AHRQ Patient Safety Network

The Collection > General Hospitals

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Safety Target

•Device-related Complications (63)

•Diagnostic Errors (24)

•Identification Errors (59)

•Discontinuities, Gaps, and Hand-Off Problems (144)

•Fatigue and Sleep Deprivation (28)

•Medication Safety (327)

•Medical Complications (134)

•Nonsurgical Procedural Complications (38)

•Surgical Complications (276)

•Transfusion Complications (3)

•Psychological and Social Complications (38)

Origin/Sponsor

•Asia (17)

•Australia and New Zealand (25)

•Central and South America (4)

Resource Types

•Clinical Guideline (2)

•Journal Article (928)

•Legislation/Regulation (11)

•Meeting/Conference (1)

•Newspaper/Magazine Article (75)

•Press Release/Announcement (1)

•Special or Theme Issue (12)

•Tools/Toolkit (5)

•Web Resource (10)

•Grant (1)

Error Types

•Epidemiology of Errors and Adverse Events (309)

•Active Errors (221)

•Latent Errors (54)

•Near Miss (26)

Approach to Improving Safety

•Quality Improvement Strategies (260)

•Legal and Policy Approaches (56)

•Error Reporting and Analysis (256)

•Communication Improvement (289)

•Human Factors Engineering (219)

•Teamwork (153)

•Specialization of Care (84)

•Logistical Approaches (128)

•Culture of Safety (141)

•Technologic Approaches (207)

•Education and Training (238)

Clinical Areas

•Allied Health Services (2)

•Medicine (913)

•Nursing (190)

•Pharmacy (83)

Target Audience

•Health Care Providers (805)

•Health Care Executives and Administrators (960)

•Non-Health Care Professionals (372)

•Patients (47)

Setting of Care
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General Hospitals

•Intensive Care Units (199)

•Emergency Departments (122)

•Operating Room (294)

•Labor and Delivery (58)

1 - 20 of 1067

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COMMENTARY

Medication room madness: calming the chaos.

Conrad C, Fields W, McNamara T, Cone M. J Nurs Care Qual. 2009;25:137-144.

STUDY

Association of interruptions with an increased risk and severity of medication administration errors.

Westbrook JI, Woods A, Rob MI, Dunsmuir WTM, Day RO. Arch Intern Med. 2010;170:683-690.

STUDY

Variations in nursing care quality across hospitals.

Lucero RJ, Lake ET, Aiken LH. J Adv Nurs. 2009;65:2299-2310.

STUDY

Nurses' satisfaction with medication administration point-of-care technology.

Hurley AC, Bane A, Fotakis S, et al. J Nurs Adm. 2007;37:343-349.

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.

NEWSPAPER/MAGAZINE ARTICLE

Scanning out medication errors: Ohio Valley Hospital's automated IV system provides real-time access to patient data.

Carbasho T. Pittsburgh Business Times. April 25, 2005.

STUDY

Bar code medication administration technology: characterization of high-alert medication triggers and clinician workarounds.

Miller DF, Fortier CR, Garrison KL. Ann Pharmacother. 2011;45:162-168.

COMMENTARY

ISMP medication error report analysis.

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

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.

STUDY

Errors in the administration of intravenous medications in hospital and the role of correct procedures and nurse experience.

Westbrook JI, Rob MI, Woods A, Parry D. BMJ Qual Saf. 2011;20:1027-1034.

STUDY

The impact of type of manual medication cart filling method on the frequency of medication administration errors: a prospective before and after study.

Schimmel AM, Becker ML, van den Bout T, Taxis K, van den Bemt PM. Int J Nurs Stud. 2011;48:791-797.

BOOK/REPORT

Focus on Patient Safety.

Fitzpatrick J, Stone P, Hinton-Walker P, eds. Annual Review of Nursing Research. New York, NY: Springer; 2006. ISBN: 0826141366.

STUDY

The content and context of change of shift report on medical and surgical units.

Staggers N, Jennings BM. J Nurs Adm. 2009;39:393-398.

STUDY

Learning mechanisms to limit medication administration errors.

Drach-Zahavy A, Pud D. J Adv Nurs. 2010;66:794-805.

STUDY

Bar-code technology for medication administration: medication errors and nurse satisfaction.

Fowler SB, Sohler P, Zarillo DF. MedSurg Nursing. 2009;18:103-110.

STUDY

Nurses' work schedule characteristics, nurse staffing, and patient mortality.

Trinkoff AM, Johantgen M, Storr CL, Gurses AP, Liang Y, Han K. Nurs Res. 2011;60:1-8.

STUDY

Hospital RNs' experiences with disruptive behavior: a qualitative study.

Walrath JM, Dang D, Nyberg D. J Nurs Care Qual. 2010;25:105-116.

STUDY

The impact of teamwork on missed nursing care.

Kalisch BJ, Lee KH. Nurs Outlook. 2010;58:233-241.

STUDY

Prospective pilot intervention study to prevent medication errors in drugs administered to children by mouth or gastric tube: a programme for nurses, physicians and parents.

Bertsche T, Bertsche A, Krieg EM, et al. Qual Saf Health Care. 2010;19:e26.

STUDY

The association of shift-level nurse staffing with adverse patient events.

Patrician PA, Loan L, McCarthy M, et al. J Nurs Adm. 2011;41:64-70.

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