AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (108)

•Diagnostic Errors (87)

•Identification Errors (59)

•Discontinuities, Gaps, and Hand-Off Problems (265)

•Fatigue and Sleep Deprivation (84)

•Medication Safety (561)

•Medical Complications (381)

•Nonsurgical Procedural Complications (56)

•Surgical Complications (265)

•Transfusion Complications (16)

•Psychological and Social Complications (73)

Origin/Sponsor

•Africa (4)

•Asia (52)

•Australia and New Zealand (82)

•Central and South America (6)

•Europe (403)

•North America (1688)

Resource Types

•Audiovisual (22)

•Award (15)

•Book/Report (150)

•Clinical Guideline (3)

•Journal Article (1676)

•Legislation/Regulation (34)

•Meeting/Conference (9)

•Newspaper/Magazine Article (274)

•Press Release/Announcement (5)

•Special or Theme Issue (30)

•Tools/Toolkit (30)

•Web Resource (54)

•Grant (3)

Error Types

•Epidemiology of Errors and Adverse Events (554)

•Active Errors (277)

•Latent Errors (176)

•Near Miss (42)

Approach to Improving Safety

•Quality Improvement Strategies (682)

•Legal and Policy Approaches (274)

•Error Reporting and Analysis (848)

•Communication Improvement (468)

•Human Factors Engineering (242)

•Teamwork (189)

•Specialization of Care (190)

•Logistical Approaches (224)

•Culture of Safety (366)

•Technologic Approaches (336)

•Education and Training (403)

Clinical Areas

•Allied Health Services (5)

•Medicine (1654)

•Nursing (291)

•Pharmacy (171)

Target Audience

•Health Care Providers (1571)

•Health Care Executives and Administrators (1926)

•Non-Health Care Professionals (817)

•Patients (175)

Setting of Care
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Hospitals

•General Hospitals (492)

•Children’s Hospitals (49)

•Specialty Hospitals (20)

1 - 20 of 2305

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STUDY

Evaluation of the implementation of the alert issued by the UK National Patient Safety Agency on the storage and handling of potassium chloride concentrate solution.

Lankshear AJ, Sheldon TA, Lowson KV, Watt IS, Wright J. Qual Saf Health Care. 2005;14:196-201.

COMMENTARY

Financial incentives to promote health care quality: the hospital acquired conditions nonpayment policy.

Kavanagh KT. Soc Work Public Health. 2011;26:524-541.

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.

STUDY

Using a multi-method, user centred, prospective hazard analysis to assess care quality and patient safety in a care pathway.

Dean J, Hutchinson A, Hamilton Escoto K, Lawson R. BMC Health Serv Res. 2007;7:89.

STUDY

National and local medication error reporting systems—a survey of practices in 16 countries.

Holmström AR, Airaksinen M, Weiss M, Wuliji T, Chan XH, Laaksonen R. J Patient Saf. 2012;8:165-176.

STUDY

Medical emergency team calls in the radiology department: patient characteristics and outcomes.

Ott LK, Pinsky MR, Hoffman LA, et al. BMJ Qual Saf. 2012 Mar 2; [Epup ahead of print].

REVIEW

Systematic review and evaluation of physiological track and trigger warning systems for identifying at-risk patients on the ward.

Gao H, McDonnell A, Harrison DA, et al. Intensive Care Med. 2007;33:667-79.

BOOK/REPORT

Patient Safety in Canada: An Update.

Ottawa, ON, Canada: Canadian Institute for Health Information; August 14, 2007.

COMMENTARY

As she lay dying: how I fought to stop medical errors from killing my mom.

Welch JR. Health Aff (Millwood). 2012;31:2817-2820.

REVIEW

'Why is there another person's name on my infusion bag?' Patient safety in chemotherapy care—a review of the literature.

Kullberg A, Larsen J, Sharp L. Eur J Oncol Nurs. 2013;17:228-235.

STUDY

Causes of errors in the electrocardiographic diagnosis of atrial fibrillation by physicians.

Davidenko JM, Snyder LS. J Electrocardiol. 2007;40:450-457.

BOOK/REPORT

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

Geneva, Switzerland: World Health Organization; 2011.

AWARD RECIPIENT

Announcing 2009 Leapfrog top hospitals.

Washington, DC: Leapfrog Group; December 4, 2009.

COMMENTARY

A very public failure: lessons for quality improvement in healthcare organisations from the Bristol Royal Infirmary.

Walshe K, Offen N. Qual Health Care. 2001;10:250-256.

SPECIAL OR THEME ISSUE

Patient Safety Papers 4.

Baker GR, ed. Healthc Q. 2009;12:1-198.

STUDY

Reporting of sentinel events in Swedish hospitals: a comparison of severe adverse events reported by patients and providers.

Öhrn A, Elfström J, Liedgren C, Rutberg H. Jt Comm J Qual Patient Saf. 2011;37:495-501.

STUDY

Medical errors arising from outsourcing laboratory and radiology services.

Chasin BS, Elliott SP, Klotz SA. Am J Med. 2007;120:819.e9-11.

AUDIOVISUAL

Chasing Zero: Winning the War on Healthcare Harm.

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

STUDY

Quantitative assessment of workload and stressors in clinical radiation oncology.

Mazur LM, Mosaly PR, Jackson M, et al. Int J Radiat Oncol Biol Phys. 2012;83:e571-e576.

STUDY

Using care bundles to reduce in-hospital mortality: quantitative survey.

Robb E, Jarman B, Suntharalingam G, Higgens C, Tennant R, Elcock K. BMJ. 2010;340:c1234.

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