AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (167)

•Diagnostic Errors (103)

•Identification Errors (108)

•Discontinuities, Gaps, and Hand-Off Problems (390)

•Fatigue and Sleep Deprivation (91)

•Medication Safety (822)

•Medical Complications (433)

•Nonsurgical Procedural Complications (77)

•Surgical Complications (386)

•Transfusion Complications (19)

•Psychological and Social Complications (93)

Origin/Sponsor

•Africa (2)

•Asia (27)

•Australia and New Zealand (60)

•Central and South America (3)

•Europe (226)

•North America (2623)

Resource Types

•Audiovisual (44)

•Award (22)

•Book/Report (151)

•Clinical Guideline (6)

•Journal Article (2062)

•Legislation/Regulation (38)

•Meeting/Conference (14)

•Newspaper/Magazine Article (494)

•Press Release/Announcement (10)

•Special or Theme Issue (37)

•Tools/Toolkit (45)

•Web Resource (67)

•Grant (4)

Error Types

•Epidemiology of Errors and Adverse Events (670)

•Active Errors (493)

•Latent Errors (252)

•Near Miss (50)

Approach to Improving Safety

•Quality Improvement Strategies (733)

•Legal and Policy Approaches (336)

•Error Reporting and Analysis (832)

•Communication Improvement (721)

•Human Factors Engineering (479)

•Teamwork (243)

•Specialization of Care (267)

•Logistical Approaches (281)

•Culture of Safety (427)

•Technologic Approaches (514)

•Education and Training (575)

Clinical Areas

•Allied Health Services (4)

Target Audience

•Health Care Providers (2046)

•Health Care Executives and Administrators (2280)

•Non-Health Care Professionals (1055)

•Patients (396)

Setting of Care
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Hospitals

•General Hospitals (762)

•Children’s Hospitals (91)

•Specialty Hospitals (44)

1 - 20 of 2994

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BOOK/REPORT

Through the Eyes of the Workforce: Creating Joy, Meaning, and Safer Health Care.

Roundtable on Joy and Meaning in Work and Workforce Safety, The Lucian Leape Institute. Boston, MA: National Patient Safety Foundation; 2013.

NEWSPAPER/MAGAZINE ARTICLE

Ounce of prevention: to reduce errors, hospitals prescribe innovative designs.

Naik G. The Wall Street Journal. May 8, 2006:A1.

ORGANIZATIONAL POLICY/GUIDELINES

Guidelines for Design and Construction of Health Care Facilities.

Washington, DC: The American Institute of Architects; 2006.

AUDIOVISUAL

Chasing Zero: Winning the War on Healthcare Harm.

Austin, TX: Texas Medical Institute for Technology and the Quaid Foundation; 2010.

COMMENTARY

Intravenous medication safety and smart infusion systems: lessons learned and future opportunities.

Keohane CA, Hayes J, Saniuk C, Rothschild JM, Bates DW. J Infus Nurs. 2005;28:321-328.

MULTI-USE WEBSITE

Quality & Safety Research Group.

Johns Hopkins University, Department of Anesthesiology & Critical Care Medicine.

BOOK/REPORT

Designing for Patient Safety: Developing Methods to Integrate Patient Safety Concerns in the Design Process.

Joseph A, Quan X, Taylor E, Jelen M. Concord, CA: Center for Health Design; 2012.

NEWSPAPER/MAGAZINE ARTICLE

Fixing America's hospitals.

Newsweek. October 16, 2006:44-68, 72.

COMMENTARY

The pursuit of better diagnostic performance: a human factors perspective.

Henriksen K, Brady J. BMJ Qual Saf. 2013 May 23; [Epub ahead of print].

NEWSPAPER/MAGAZINE ARTICLE

Medical errors still claiming many lives.

Weise E. USA Today. May 18, 2005.

NEWSPAPER/MAGAZINE ARTICLE

How hospital design saves lives.

Blum A. Business Week. August 15, 2006.

NEWSPAPER/MAGAZINE ARTICLE

New standards for hospitals call for patients to get private rooms.

Landro L. The Wall Street Journal. March 22, 2006:A1.

BOOK/REPORT classic

When Things Go Wrong: Responding to Adverse Events.

A Consensus Statement of the Harvard Hospitals. Burlington: Massachusetts Coalition for the Prevention of Medical Errors; 2006.

STUDY

Provider and pharmacist responses to warfarin drug–drug interaction alerts: a study of healthcare downstream of CPOE alerts.

Miller AM, Boro MS, Korman NE, Davoren JB. J Am Med Inform Assoc. 2011;18(suppl 1):i45-i50.

NEWSPAPER/MAGAZINE ARTICLE

Smart pump custom concentrations without hard "low concentration" alerts.

ISMP Medication Safety Alert! Acute Care Edition. February 23, 2012;17:1,3-4.

STUDY

Am I safe here? Improving patients' perceptions of safety in hospitals.

Wolosin RJ, Vercler L, Matthews JL. J Nurs Care Qual. 2006;21:30-38.

STUDY

Using Lean to improve medication administration safety: in search of the "perfect dose."

Ching JM, Long C, Williams BL, Blackmore CC. Jt Comm J Qual Patient Saf. 2013;39:195-204.

STUDY

Prevention of a wrong-location misadministration through the use of an intradepartmental incident learning system.

Ford EC, Smith K, Harris K, Terezakis S. Med Phys. 2012;39:6968-6971.

AUDIOVISUAL

Eye to eye: Donald Berwick.

"Eye to Eye with Katie Couric." CBS News Video. February 6, 2007.

NEWSPAPER/MAGAZINE ARTICLE

How safe do patients feel?

Wolosin R, Vercler L, Matthews J. Patient Safety & Quality Healthcare. November/December 2005;2:40-44.

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