AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (95)

•Diagnostic Errors (64)

•Identification Errors (53)

•Discontinuities, Gaps, and Hand-Off Problems (351)

•Fatigue and Sleep Deprivation (72)

•Medication Safety (632)

•Medical Complications (338)

•Nonsurgical Procedural Complications (38)

•Surgical Complications (133)

•Transfusion Complications (14)

•Psychological and Social Complications (85)

Origin/Sponsor

•Australia and New Zealand (42)

•Europe (215)

•North America (1991)

Resource Types

•Audiovisual (35)

•Book/Report (142)

•Clinical Guideline (3)

•Journal Article (1553)

•Legislation/Regulation (30)

•Meeting/Conference (9)

•Newspaper/Magazine Article (375)

•Press Release/Announcement (6)

•Special or Theme Issue (17)

•Tools/Toolkit (40)

•Web Resource (42)

Error Types

•Epidemiology of Errors and Adverse Events (511)

•Active Errors (269)

•Latent Errors (163)

•Near Miss (31)

Approach to Improving Safety

•Quality Improvement Strategies (572)

•Legal and Policy Approaches (269)

•Error Reporting and Analysis (647)

•Communication Improvement (580)

•Human Factors Engineering (232)

•Teamwork (132)

•Specialization of Care (198)

•Logistical Approaches (216)

•Culture of Safety (351)

•Technologic Approaches (396)

•Education and Training (413)

Clinical Areas

•Allied Health Services (2)

•Medicine (1681)

•Nursing (198)

•Pharmacy (274)

Target Audience

•Health Care Providers (1324)

•Health Care Executives and Administrators (1726)

•Non-Health Care Professionals (798)

•Patients (261)

Setting of Care
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Hospitals

•General Hospitals (260)

•Children’s Hospitals (32)

•Specialty Hospitals (21)

1 - 20 of 2273

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STUDY

Older adults' perceptions of feeling safe in urban and rural acute care.

Lasiter S, Duffy J. J Nurs Adm. 2013;43:30-66.

NEWSPAPER/MAGAZINE ARTICLE

Hospitals own up to errors.

Landro L. Wall Street Journal. August 25, 2009:D1.

STUDY

classic

The care transitions intervention: translating from efficacy to effectiveness.

Voss R, Gardner R, Baier R, Butterfield K, Lehrman S, Gravenstein S. Arch Intern Med. 2011;171:1232-1237.

BOOK/REPORT

Patient-Centered Care Improvement Guide.

Frampton S, Guastello S, Brady C, et al. Derby, CT: Planetree; Camden, ME: Picker Institute; 2008.

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.

AUDIOVISUAL

Hospital-acquired infections.

Moss-Coane M, O'Connell K, Fishman N. Radio Times. April 28, 2011.

NEWSPAPER/MAGAZINE ARTICLE

Checking the right boxes, but failing the patient.

Rifkin D. New York Times. November 16, 2009;Science Desk:5.

NEWSPAPER/MAGAZINE ARTICLE

New system for patients to report medical mistakes.

Pear R. New York Times. September 23, 2012:A20.

BOOK/REPORT

Health Care Leader Action Guide to Reduce Avoidable Readmissions.

Osei-Anto A, Joshi M, Audet AJ, Berman A, Jencks SF. New York, NY: The Commonwealth Fund, The John Hartford Foundation, Health Research and Educational Trust; January 25, 2010.

STUDY

Exploring relationships between patient safety culture and patients' assessments of hospital care.

Sorra J, Khanna K, Dyer N, Mardon R, Famolaro T. J Patient Saf. 2012;8:131-139.

STUDY

The effects of a 'discharge time-out' on the quality of hospital discharge summaries.

Mohta N, Vaishnava P, Liang C, et al. BMJ Qual Saf. 2012;21:885-890.

NEWSPAPER/MAGAZINE ARTICLE

Minnesota hospitals are testing ways to reduce return trips.

Lerner M. Star Tribune. October 11, 2012.

STUDY

Content analysis of patient complaints.

Montini T, Noble AA, Stelfox HT. Int J Qual Health Care. 2008 Dec; 20: 412-20.

COMMENTARY

Physicians with multiple patient complaints: ending our silence.

Gallagher TH, Levinson W. BMJ Qual Saf. 2013 Apr 18; [Epub ahead of print].

COMMENTARY

Apology for errors: whose responsibility?

Leape LL. Front Health Serv Manage. 2012;28:3-12.

NEWSPAPER/MAGAZINE ARTICLE

More families hear apologies following medical mistakes.

Greene L. St. Petersburg Times. August 19, 2008.

MULTI-USE WEBSITE

The Assertive Patient.

Health Care For All. 30 Winter Street, 10th floor, Boston, MA 02108.

STUDY

classic

Do medical inpatients who report poor service quality experience more adverse events and medical errors?

Taylor BB, Marcantonio ER, Pagovich O, et al. Med Care. 2008;46:224-228.

STUDY

The Daily Plan: including patients for safety's sake.

King BJ, Mills PD, Fore A, Mitchell C. Nurs Manage. 2012;43:15-18.

COMMENTARY

Anatomy of an incident disclosure: the importance of dialogue.

Iedema R, Allen S. Jt Comm J Qual Patient Saf. 2012;38:435-442.

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