AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (158)

•Diagnostic Errors (105)

•Identification Errors (101)

•Discontinuities, Gaps, and Hand-Off Problems (554)

•Fatigue and Sleep Deprivation (99)

•Medication Safety (914)

•Medical Complications (468)

•Nonsurgical Procedural Complications (78)

•Surgical Complications (411)

•Transfusion Complications (20)

•Psychological and Social Complications (119)

Origin/Sponsor

•Africa (2)

•Asia (53)

•Australia and New Zealand (88)

•Central and South America (4)

•Europe (362)

•North America (2756)

Resource Types

•Audiovisual (38)

•Award (19)

•Book/Report (164)

•Clinical Guideline (6)

•Journal Article (2472)

•Legislation/Regulation (40)

•Meeting/Conference (10)

•Newspaper/Magazine Article (429)

•Press Release/Announcement (8)

•Special or Theme Issue (30)

•Tools/Toolkit (44)

•Web Resource (51)

•Grant (2)

Error Types

•Epidemiology of Errors and Adverse Events (820)

•Active Errors (472)

•Latent Errors (238)

•Near Miss (60)

Approach to Improving Safety

•Quality Improvement Strategies (831)

•Legal and Policy Approaches (307)

•Error Reporting and Analysis (891)

•Communication Improvement (841)

•Human Factors Engineering (472)

•Teamwork (287)

•Specialization of Care (284)

•Logistical Approaches (327)

•Culture of Safety (481)

•Technologic Approaches (564)

•Education and Training (617)

Clinical Areas

•Allied Health Services (4)

•Medicine (2504)

•Nursing (439)

•Pharmacy (346)

Target Audience

•Health Care Providers (2156)

•Health Care Executives and Administrators (2686)

•Non-Health Care Professionals (1118)

•Patients (275)

Setting of Care
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Hospitals

•General Hospitals (1012)

•Children’s Hospitals (96)

•Specialty Hospitals (50)

1 - 20 of 3313

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REVIEW

Research on nursing handoffs for medical and surgical settings: an integrative review.

Staggers N, Blaz JW. J Adv Nurs. 2013;69:247-262.

COMMENTARY

2009 National Patient Safety Goals.

Saufl NM. J Perianesth Nurs. 2009;24:114-118.

COMMENTARY

Implementing AORN recommended practices for transfer of patient care information.

Seifert PC. AORN J. 2012;96:475-493.

STUDY

Why patient summaries in electronic health records do not provide the cognitive support necessary for nurses' handoffs on medical and surgical units: insights from interviews and observations.

Staggers N, Clark L, Blaz JW, Kapsandoy S. Health Informatics J. 2011;17:209-223.

COMMENTARY

Implementing handoff communication.

Ardoin KB, Broussard L. J Nurses Staff Dev. 2011;27:128-135.

COMMENTARY

Blending evidence and innovation: improving intershift handoffs in a multihospital setting.

Thomas L, Donohue-Porter P. J Nurs Care Qual. 2012;27:116-124.

ORGANIZATIONAL POLICY/GUIDELINES

Health care worker fatigue and patient safety.

Sentinel Event Alert. December 14, 2011;(48):1-4.

COMMENTARY

Creating high reliability: a new approach for patient safety.

McGinnis L. AORN J. 2011;94:219-222.

STUDY

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

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

REVIEW

Nursing handoffs: a systematic review of the literature.

Riesenberg LA, Leisch J, Cunningham JM. Am J Nurs. 2010;110:24-34.

NEWSPAPER/MAGAZINE ARTICLE

Following the patient journey to improve medicines management and reduce errors.

Crocker C. Nurs Times. 2009 Nov 24;105:12-15.

STUDY

Barriers and facilitators to nursing handoffs: recommendations for redesign.

Welsh CA, Flanagan ME, Ebright P. Nurs Outlook. 2010;58:148-154.

COMMENTARY

Smart pumps: implications for nurse leaders.

Kirkbride G, Vermace B. Nurs Adm Q. 2011;35:110-118.

STUDY

The ins and outs of change of shift handoffs between nurses: a communication challenge.

Carroll JS, Williams M, Gallivan TM. BMJ Qual Saf. 2012 21:586-593.

STUDY

Who's covering our loved ones: surprising barriers in the sign-out process.

Antonoff MB, Berdan EA, Kirchner VA, et al. Am J Surg. 2013;205:77-84.

STUDY

Implementing peer evaluation of handoffs: associations with experience and workload.

Arora VM, Greenstein EA, Woodruff JN, Staisiunas PG, Farnan JM. J Hosp Med. 2013;8:132-136.

STUDY

Assessment of teamwork during structured interdisciplinary rounds on medical units.

O'Leary KJ, Boudreau YN, Creden AJ, Slade ME, Williams MV. J Hosp Med. 2012;7:679-683.

STUDY

Adoption of National Quality Forum safe practices by magnet hospitals.

Jayawardhana J, Welton JM, Lindrooth R. J Nurs Adm. 2011;41:350-356.

STUDY

Effects of learning climate and registered nurse staffing on medication errors.

Chang Y, Mark B. Nurs Res. 2011;60:32-39.

NEWSPAPER/MAGAZINE ARTICLE

Scanner beep only means the barcode has been scanned.

ISMP Medication Safety Alert! Acute Care Edition. June 30, 2011;16:1-2.

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