AHRQ Patient Safety Network

The Collection > Hospitals

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Safety Target

•Device-related Complications (81)

•Diagnostic Errors (50)

•Identification Errors (41)

•Discontinuities, Gaps, and Hand-Off Problems (305)

•Fatigue and Sleep Deprivation (58)

•Medication Safety (490)

•Medical Complications (295)

•Nonsurgical Procedural Complications (25)

•Surgical Complications (149)

•Transfusion Complications (15)

•Psychological and Social Complications (141)

Origin/Sponsor

•Africa (4)

•Asia (35)

•Australia and New Zealand (69)

•Central and South America (1)

•Europe (350)

•North America (1510)

Resource Types

•Audiovisual (24)

•Award (15)

•Book/Report (147)

•Journal Article (1412)

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•Meeting/Conference (11)

•Newspaper/Magazine Article (278)

•Press Release/Announcement (4)

•Special or Theme Issue (18)

•Tools/Toolkit (28)

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Error Types

•Epidemiology of Errors and Adverse Events (461)

•Active Errors (232)

•Latent Errors (168)

•Near Miss (30)

Approach to Improving Safety

•Quality Improvement Strategies (538)

•Legal and Policy Approaches (253)

•Error Reporting and Analysis (605)

•Communication Improvement (500)

•Human Factors Engineering (208)

•Teamwork (164)

•Specialization of Care (165)

•Logistical Approaches (222)

•Culture of Safety (371)

•Technologic Approaches (317)

•Education and Training (370)

Clinical Areas

•Allied Health Services (1)

•Medicine (1622)

•Nursing (139)

•Pharmacy (191)

Target Audience

•Health Care Providers (1146)

•Health Care Executives and Administrators (1702)

•Non-Health Care Professionals (877)

•Patients (184)

Setting of Care
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Hospitals

•General Hospitals (330)

•Children’s Hospitals (34)

•Specialty Hospitals (27)

1 - 20 of 2009

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REVIEW

Supporting involved health care professionals (second victims) following an adverse health event: a literature review.

Seys D, Scott S, Wu A, et al. Int J Nurs Stud. 2013;50:678-687.

STUDY

Health care workers as second victims of medical errors.

Edrees HH, Paine LA, Feroli ER, Wu AW. Pol Arch Med Wewn. 2011;121:101-108.

MISSOURI MEETING/CONFERENCE

The Second Victim Experience: Train-the-Trainer Workshop.

Center for Patient Safety. June 11, 2013; University of Missouri Health System Health System, Columbia, MO.

STUDY

Is the maturity of hospitals' quality improvement systems associated with measures of quality and patient safety?

Groene O, Mora N, Thompson A, Saez M, Casas M, Suñol R. BMC Health Serv Res. 2011;11:344.

ORGANIZATIONAL POLICY/GUIDELINES

Preventing violence in the health care setting.

Sentinel Event Alert. June 3, 2010;(45):1-3.

STUDY

Identification of doctors at risk of recurrent complaints: a national study of healthcare complaints in Australia.

Bismark MM, Spittal MJ, Gurrin LC, Ward M, Studdert DM. BMJ Qual Saf. 2013;22:532-540.

STUDY

Explaining ethnic disparities in patient safety: a qualitative analysis.

Suurmond J, Uiters E, De Bruijne MC, Stronks K, Essink-Bot ML. Am J Public Health. 2010;100 (suppl 1):S113-117.

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.

REVIEW

Patient safety in psychiatric inpatient care: a literature review.

Kanerva A, Lammintakanen J, Kivinen T. J Psychiatr Ment Health Nurs. 2012 Jul 8; [Epub ahead of print].

NEWSPAPER/MAGAZINE ARTICLE

No bad apples.

Thrall TH. Hosp Health Netw. December 2008.

STUDY

An organizational assessment of disruptive clinician behavior: findings and implications.

Walrath JM, Dang D, Nyberg D. J Nurs Care Qual. 2013;28:110-121.

COMMENTARY

Perspective: a culture of respect—part 1 and part 2.

Leape LL, Shore MF, Dienstag JL, et al. Acad Med. 2012;87:845-858.

BOOK/REPORT

Strategies for Addressing Health Care Worker Fatigue.

Oakbrook Terrace, IL: Joint Commission Resources; 2008. ISBN: 9781599402291.

NEWSPAPER/MAGAZINE ARTICLE

Disruptive physicians.

Sandrick K. Trustee. November 2009.

STUDY

Paradoxical effects of a hospital-based, multi-intervention programme aimed at reducing medication round interruptions.

Tomietto M, Sartor A, Mazzocoli E, Palese A. J Nurs Manag. 2012;20:335-343.

COMMENTARY

Culture, language, and patient safety: making the link.

Johnstone MJ, Kanitsaki O. Int J Qual Health Care. 2006;18:383-8.

STUDY

Attitude is everything?: The impact of workload, safety climate, and safety tools on medical errors: a study of intensive care units.

Steyrer J, Schiffinger M, Huber C, Valentin A, Strunk G. Health Care Manage Rev. 2012 Oct 18; [Epub ahead of print].

BOOK/REPORT

Using Workforce Practices to Drive Quality Improvement: A Guide for Hospitals.

McHugh M, Garman A, McAlearney A, Song P, Harrison M. Chicago, IL: Health Research & Educational Trust; June 2010.

NEWSPAPER/MAGAZINE ARTICLE

Disruptive behavior affects hospital financial health.

Crane M. Medscape Medical News. December 11, 2010.

REVIEW

Adverse events in hospitals: the patient's point of view.

Massó Guijarro P, Aranaz Andrés JM, Mira JJ, Perdiguero E, Aibar C. Qual Saf Health Care. 2010;19:144-147.

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