AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (192)

•Diagnostic Errors (125)

•Identification Errors (124)

•Discontinuities, Gaps, and Hand-Off Problems (478)

•Fatigue and Sleep Deprivation (97)

•Medication Safety (1038)

•Medical Complications (534)

•Nonsurgical Procedural Complications (93)

•Surgical Complications (530)

•Transfusion Complications (19)

•Psychological and Social Complications (122)

Origin/Sponsor

•Africa (3)

•Asia (65)

•Australia and New Zealand (106)

•Central and South America (8)

•Europe (432)

•North America (2942)

Resource Types

•Audiovisual (40)

•Award (18)

•Book/Report (151)

•Clinical Guideline (6)

•Journal Article (2750)

•Legislation/Regulation (43)

•Meeting/Conference (11)

•Newspaper/Magazine Article (469)

•Press Release/Announcement (11)

•Special or Theme Issue (35)

•Tools/Toolkit (39)

•Web Resource (54)

•Grant (2)

Error Types

•Epidemiology of Errors and Adverse Events (1126)

•Active Errors (635)

•Latent Errors (270)

•Near Miss (73)

Approach to Improving Safety

•Quality Improvement Strategies (883)

•Legal and Policy Approaches (334)

•Error Reporting and Analysis (1029)

•Communication Improvement (922)

•Human Factors Engineering (486)

•Teamwork (381)

•Specialization of Care (302)

•Logistical Approaches (325)

•Culture of Safety (483)

•Technologic Approaches (595)

•Education and Training (685)

Clinical Areas

•Allied Health Services (5)

•Medicine (2744)

•Nursing (469)

•Pharmacy (371)

Target Audience

•Health Care Providers (2392)

•Health Care Executives and Administrators (2909)

•Non-Health Care Professionals (1217)

•Patients (310)

Setting of Care
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Hospitals

•General Hospitals (1275)

•Children’s Hospitals (129)

•Specialty Hospitals (64)

1 - 20 of 3629

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STUDY

Antecedents of severe and nonsevere medication errors.

Chang YK, Mark BA. J Nurs Scholarsh. 2009;41:70-78.

COMMENTARY

Using simulation to teach nursing students and licensed clinicians obstetric emergencies.

Alderman JT. MCN Am J Matern Child Nurs. 2012;37:394-400.

STUDY

Nursing care quality and adverse events in US hospitals.

Lucero RJ, Lake ET, Aiken LH. J Clin Nurs. 2010;19:2185-2195.

STUDY

Impact of a team and leaders-directed strategy to improve nurses' adherence to hand hygiene guidelines: a cluster randomised trial.

Huis A, Schoonhoven L, Grol R, Donders R, Hulscher M, van Achterberg T. Int J Nurs Stud. 2013;50:464-474.

STUDY

The application of Aronson's taxonomy to medication errors in nursing.

Johnson M, Young H. J Nurs Care Qual. 2011;26:128-135.

COMMENTARY

Learning accountability for patient outcomes.

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

STUDY

Nurse staffing, burnout, and health care–associated infection.

Cimiotti JP, Aiken LH, Sloane DM, Wu ES. Am J Infect Control. 2012;40:486-490.

STUDY

Interruptions and multitasking in nursing care.

Kalisch BJ, Aebersold M. Jt Comm J Qual Patient Saf. 2010;36:126-132.

STUDY

Medication safety initiative in reducing medication errors.

Nguyen EE, Connolly PM, Wong V. J Nurs Care Qual. 2010;25:224-230.

COMMENTARY

A model for developing high-reliability teams.

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

STUDY

Do nurse and patient injuries share common antecedents? An analysis of associations with safety climate and working conditions.

Taylor JA, Dominici F, Agnew J, Gerwin D, Morlock L, Miller MR. BMJ Qual Saf. 2012;21:101-111.

STUDY

A case of mistaken identity: staff input on patient ID errors.

Ortiz J, Amatucci C. Nurs Manage. April 2009;4:37-41.

COMMENTARY

Nursing student medication errors: a case study using root cause analysis.

Dolansky MA, Druschel K, Helba M, Courtney K. J Prof Nurs. 2013;29:102-108.

STUDY

The impact of traditional and smart pump infusion technology on nurse medication administration performance in a simulated inpatient unit.

Trbovich PL, Pinkney S, Cafazzo JA, Easty AC. Qual Saf Health Care. 2010;19:430-434.

STUDY

Performance-based payment incentives increase burden and blame for hospital nurses.

Kurtzman ET, O'Leary D, Sheingold BH, Devers KJ, Dawson EM, Johnson JE. Health Aff (Millwood). 2011;30:211-218.

STUDY

Patient perceptions of missed nursing care.

Kalisch BJ, McLaughlin M, Dabney BW. Jt Comm J Qual Patient Saf. 2012;38:161-167.

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 safe and reliable process for medication administration.

Richardson B, Bromirski B, Hayden A. Clin Nurse Spec. 2012;26:169-176.

STUDY

The impact of teamwork on missed nursing care.

Kalisch BJ, Lee KH. Nurs Outlook. 2010;58:233-241.

NEWSPAPER/MAGAZINE ARTICLE

Design for reliability: barcoded medication administration.

Hayden AC, Lanoue ET, Still CJ. Patient Saf Qual Healthc. July/August 2011;8:12-20.

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