AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (134)

•Diagnostic Errors (77)

•Identification Errors (68)

•Discontinuities, Gaps, and Hand-Off Problems (395)

•Fatigue and Sleep Deprivation (93)

•Medication Safety (756)

•Medical Complications (417)

•Nonsurgical Procedural Complications (56)

•Surgical Complications (258)

•Transfusion Complications (17)

•Psychological and Social Complications (125)

Origin/Sponsor

•Africa (2)

•Asia (35)

•Australia and New Zealand (61)

•Central and South America (1)

•Europe (290)

•North America (2444)

Resource Types

•Audiovisual (37)

•Award (22)

•Book/Report (175)

•Clinical Guideline (3)

•Journal Article (2026)

•Legislation/Regulation (39)

•Meeting/Conference (11)

•Newspaper/Magazine Article (418)

•Press Release/Announcement (9)

•Special or Theme Issue (30)

•Tools/Toolkit (44)

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Error Types

•Epidemiology of Errors and Adverse Events (630)

•Active Errors (332)

•Latent Errors (210)

•Near Miss (38)

Approach to Improving Safety

•Quality Improvement Strategies (731)

•Legal and Policy Approaches (330)

•Error Reporting and Analysis (837)

•Communication Improvement (674)

•Human Factors Engineering (326)

•Teamwork (253)

•Specialization of Care (248)

•Logistical Approaches (263)

•Culture of Safety (575)

•Technologic Approaches (495)

•Education and Training (552)

Clinical Areas

•Allied Health Services (3)

•Medicine (2104)

•Nursing (268)

•Pharmacy (316)

Target Audience

•Health Care Providers (1721)

•Health Care Executives and Administrators (2300)

•Non-Health Care Professionals (1160)

•Patients (288)

Setting of Care
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Hospitals

•General Hospitals (627)

•Children’s Hospitals (77)

•Specialty Hospitals (34)

1 - 20 of 2880

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BOOK/REPORT

Pulse Report 2009: Safety Culture: Staff Perspectives on American Health Care.

South Bend, IN: Press Ganey Associates, Inc: 2009.

BOOK/REPORT

First, Do Less Harm: Confronting the Inconvenient Problems of Patient Safety.

Koppel R, Gordon S, ed. Ithaca, NY: Cornell University Press; 2012. ISBN: 9780801450778.

STUDY

An organizational assessment of disruptive clinician behavior: findings and implications.

Walrath JM, Dang D, Nyberg D. J Nurs Care Qual. 2013;28:110-121.

BOOK/REPORT

The Measurement and Monitoring of Safety.

Vincent C, Burnett S, Carthey J. London, UK: Health Foundation; April 2013. ISBN: 9781906461447.

COMMENTARY

Perspective: a culture of respect—part 1 and part 2.

Leape LL, Shore MF, Dienstag JL, et al. Acad Med. 2012;87:845-858.

NEWSPAPER/MAGAZINE ARTICLE

Raising the index of suspicion: red flags that represent credible threats to patient safety.

ISMP Medication Safety Alert! Acute Care Edition. July 26, 2012;17:1-3.

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.

STUDY

Safety leadership: a meta-analytic review of transformational and transactional leadership styles as antecedents of safety behaviours.

Clarke S. J Occup Organ Psychol. 2013;86:22-49.

COMMENTARY

Integrating CUSP and TRIP to improve patient safety.

Romig M, Goeschel C, Pronovost P, Berenholtz SM. Hosp Pract (Minneap). 2010;38:114-121.

STUDY

Patient safety climate in US hospitals: variation by management level.

Singer SJ, Falwell A, Gaba DM, Baker LC. Med Care. 2008;46:1149-1156.

STUDY

Identifying organizational cultures that promote patient safety.

Singer SJ, Falwell A, Gaba DM, et al. Health Care Manage Rev. 2009;34:300-311.

STUDY

Comparing safety climate between two populations of hospitals in the United States.

Singer SJ, Hartmann CW, Hanchate A, et al. Health Serv Res. 2009;44:1563-1583.

SPECIAL OR THEME ISSUE

Front-Line Ownership: Generating a Cure Mindset for Patient Safety.

Kitts J, ed. Healthcare Papers. 2013;13:1-82.

STUDY

Improving safety culture on adult medical units through multidisciplinary teamwork and communication interventions: the TOPS Project.

Blegen MA, Sehgal NL, Alldredge BK, Gearhart S, Auerbach AD, Wachter RM. Qual Saf Health Care. 2010;19:346-350.

STUDY

The importance of leadership in preventing healthcare–associated infection: results of a multisite qualitative study.

Saint S, Kowalski CP, Banaszak-Holl J, Forman J, Damschroder L, Krein SL. Infect Control Hosp Epidemiol. 2010;31:901-907.

STUDY

Analysis of staff safety concerns.

Davidson J, Lamontagne G, Burnell L, et al. J Nurs Care Qual. 2013;28:147-152.

STUDY

Patient safety climate in 92 US hospitals: differences by work area and discipline.

Singer SJ, Gaba DM, Falwell A, Lin S, Hayes J, Baker L. Med Care. 2009;47:23-31.

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.

COMMENTARY

The Henry Ford Health System No Harm Campaign: a comprehensive model to reduce harm and save lives.

Conway WA, Hawkins S, Jordan J, Voutt-Goos MJ. Jt Comm J Qual Patient Saf. 2012;38:318-327.

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