AHRQ Patient Safety Network

The Collection > General Hospitals

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Safety Target

•Device-related Complications (85)

•Diagnostic Errors (63)

•Identification Errors (64)

•Discontinuities, Gaps, and Hand-Off Problems (209)

•Fatigue and Sleep Deprivation (34)

•Medication Safety (389)

•Medical Complications (207)

•Nonsurgical Procedural Complications (61)

•Surgical Complications (371)

•Transfusion Complications (5)

•Psychological and Social Complications (48)

Origin/Sponsor

•Africa (2)

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•Europe (224)

•North America (1119)

Resource Types

•Audiovisual (8)

•Award (5)

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•Clinical Guideline (2)

•Journal Article (1274)

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•Newspaper/Magazine Article (91)

•Press Release/Announcement (5)

•Special or Theme Issue (20)

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Error Types

•Epidemiology of Errors and Adverse Events (442)

•Active Errors (297)

•Latent Errors (84)

•Near Miss (31)

Approach to Improving Safety

•Quality Improvement Strategies (347)

•Legal and Policy Approaches (78)

•Error Reporting and Analysis (348)

•Communication Improvement (439)

•Human Factors Engineering (267)

•Teamwork (259)

•Specialization of Care (135)

•Logistical Approaches (120)

•Culture of Safety (193)

•Technologic Approaches (230)

•Education and Training (320)

Clinical Areas

•Allied Health Services (3)

•Medicine (1313)

•Nursing (161)

•Pharmacy (99)

Target Audience

•Health Care Providers (1099)

•Health Care Executives and Administrators (1225)

•Non-Health Care Professionals (532)

•Patients (67)

Setting of Care
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General Hospitals

•Intensive Care Units (320)

•Emergency Departments (263)

•Operating Room (390)

•Labor and Delivery (91)

1 - 20 of 1454

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STUDY

A multidisciplinary approach to adverse drug events in pediatric trauma patients in an adult trauma center.

Kalina M, Tinkoff G, Gleason W, Veneri P, Fulda G. Pediatr Emerg Care. 2009;25:444-446.

STUDY

Weekend and night outcomes in a statewide trauma system.

Carr BG, Reilly PM, Schwab CW, Branas CC, Geiger J, Wiebe CJ. Arch Surg. 2011;146:810-817.

STUDY

The effect of multidisciplinary care teams on intensive care unit mortality.

Kim MM, Barnato AE, Angus DC, Fleisher LF, Kahn JM. Arch Intern Med. 2010;170:369-376.

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

Unplanned transfers to a medical intensive care unit: causes and relationship to preventable errors in care.

Bapoje SR, Gaudiani JL, Narayanan V, Albert RK. J Hosp Med. 2011;6:68-72.

STUDY

Code debriefing from the Department of Veterans Affairs (VA) Medical Team Training Program improves the cardiopulmonary resuscitation code process.

Percarpio KB, Harris FS, Hatfield BA, et al. Jt Comm J Qual Patient Saf. 2010;36:424-429:AP1.

STUDY

Rapid response teams and continuous quality improvement.

Dailey MS, Durkin S, Gulczynski B, Kearney M, Loeb B, Pouliot J. Patient Saf Qual Healthc. Nov/Dec 2009;6:28-31.

COMMENTARY

Implementation of a rapid response team: a success story.

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

STUDY

Clinical scenarios: enhancing the skill set of the nurse as a vigilant guardian.

Jacobson T, Belcher E, Sarr B, Riutta E, Ferrier JD, Botten MA. J Contin Educ Nurs. 2010;41:347-353.

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

Incidence and impact of physician and nurse disruptive behaviors in the emergency department.

Rosenstein AH, Naylor B. J Emerg Med. 2012;43:139-148.

STUDY

Rescue me: saving the vulnerable non-ICU patient population.

Bader MK, Neal B, Johnson L, et al. Jt Comm J Qual Patient Saf. 2009;35:199-205.

STUDY

Measuring communication in the surgical ICU: better communication equals better care.

Williams M, Hevelone N, Alban RF, et al. J Am Coll Surg. 2010;210:17-22.

STUDY

Development and usability of a behavioural marking system for performance assessment of obstetrical teams.

Tregunno D, Pittini R, Haley M, Morgan PJ. Qual Saf Health Care. 2009;18:393-396.

STUDY

Epidemiology and patient outcome after medical emergency team calls triggered by atrial fibrillation.

Schneider A, Calzavacca P, Jones D, Bellomo R. Resuscitation. 2011;82:410-414.

STUDY

A prospective controlled trial of the effect of a multi-faceted intervention on early recognition and intervention in deteriorating hospital patients.

Mitchell IA, McKay H, Van Leuvan C, et al. Resuscitation. 2010;81:658-666.

NEWSPAPER/MAGAZINE ARTICLE

ED revamp: team approach to care reduces errors, boosts patient and clinician satisfaction.

ED Manag. 2011;23:78-80.

STUDY

Understanding how rapid response systems may improve safety for the acutely ill patient: learning from the frontline.

Mackintosh N, Rainey H, Sandall J. BMJ Qual Saf. 2012;22:135-144.

STUDY

Patient whiteboards as a communication tool in the hospital setting: A survey of practices and recommendations.

Sehgal NL, Green A, Vidyarthi AR, Blegen MA, Wachter RM. J Hosp Med. 2010;5:234-239.

STUDY

Is there a benefit to multidisciplinary rounds in an open trauma intensive care unit regarding ventilator-associated pneumonia?

Johnson V, Mangram A, Mitchell C, Lorenzo M, Howard D, Dunn E. Am Surg. 2009;75:1171-1174.

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