AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (97)

•Diagnostic Errors (75)

•Identification Errors (51)

•Discontinuities, Gaps, and Hand-Off Problems (294)

•Fatigue and Sleep Deprivation (54)

•Medication Safety (494)

•Medical Complications (294)

•Nonsurgical Procedural Complications (67)

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Error Types

•Epidemiology of Errors and Adverse Events (449)

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Approach to Improving Safety

•Quality Improvement Strategies (544)

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•Error Reporting and Analysis (574)

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•Human Factors Engineering (262)

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•Culture of Safety (366)

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Clinical Areas

•Allied Health Services (3)

•Medicine (1614)

•Nursing (119)

•Pharmacy (182)

Target Audience

•Health Care Providers (1540)

•Health Care Executives and Administrators (1777)

•Non-Health Care Professionals (833)

•Patients (152)

Setting of Care
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Hospitals

•General Hospitals (499)

•Children’s Hospitals (41)

•Specialty Hospitals (20)

1 - 20 of 2081

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REVIEW

Interventions to improve team effectiveness: a systematic review.

Buljac-Samardzic M, Dekker-van Doorn CM, van Wijngaarden JDH, van Wijk KP. Health Policy. 2010;94:183-195.

REVIEW

Teamwork in obstetric critical care.

Guise JM, Segel S. Best Pract Res Clin Obstet Gynaecol. 2008;22:937-951.

BOOK/REPORT

External Inquiry into the adverse incident that occurred at Queen's Medical Centre, Nottingham, 4th January 2001.

Toft B. London, England: Department of Health; 2001.

REVIEW

Promoting a culture of safety as a patient safety strategy: a systematic review.

Weaver SJ, Lubomski LH, Wilson RF, Pfoh ER, Martinez KA, Dy SM. Ann Intern Med. 2013;158(5 Pt 2):369-374.

STUDY

Improving safety culture on adult medical units through multidisciplinary teamwork and communication interventions: the TOPS Project.

Blegen MA, Sehgal NL, Alldredge BK, Gearhart S, Auerbach AD, Wachter RM. Qual Saf Health Care. 2010;19:346-350.

REVIEW

Outcomes of classroom-based team training interventions for multiprofessional hospital staff. A systematic review.

Rabøl LI, Østergaard D, Mogensen T. Qual Saf Health Care. 2010;19:e27.

STUDY

Multidisciplinary obstetric simulated emergency scenarios (MOSES): promoting patient safety in obstetrics with teamwork-focused interprofessional simulations.

Freeth D, Ayida G, Berridge EJ, et al. J Contin Educ Health Prof. 2009;29:98-104.

STUDY

Content analysis of team communication in an obstetric emergency scenario.

Siassakos D, Draycott T, Montague I, Harris M. J Obstet Gynaecol. 2009;29:499-503.

COMMENTARY

Establishing a culture for patient safety - the role of education.

Milligan FJ. Nurse Educ Today. 2007;27:95-102.

BOOK/REPORT

Safety First: Top of Your Board's Agenda: 100 Day Challenge Survey Report.

The Patients Association. Harrow, Middlesex, UK: The Patients Association; June 2009.

COMMENTARY

Failure to Latch

Rodriguez M., Mannel R., Frye D. MN AHRQ WebM&M [serial online]. September 2008.

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

Learning accountability for patient outcomes.

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

MULTI-USE WEBSITE

Indiana Medical Error Reporting System.

Indiana State Department of Health.

BOOK/REPORT

Safer Care for the Acutely Ill Patient: Learning from Serious Incidents.

Thomson R, Luettel D, Healey F, Scobie S. London, UK: National Patient Safety Agency; 2007. ISBN: 9780955634055.

STUDY

A 'Communication and Patient Safety' training programme for all healthcare staff: can it make a difference?

Lee P, Allen K, Daly M. BMJ Qual Saf. 2012;21:84-88.

STUDY

Can incident reporting improve safety? Healthcare practitioners' views of the effectiveness of incident reporting.

Anderson JE, Kodate N, Walters R, Dodds A. Int J Qual Health Care. 2013;25:141-150.

COMMENTARY

Revisiting duty-hour limits — IOM recommendations for patient safety and resident education.

Iglehart JK. N Engl J Med. 2008;359:2633-2635.

STUDY

Closing the safety loop: evaluation of the National Patient Safety Agency's guidance regarding wristband identification of hospital inpatients.

Sevdalis N, Norris B, Ranger C, Bothwell S; Wristband Project Team. J Eval Clin Pract. 2009;15:311-315.

REVIEW

The impact of nontechnical skills on technical performance in surgery: a systematic review.

Hull L, Arora S, Aggarwal R, Darzi A, Vincent C, Sevdalis N. J Am Coll Surg. 2012;214:214-230.

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