AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (38)

•Diagnostic Errors (58)

•Identification Errors (35)

•Discontinuities, Gaps, and Hand-Off Problems (133)

•Fatigue and Sleep Deprivation (46)

•Medication Safety (231)

•Medical Complications (116)

•Nonsurgical Procedural Complications (18)

•Surgical Complications (79)

•Transfusion Complications (7)

•Psychological and Social Complications (31)

Origin/Sponsor

•Asia (14)

•Australia and New Zealand (15)

•Central and South America (2)

Resource Types

•Clinical Guideline (1)

•Journal Article (448)

•Legislation/Regulation (12)

•Meeting/Conference (2)

•Newspaper/Magazine Article (216)

•Press Release/Announcement (4)

•Special or Theme Issue (12)

•Tools/Toolkit (26)

•Web Resource (27)

•Grant (2)

Error Types

•Epidemiology of Errors and Adverse Events (170)

•Active Errors (151)

•Latent Errors (95)

•Near Miss (11)

Approach to Improving Safety

•Quality Improvement Strategies (220)

•Legal and Policy Approaches (126)

•Error Reporting and Analysis (262)

•Communication Improvement (225)

•Human Factors Engineering (104)

•Teamwork (37)

•Specialization of Care (63)

•Logistical Approaches (93)

•Culture of Safety (89)

•Technologic Approaches (197)

•Education and Training (165)

Clinical Areas

•Allied Health Services (1)

•Medicine (630)

•Nursing (43)

•Pharmacy (73)

Target Audience

•Health Care Providers (585)

•Health Care Executives and Administrators (491)

•Non-Health Care Professionals (290)

•Patients (287)

Setting of Care
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Hospitals

•General Hospitals (67)

•Children’s Hospitals (5)

1 - 20 of 852

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NEWSPAPER/MAGAZINE ARTICLE

Doctors' smartphones and iPads may be distracting.

Gold J. Kaiser Health News and National Public Radio. March 26, 2012.

COMMENTARY

Inappropriate Antibiotic Use.

Babcock HM, Fraser VJ. AHRQ WebM&M [serial online]. June 2003.

COMMENTARY

Crossing the Line.

Feldman JP, Gould MK. AHRQ WebM&M [serial online]. March 2004.

COMMENTARY

Doctor, Don't Treat Thyself.

Rosvold EO. AHRQ WebM&M [serial online]. September 2004.

STUDY

A new safety event reporting system improves physician reporting in the surgical intensive care unit.

Schuerer DJ, Nast PA, Harris CB, et al. J Am Coll Surg. 2006;202:881-887.

STUDY

Increasing vigilance on the medical/surgical floor to improve patient safety.

Jacobs JL, Apatov N, Glei M. J Adv Nurs. 2007;57:472-481.

COMMENTARY

Poor Prognosis.

Lamont EB. AHRQ WebM&M [serial online]. September 2004.

COMMENTARY

Bleeding Risk.

Crowther MA. AHRQ WebM&M [serial online]. July 2003.

NEWSPAPER/MAGAZINE ARTICLE

Fixing America's hospitals.

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

NEWSPAPER/MAGAZINE ARTICLE

Medical malpractice: why is it so hard for doctors to apologize?

Sanghavi D. Boston Globe Magazine. January 27, 2013.

STUDY

Evaluating sample medications in primary care: a practice-based research network study.

Hansen LB, Saseen JJ, Westfall JM, et al. Jt Comm J Qual Patient Saf. 2006;32:688-692.

STUDY

Design and implementation of an automated email notification system for results of tests pending at discharge.

Dalal AK, Schnipper JL, Poon EG, et al. J Am Med Inform Assoc. 2012;19:523-538.

BOOK/REPORT

Breast Cancer Services in Trafford and North Manchester. An Investigation Into The Circumstances Surrounding A Serious Clinical Incident In Symptomatic Breast Services – The Baker Report.

Baker M. Manchester, England: NHS North West; February 2007.

COMMENTARY

Transformative learning in a professional development course aimed at addressing disruptive physician behavior: a composite case study.

Samenow CP, Worley LLM, Neufeld R, Fishel T, Swiggart W. Acad Med. 2013;88:117-123.

NEWSPAPER/MAGAZINE ARTICLE

Improving the safety of telephone or verbal orders.

PA-PSRS Patient Saf Advis. June 2006;3:1-5.

BOOK/REPORT

Consumer Guide to Adverse Health Events.

St. Paul, MN: Minnesota Department of Health; January 2009.

NEWSPAPER/MAGAZINE ARTICLE

Why don't doctors wash their hands more?

Chen PW. New York Times. September 17, 2009.

PRESS RELEASE/ANNOUNCEMENT

Important change to heparin container labels to clearly state the total drug strength.

MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; December 6, 2012.

COMMENTARY

Reflecting on change.

Wagstaff R. Nurs Manag (Harrow). May 2006;13:12-17.

SPECIAL OR THEME ISSUE classic

Making Health Care Safer: A Critical Review of Modern Evidence Supporting Strategies to Improve Patient Safety.

Shekelle PG, Pronovost PJ, Wachter RM, Rao JK, Mulrow CD, eds. Ann Intern Med. 2013;158(5 Pt 2):365-440.

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