AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (135)

•Diagnostic Errors (94)

•Identification Errors (88)

•Discontinuities, Gaps, and Hand-Off Problems (320)

•Fatigue and Sleep Deprivation (76)

•Medication Safety (693)

•Medical Complications (407)

•Nonsurgical Procedural Complications (63)

•Surgical Complications (622)

•Transfusion Complications (18)

•Psychological and Social Complications (95)

Origin/Sponsor

•Africa (5)

•Asia (52)

•Australia and New Zealand (102)

•Central and South America (6)

•Europe (453)

•North America (2083)

Resource Types

•Audiovisual (26)

•Award (18)

•Book/Report (180)

•Clinical Guideline (3)

•Journal Article (2053)

•Legislation/Regulation (33)

•Meeting/Conference (9)

•Newspaper/Magazine Article (289)

•Press Release/Announcement (9)

•Special or Theme Issue (36)

•Tools/Toolkit (46)

•Web Resource (70)

•Grant (4)

Error Types

•Epidemiology of Errors and Adverse Events (982)

•Active Errors (407)

•Latent Errors (203)

•Near Miss (56)

Approach to Improving Safety

•Quality Improvement Strategies (777)

•Legal and Policy Approaches (284)

•Error Reporting and Analysis (843)

•Communication Improvement (663)

•Human Factors Engineering (367)

•Teamwork (285)

•Specialization of Care (213)

•Logistical Approaches (198)

•Culture of Safety (435)

•Technologic Approaches (410)

•Education and Training (556)

Clinical Areas

•Allied Health Services (3)

•Medicine (2200)

•Nursing (173)

•Pharmacy (245)

Target Audience

•Health Care Providers (1971)

•Health Care Executives and Administrators (2301)

•Non-Health Care Professionals (999)

•Patients (204)

Setting of Care
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Hospitals

•General Hospitals (922)

•Children’s Hospitals (70)

•Specialty Hospitals (48)

1 - 20 of 2776

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STUDY

Association between Leapfrog safe practices score and hospital mortality in major surgery.

Qian F, Lustik SJ, Diachun CA, Wissler RN, Zollo RA, Glance LG. Med Care. 2011;49:1082-1088.

BOOK/REPORT

Tennessee Center for Patient Safety Annual Report 2010.

Nashville, TN: Tennessee Center for Patient Safety; August 2011.

BOOK/REPORT

IBEAS: A Pioneer Study on Patient Safety in Latin America: Towards Safer Hospital Care.

Geneva, Switzerland: World Health Organization; 2011.

BOOK/REPORT

Patient Safety Authority Annual Reports.

Harrisburg, PA: Patient Safety Authority; April 2013.

STUDY

Association between implementation of a medical team training program and surgical mortality.

Neily J, Mills PD, Young-Xu Y, et al. JAMA. 2010;304:1693-1700.

STUDY

Sharing lessons learned to prevent incorrect surgery.

Neily J, Mills PD, Paull DE, et al. Am Surg. 2012;78:1276-1280.

BOOK/REPORT

MHA Keystone Center for Patient Safety & Quality 2010 Annual Report.

Lansing, MI: Michigan Health & Hospital Association; October 2010.

STUDY

French national survey of inpatient adverse events prospectively assessed with ward staff.

Michel P, Quenon JL, Djihoud A, Tricaud-Vialle S, de Sarasqueta AM. Qual Saf Health Care. 2007;16:369-377.

BOOK/REPORT classic

Internal Bleeding: The Truth Behind America's Terrifying Epidemic of Medical Mistakes. Updated edition.

Wachter R, Shojania K. New York, NY: Rugged Land; 2005. ISBN: 1590710738.

STUDY

Factors associated with unanticipated day of surgery deaths in Department of Veterans Affairs hospitals.

Bishop MJ, Souders JE, Peterson CM, Henderson WG, Domino KB. Anesth Analg. 2008;107:1924-1935.

STUDY

Influence of house-staff experience on teaching-hospital mortality: the "July Phenomenon" revisited.

van Walraven C, Jennings A, Wong J, Forster AJ. J Hosp Med. 2011;6:389-394.

COMMENTARY

Organizational Change in the Face of Highly Public Errors—II. The Duke Experience

Frush K. AHRQ WebM&M [serial online]. May 2005.

COMMENTARY

The top patient safety strategies that can be encouraged for adoption now.

Shekelle PG, Pronovost PJ, Wachter RM, et al. Ann Intern Med. 2013;158(5 Pt 2):365-368.

REVIEW

Inpatient fall prevention programs as a patient safety strategy: a systematic review.

Miake-Lye IM, Hempel S, Ganz DA, Shekelle PG. Ann Intern Med. 2013;158(5 Pt 2):390-396.

STUDY

Effect of a "Lean" intervention to improve safety processes and outcomes on a surgical emergency unit.

McCulloch P, Kreckler S, New S, Sheena Y, Handa A, Catchpole K. BMJ. 2010;341:c5469.

NEWSPAPER/MAGAZINE ARTICLE

Standardizing safety.

Meyers S. Trustee. July/August 2006;59:12, 14, 21.

STUDY

Variations in surgical outcomes associated with hospital compliance with safety practices.

Brooke BS, Dominici F, Pronovost PJ, Makary MA, Schneider E, Pawlik TM. Surgery. 2012;151:651-659.

SPECIAL OR THEME ISSUE

Quality of Anesthesia Care.

Neuman MD, Martinez EA, eds. Anesthesiol Clin. 2011;29:1-178.

COMMENTARY

Staggered Sensitivity Results

Guglielmo BJ. AHRQ WebM&M [serial online]. March 2007.

COMMENTARY

Disclosing harmful medical errors to patients: tackling three tough cases.

Gallagher TH, Bell SK, Smith KM, Mello MM, McDonald TB. Chest. 2009;136:897-903.

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