AHRQ Patient Safety Network

The Collection > General Hospitals

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Safety Target

•Device-related Complications (67)

•Diagnostic Errors (43)

•Identification Errors (58)

•Discontinuities, Gaps, and Hand-Off Problems (181)

•Fatigue and Sleep Deprivation (37)

•Medication Safety (331)

•Medical Complications (176)

•Nonsurgical Procedural Complications (53)

•Surgical Complications (311)

•Transfusion Complications (3)

•Psychological and Social Complications (40)

Origin/Sponsor

•Asia (20)

•Australia and New Zealand (39)

•Central and South America (3)

•Europe (146)

•North America (1003)

Resource Types

•Audiovisual (6)

•Award (3)

•Book/Report (14)

•Clinical Guideline (3)

•Journal Article (1073)

•Legislation/Regulation (12)

•Meeting/Conference (1)

•Newspaper/Magazine Article (81)

•Special or Theme Issue (14)

•Tools/Toolkit (6)

•Web Resource (11)

•Grant (1)

Error Types

•Epidemiology of Errors and Adverse Events (354)

•Active Errors (231)

•Latent Errors (56)

•Near Miss (29)

Approach to Improving Safety

•Quality Improvement Strategies (299)

•Legal and Policy Approaches (55)

•Error Reporting and Analysis (276)

•Communication Improvement (377)

•Human Factors Engineering (201)

•Teamwork (199)

•Specialization of Care (110)

•Logistical Approaches (127)

•Culture of Safety (157)

•Technologic Approaches (207)

•Education and Training (305)

Clinical Areas

•Allied Health Services (1)

•Medicine (1070)

•Nursing (197)

•Pharmacy (88)

Target Audience

•Health Care Providers (915)

•Health Care Executives and Administrators (1062)

•Non-Health Care Professionals (444)

•Patients (54)

Setting of Care
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General Hospitals

•Intensive Care Units (195)

•Emergency Departments (231)

•Operating Room (330)

•Labor and Delivery (75)

1 - 20 of 1225

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COMMENTARY

Implementation of a rapid response team: a success story.

Scott SS, Elliott S. Crit Care Nurse. 2009;29:66-75.

STUDY

An examination of technical efficiency, quality, and patient safety in acute care nursing units.

Mark B, Jones C, Lindley L, Ozcan Y. Policy Polit Nurs Pract. 2009;10:180-186.

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

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.

REVIEW

Literature review: do rapid response systems reduce the incidence of major adverse events in the deteriorating ward patient?

Massey D, Aitken LM, Chaboyer W. J Clin Nurs. 2010;19:3260-3273.

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

Clinical triggers: an alternative to a rapid response team.

Moldenhauer K, Sabel A, Chu ES, Mehler PS. Jt Comm J Qual Patient Saf. 2009;35:164-174.

STUDY

Causes of near misses: perceptions of perioperative nurses.

Cohoon B. AORN J. 2011;93:551-565.

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.

COMMENTARY

Communication in the perioperative setting.

Cvetic E. AORN J. 2011;94:261-270.

STUDY

Incorrect surgical counts: a qualitative analysis.

Rowlands A, Steeves R. AORN J. 2010;92:410-419.

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.

COMMENTARY

Safety huddles in the PACU: when a patient self-medicates.

Setaro J, Connolly M. J Perianesth Nurs. 2011;26:96-102.

ORGANIZATIONAL POLICY/GUIDELINES

AORN Guidance Statement: Safe Medication Practices in Perioperative Settings Across the Life Span.

AORN J. 2006;84:276-278, 280-283.

ORGANIZATIONAL POLICY/GUIDELINES

AORN guidance statement: creating a patient safety culture.

AORN J. 2006;83:936-942.

STUDY

Implementation of Condition Help: family teaching and evaluation of family understanding.

Hueckel RM, Mericle JM, Frush K, Martin PL, Champagne MT. J Nurs Care Qual. 2012;27:176-181.

STUDY

Defining the incidence of cardiorespiratory instability in patients in step-down units using an electronic integrated monitoring system.

Hravnak M, Edwards L, Clontz A, Valenta C, DeVita MA, Pinsky MR. Arch Intern Med. 2008;168:1300-1308.

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

Confusion about epinephrine dosing leading to iatrogenic overdose: a life-threatening problem with a potential solution.

Kanwar M, Irvin CB, Frank JJ, Weber K, Rosman H. Ann Emerg Med. 2010;55:341-344.

STUDY

Effects of rounding on patient satisfaction and patient safety on a medical–surgical unit.

Woodard JL. Clin Nurse Spec. 2009;23:200-206.

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