologic Approaches (483)

•Education and Training (499)

Clinical Areas

•Allied Health Services (4)

•Medicine (2099)

•Nursing (169)

•Pharmacy (256)

Target Audience

•Health Care Providers (1780)

•Health Care Executives and Administrators (2125)

•Non-Health Care Professionals (983)

•Patients (236)

Setting of Care
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Hospitals

•General Hospitals (649)

•Children’s Hospitals (71)

•Specialty Hospitals (53)

1 - 20 of 2609

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REVIEW

The efficacy of computer-enabled discharge communication interventions: a systematic review.

Motamedi SM, Posadas-Calleja J, Straus S, et al. BMJ Qual Saf. 2011;20:403-415.

STUDY

classic

Information exchange among physicians caring for the same patient in the community.

van Walraven C, Taljaard M, Bell CM, et al. CMAJ. 2008;179:1013-1018.

STUDY

The relationship between organizational leadership for safety and learning from patient safety events.

Ginsburg LR, Chuang YT, Berta WB, et al. Health Serv Res. 2010;45:607-632.

STUDY

Catching and correcting near misses: the collective vigilance and individual accountability trade-off.

Jeffs LP, Lingard L, Berta W, Baker GR. J Interprof Care. 2012;26:121-126.

COMMENTARY

Learning accountability for patient outcomes.

Pronovost PJ. JAMA. 2010;304:204-205.

COMMENTARY

Revisiting duty-hour limits — IOM recommendations for patient safety and resident education.

Iglehart JK. N Engl J Med. 2008;359:2633-2635.

BOOK/REPORT

Patient Safety in Canada: An Update.

Ottawa, ON, Canada: Canadian Institute for Health Information; August 14, 2007.

BOOK/REPORT

Patient Safety Authority Annual Reports.

Harrisburg, PA: Patient Safety Authority; April 2013.

STUDY

Association of communication between hospital-based physicians and primary care providers with patient outcomes.

Bell CM, Schnipper JL, Auerbach AD, et al. J Gen Intern Med. 2009;24:381-386.

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.

STUDY

Peer support: healthcare professionals supporting each other after adverse medical events.

van Pelt F. Qual Saf Health Care. 2008;17:249-252.

COMMENTARY

Achieving the 'perfect handoff' in patient transfers: building teamwork and trust.

Clarke D, Werestiuk K, Schoffner A, et al. J Nurs Manag. 2012;20:592-598.

STUDY

A review of verbal order policies in acute care hospitals.

Wakefield DS, Wakefield BJ, Despins L, et al. Jt Comm J Qual Patient Saf. 2012;38:24-33.

NEWSPAPER/MAGAZINE ARTICLE

Safe practice environment chapter proposed by USP.

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

STUDY

The intended and unintended consequences of communication systems on general internal medicine inpatient care delivery: a prospective observational case study of five teaching hospitals.

Wu RC, Lo V, Morra D, et al. J Am Med Inform Assoc. 2013 Jan 25; [Epub ahead of print].

STUDY

Inpatient fall prevention: use of in-room Webcams.

Hardin SR, Dienemann J, Rudisill P, Mills KK. J Patient Saf. 2013;9:29-35.

STUDY

classic

The care transitions intervention: translating from efficacy to effectiveness.

Voss R, Gardner R, Baier R, Butterfield K, Lehrman S, Gravenstein S. Arch Intern Med. 2011;171:1232-1237.

STUDY

Explaining ethnic disparities in patient safety: a qualitative analysis.

Suurmond J, Uiters E, De Bruijne MC, Stronks K, Essink-Bot ML. Am J Public Health. 2010;100 (suppl 1):S113-117.

COMMENTARY

Making inpatient medication reconciliation patient centered, clinically relevant and implementable: a consensus statement on key principles and necessary first steps.

Greenwald JL, Halasyamani L, Greene J, et al. J Hosp Med. 2010;5:477-485.

BOOK/REPORT

Health Care Leader Action Guide to Reduce Avoidable Readmissions.

Osei-Anto A, Joshi M, Audet AJ, Berman A, Jencks SF. New York, NY: The Commonwealth Fund, The John Hartford Foundation, Health Research and Educational Trust; January 25, 2010.

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