AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (155)

•Diagnostic Errors (82)

•Identification Errors (99)

•Discontinuities, Gaps, and Hand-Off Problems (398)

•Fatigue and Sleep Deprivation (90)

•Medication Safety (833)

•Medical Complications (442)

•Nonsurgical Procedural Complications (82)

•Surgical Complications (415)

•Transfusion Complications (17)

•Psychological and Social Complications (105)

Origin/Sponsor

•Africa (1)

•Asia (47)

•Australia and New Zealand (68)

•Central and South America (7)

•Europe (288)

•North America (2659)

Resource Types

•Audiovisual (34)

•Award (22)

•Book/Report (145)

•Clinical Guideline (6)

•Journal Article (2300)

•Legislation/Regulation (41)

•Meeting/Conference (11)

•Newspaper/Magazine Article (417)

•Press Release/Announcement (7)

•Special or Theme Issue (32)

•Tools/Toolkit (42)

•Web Resource (58)

•Grant (3)

Error Types

•Epidemiology of Errors and Adverse Events (712)

•Active Errors (422)

•Latent Errors (219)

•Near Miss (56)

Approach to Improving Safety

•Quality Improvement Strategies (862)

•Legal and Policy Approaches (291)

•Error Reporting and Analysis (832)

•Communication Improvement (743)

•Human Factors Engineering (415)

•Teamwork (360)

•Specialization of Care (258)

•Logistical Approaches (298)

•Culture of Safety (582)

•Technologic Approaches (515)

•Education and Training (604)

Clinical Areas

•Allied Health Services (5)

•Medicine (2255)

•Nursing (458)

•Pharmacy (306)

Target Audience

•Health Care Providers (2033)

•Health Care Executives and Administrators (2556)

•Non-Health Care Professionals (1068)

•Patients (255)

Setting of Care
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Hospitals

•General Hospitals (933)

•Children’s Hospitals (97)

•Specialty Hospitals (42)

1 - 20 of 3118

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SPECIAL OR THEME ISSUE

Nurses Transforming Care.

Am J Nurs. 2009;109(suppl 11):3-80, C3.

STUDY

Adoption of National Quality Forum safe practices by magnet hospitals.

Jayawardhana J, Welton JM, Lindrooth R. J Nurs Adm. 2011;41:350-356.

COMMENTARY

A performance improvement plan to increase nurse adherence to use of medication safety software.

Gavriloff C. J Pediatr Nurs. 2012;27:375-382.

STUDY

Expanding what we know about off-peak mortality in hospitals.

Hamilton P, Mathur S, Gemeinhardt G, Eschiti V, Campbell M. J Nurs Admin. 2010;40:124-128.

STUDY

A secondary care nursing perspective on medication administration safety.

McBride-Henry K, Foureur M. J Adv Nurs. 2007;60:58-66.

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.

TOOLKIT

The Transforming Care at the Bedside (TCAB) Toolkit.

Princeton, NJ: Robert Wood Johnson Foundation; 2008.

STUDY

Behavioral integrity for safety, priority of safety, psychological safety, and patient safety: a team-level study.

Leroy H, Dierynck B, Anseel F, et al. J Appl Psychol. 2012;97:1273-1281.

COMMENTARY

On the scene at Children's Hospitals and Clinics of Minnesota.

Malone G, Akre M, Hauck M. Nurs Adm Q. 2009;33:54-61.

COMMENTARY

A plan for achieving significant improvement in patient safety.

Johnson K, Maultsby CC. J Nurs Care Qual. 2007;22:164-171.

STUDY

Relationship between systems-level factors and hand hygiene adherence.

Dunn-Navarra AM, Cohen B, Stone PW, Pogorzelska M, Jordan S, Larson E. J Nurs Care Qual. 2011;26:30-38.

COMMENTARY

Leading your organization to high reliability.

Kemper C, Boyle DK. Nurs Manage. April 2009;40:14-18.

COMMENTARY

CPOE: strategies for success.

Manor PJ. Nurs Manage. 2010;41:18-20.

STUDY

Nurse interruptions pre- and post-implementation of a point-of-care medication administration system.

Stamp KD, Willis DG. J Nurs Care Qual. 2010;25:231-239.

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.

COMMENTARY

Patient safety outcomes: the importance of understanding the organizational culture and safety climate.

Ross J. J Perianesth Nurs. 2011;26:347-348.

STUDY

Nurse decision making in the prearrest period.

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

REVIEW

Fall prevention in hospitals: an integrative review.

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

STUDY

It's always something: hospital nurses managing risk.

Groves PS, Finfgeld-Connett D, Wakefield BJ. Clin Nurs Res. 2012 Dec 4; [Epub ahead of print].

COMMENTARY

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

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

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