AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (145)

•Diagnostic Errors (64)

•Identification Errors (83)

•Discontinuities, Gaps, and Hand-Off Problems (386)

•Fatigue and Sleep Deprivation (98)

•Medication Safety (804)

•Medical Complications (412)

•Nonsurgical Procedural Complications (65)

•Surgical Complications (312)

•Transfusion Complications (15)

•Psychological and Social Complications (122)

Origin/Sponsor

•Africa (3)

•Asia (49)

•Australia and New Zealand (65)

•Central and South America (4)

•Europe (229)

•North America (2549)

Resource Types

•Audiovisual (36)

•Award (22)

•Book/Report (172)

•Clinical Guideline (4)

•Journal Article (2082)

•Legislation/Regulation (42)

•Meeting/Conference (11)

•Newspaper/Magazine Article (431)

•Press Release/Announcement (10)

•Special or Theme Issue (29)

•Tools/Toolkit (47)

•Web Resource (65)

•Grant (2)

Error Types

•Epidemiology of Errors and Adverse Events (620)

•Active Errors (334)

•Latent Errors (212)

•Near Miss (46)

Approach to Improving Safety

•Quality Improvement Strategies (759)

•Legal and Policy Approaches (332)

•Error Reporting and Analysis (847)

•Communication Improvement (686)

•Human Factors Engineering (341)

•Teamwork (277)

•Specialization of Care (246)

•Logistical Approaches (296)

•Culture of Safety (590)

•Technologic Approaches (494)

•Education and Training (571)

Clinical Areas

•Allied Health Services (5)

•Medicine (2064)

•Nursing (428)

•Pharmacy (313)

Target Audience

•Health Care Providers (1868)

•Health Care Executives and Administrators (2366)

•Non-Health Care Professionals (1112)

•Patients (288)

Setting of Care
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Hospitals

•General Hospitals (715)

•Children’s Hospitals (91)

•Specialty Hospitals (31)

1 - 20 of 2953

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STUDY

The impact of safety organizing, trusted leadership, and care pathways on reported medication errors in hospital nursing units.

Vogus TJ, Sutcliffe KM. Med Care. 2007;45:997-1002.

COMMENTARY

Creating high reliability in health care organizations.

Pronovost PJ, Berenholtz SM, Goeschel CA, et al. Health Serv Res. 2006;41:1599-1617.

COMMENTARY

The Role of the Patient in Improving Patient Safety

Gibson R. AHRQ WebM&M [serial online]. March 2007.

STUDY

Healthcare climate: a framework for measuring and improving patient safety.

Zohar D, Livne Y, Tenne-Gazit O, Admi H, Donchin Y. Crit Care Med. Crit Care Med. 2007;35:1312-1317.

STUDY

A relational leadership perspective on unit-level safety climate.

Thompson DN, Hoffman LA, Sereika SM, et al. J Nurs Adm. 2011;41:479-487.

COMMENTARY

A plan for achieving significant improvement in patient safety.

Johnson K, Maultsby CC. J Nurs Care Qual. 2007;22:164-171.

STUDY

Association between hospital-reported Leapfrog Safe Practices scores and inpatient mortality.

Kernisan LP, Lee SJ, Boscardin WJ, Landefeld CS, Dudley RA. JAMA. 2009;301:1341-1348.

NEWSPAPER/MAGAZINE ARTICLE

Practitioners agree on medication reconciliation value, but frustration and difficulties abound.

ISMP Medication Safety Alert! Acute Care Edition. July 13, 2006;11:1-2.

STUDY

Organizational factors associated with high performance in quality and safety in academic medical centers.

Keroack MA, Youngberg BJ, Cerese JL, Krsek C, Prellwitz LW, Trevelyan EW. Acad Med. 2007;82:1178-1186.

COMMENTARY

Integrating CUSP and TRIP to improve patient safety.

Romig M, Goeschel C, Pronovost P, Berenholtz SM. Hosp Pract (Minneap). 2010;38:114-121.

NEWSPAPER/MAGAZINE ARTICLE

An extra dose of safety.

Health Manage Techol. April 2007;28:30-32, 34.

STUDY

Stories from the sharp end: case studies in safety improvement.

McCarthy D, Blumenthal D. Milbank Q. 2006;84:165-200.

STUDY

Nursing care quality and adverse events in US hospitals.

Lucero RJ, Lake ET, Aiken LH. J Clin Nurs. 2010;19:2185-2195.

COMMENTARY

Developing a medication patient safety program, part 2: process and implementation.

Mark SM, Weber RJ. Hosp Pharm. 2007;42:249–254.

COMMENTARY

Developing a medication patient safety program — infrastructure and strategy.

Mark SM, Weber RJ. Hosp Pharm. 2007;42:149-156.

COMMENTARY

Relationships among teams, culture, safety, and cost outcomes.

Brewer BB. West J Nurs Res. 2006;28:641-653.

GOVERNMENT RESOURCE

Survey on Patient Safety Culture Database: Overview.

Rockville, MD: Agency for Healthcare Research and Quality; April 2006.

NEWSPAPER/MAGAZINE ARTICLE

Perfect is possible.

Berwick DM, Leape LL. Newsweek. October 16, 2006:70-71.

BOOK/REPORT

Patient Safety Authority Annual Reports.

Harrisburg, PA: Patient Safety Authority; April 2013.

COMMENTARY

Medication bar coding: to scan or not to scan?

Galvin L, McBeth S, Hasdorff C, Tillson M, Thomas S. Comput Inform Nurs. 2007;25:86-92.

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