AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (151)

•Diagnostic Errors (103)

•Identification Errors (101)

•Discontinuities, Gaps, and Hand-Off Problems (455)

•Fatigue and Sleep Deprivation (96)

•Medication Safety (874)

•Medical Complications (458)

•Nonsurgical Procedural Complications (84)

•Surgical Complications (390)

•Transfusion Complications (19)

•Psychological and Social Complications (151)

Origin/Sponsor

•Africa (2)

•Asia (46)

•Australia and New Zealand (84)

•Central and South America (2)

•Europe (338)

•North America (2688)

Resource Types

•Audiovisual (36)

•Award (21)

•Book/Report (165)

•Clinical Guideline (5)

•Journal Article (2361)

•Legislation/Regulation (38)

•Meeting/Conference (10)

•Newspaper/Magazine Article (439)

•Press Release/Announcement (8)

•Special or Theme Issue (26)

•Tools/Toolkit (42)

•Web Resource (54)

•Grant (2)

Error Types

•Epidemiology of Errors and Adverse Events (786)

•Active Errors (479)

•Latent Errors (248)

•Near Miss (53)

Approach to Improving Safety

•Quality Improvement Strategies (802)

•Legal and Policy Approaches (335)

•Error Reporting and Analysis (896)

•Communication Improvement (839)

•Human Factors Engineering (406)

•Teamwork (296)

•Specialization of Care (280)

•Logistical Approaches (313)

•Culture of Safety (480)

•Technologic Approaches (547)

•Education and Training (700)

Clinical Areas

•Allied Health Services (6)

•Medicine (2414)

•Nursing (392)

•Pharmacy (347)

Target Audience

•Health Care Providers (2031)

•Health Care Executives and Administrators (2579)

•Non-Health Care Professionals (1158)

•Patients (275)

Setting of Care
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Hospitals

•General Hospitals (902)

•Children’s Hospitals (85)

•Specialty Hospitals (51)

1 - 20 of 3207

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NEWSPAPER/MAGAZINE ARTICLE

Do you hold staff accountable for safety?

Terry K. Hosp Health Netw. February 2010.

COMMENTARY

ISMP medication error report analysis.

Smetzer JL, Cohen MR. Hosp Pharm. 2008;43;788-792.

COMMENTARY classic

Balancing "no blame" with accountability in patient safety.

Wachter RM, Pronovost PJ. N Engl J Med. 2009;361:1401-1406.

COMMENTARY

Critical conversations: a call for a nonprocedural "time out."

Sehgal NL, Fox M, Sharpe BA, Vidyarthi AR, Blegen M, Wachter RM. J Hosp Med. 2011;6:157-162.

COMMENTARY

Improving heparin safety: a multidisciplinary invited conference.

Peterson C, Ham CW, Vanderveen T. Hosp Pharm. 2008;43:491-497.

ORGANIZATIONAL POLICY/GUIDELINES

Safely implementing health information and converging technologies.

Sentinel Event Alert. December 11, 2008;(42):1-4.

COMMENTARY

Using simulation to teach nursing students and licensed clinicians obstetric emergencies.

Alderman JT. MCN Am J Matern Child Nurs. 2012;37:394-400.

REVIEW

What is patient safety culture? A review of the literature.

Sammer CE, Lykens K, Singh KP, Mains DA, Lackan NA. J Nurs Scholarsh. 2010;42:156-165.

REVIEW

Fall prevention in hospitals: an integrative review.

Spoelstra SL, Given BA, Given CW. Clin Nurs Res. 2012;21:92-112.

STUDY

An exploratory study measuring verbal order content and context.

Wakefield DS, Brokel J, Ward MM, Schwichtenberg T, Groath D, Kolb M, Davis JW, Crandall D. Qual Saf Health Care. 2009;18:169-173.

NEWSPAPER/MAGAZINE ARTICLE

The role of the chief executive officer in maximizing patient safety.

Shorr AS. Healthc Exec. March-April 2007;22:19, 21-22, 24, 26.

NEWSPAPER/MAGAZINE ARTICLE

Daily check-in for safety: from best practice to common practice.

Stockmeier C, Clapper C. Patient Saf Qual Healthc. September/October 2011;8:30-31,34-36.

BOOK/REPORT

Evaluation of Registered Nurse Competency Processes in Veterans Health Administration Facilities.

Washington, DC: VA Office of Inspector General; April 20, 2012. Report No. 12-00956-159.

STUDY

The effect of hospital electronic health record adoption on nurse-assessed quality of care and patient safety.

Kutney-Lee A, Kelly D. J Nurs Adm. 2011;41:466-472.

NEWSPAPER/MAGAZINE ARTICLE

Arrogant, abusive and disruptive — and a doctor.

Tarkan L. New York Times. December 1, 2008;Science Desk:1.

NEWSPAPER/MAGAZINE ARTICLE

Results of ISMP survey on high-alert medications: differences between nursing, pharmacy, and risk/quality/safety perspectives.

ISMP Medication Safety Alert! Acute Care Edition. February 9, 2012;17:1-4.

STUDY

Structured interdisciplinary rounds in a medical teaching unit: improving patient safety.

O’Leary KJ, Buck R, Fligiel HM, et al. Arch Intern Med. 2011;171:678-684.

STUDY

He thought the "lady in the door" was the "lady in the window": a qualitative study of patient identification practices.

Phipps E, Turkel M, Mackenzie ER, Urrea C. Jt Comm J Qual Patient Saf. 2012;38:127-134.

STUDY

Medication safety initiative in reducing medication errors.

Nguyen EE, Connolly PM, Wong V. J Nurs Care Qual. 2010;25:224-230.

STUDY

Do nurse and patient injuries share common antecedents? An analysis of associations with safety climate and working conditions.

Taylor JA, Dominici F, Agnew J, Gerwin D, Morlock L, Miller MR. BMJ Qual Saf. 2012;21:101-111.

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