AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (1)

•Diagnostic Errors (2)

•Identification Errors (2)

•Discontinuities, Gaps, and Hand-Off Problems (22)

•Medication Safety (59)

•Medical Complications (18)

•Nonsurgical Procedural Complications (1)

•Surgical Complications (2)

•Psychological and Social Complications (3)

Origin/Sponsor

•Australia and New Zealand (4)

•North America (104)

Resource Types

•Audiovisual (1)

•Book/Report (9)

•Clinical Guideline (1)

•Journal Article (94)

•Legislation/Regulation (2)

•Newspaper/Magazine Article (10)

•Press Release/Announcement (1)

•Special or Theme Issue (2)

•Tools/Toolkit (3)

•Web Resource (2)

Error Types

•Epidemiology of Errors and Adverse Events (40)

•Active Errors (16)

•Latent Errors (11)

•Near Miss (2)

Approach to Improving Safety

•Quality Improvement Strategies (25)

•Legal and Policy Approaches (16)

•Error Reporting and Analysis (38)

•Communication Improvement (34)

•Human Factors Engineering (11)

•Teamwork (6)

•Specialization of Care (6)

•Logistical Approaches (9)

•Culture of Safety (28)

•Technologic Approaches (20)

•Education and Training (20)

Clinical Areas

•Allied Health Services (2)

•Medicine (96)

•Nursing (21)

•Pharmacy (13)

Target Audience

•Health Care Providers (87)

•Health Care Executives and Administrators (100)

•Non-Health Care Professionals (34)

•Patients (9)

Setting of Care
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Residential Facilities

1 - 20 of 126

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COMMENTARY

Patient safety: moving the bar in prison health care standards.

Stern MF, Greifinger RB, Mellow J. Am J Public Health. 2010;100:2103-2110.

STUDY

Organizational climate determinants of resident safety culture in nursing homes.

Arnetz JE, Zhdanova LS, Elsouhag D, Lichtenberg P, Luborsky MR, Arnetz BB. Gerontologist. 2011;51:739-749.

STUDY

Addressing delays in medication administration for patients transferred from the hospital to the nursing home: a pilot quality improvement project.

Ward KT, Bates-Jensen B, Eslami MS, et al. Am J Geriatr Pharmacother. 2008;6:205-211.

STUDY

Patient safety culture and the association with safe resident care in nursing homes.

Thomas KS, Hyer K, Castle NG, Branch LG, Andel R, Weech-Maldonado R. Gerontologist. 2012;52:802-811.

STUDY

Does incorporating medications in the surveyors' interpretive guidelines reduce the use of potentially inappropriate medications in nursing homes?

Lapane KL, Hughes CM, Quilliam BJ. J Am Geriatr Soc. 2007;55:666-673.

STUDY

Measuring administrators' and direct care workers' perceptions of the safety culture in assisted living facilities.

Castle NG, Wagner LM, Sonon K, Ferguson-Rome JC. Jt Comm J Qual Patient Saf. 2012;38:375-385.

STUDY

Medication errors during patient transitions into nursing homes: characteristics and association with patient harm.

Desai R, Williams CE, Greene SB, Pierson S, Hansen RA. Am J Geriatr Pharmacother. 2011;9:413-422.

STUDY

Assessing resident safety culture in nursing homes: using the nursing home survey on resident safety.

Castle NG, Wagner LM, Perera S, Ferguson JC, Handler SM. J Patient Saf. 2010;6:59-67.

NEWSPAPER/MAGAZINE ARTICLE

Approved: 2010 National Patient Safety Goals.

Jt Comm Perspect. October 2009;29:1, 20-31.

STUDY

Care homes' use of medicines study: prevalence, causes and potential harm of medication errors in care homes for older people.

Barber ND, Alldred DP, Raynor DK, et al. Qual Saf Health Care. 2009;18:341-346.

STUDY

An exploration of safety climate in nursing homes.

Singer S, Kitch BT, Rao SR, et al. J Patient Saf. 2012;8:104-124.

NEWSPAPER/MAGAZINE ARTICLE

Nursing homes seen deficient on basic care.

Dembner A. Boston Globe. July 3, 2006;Health Science section:A1.

STUDY

Patterns in nursing home medication errors: disproportionality analysis as a novel method to identify quality improvement opportunities.

Hansen RA, Cornell PY, Ryan PB, Williams CE, Pierson S, Greene SB. Pharmacoepidemiol Drug Saf. 2010;19:1087-1094.

STUDY

Achieving quality improvement in the nursing home: influence of nursing leadership on communication and teamwork.

Vogelsmeier A, Scott-Cawiezell J. J Nurs Care Qual. 2011;26:236-242.

STUDY

Nurse–physician communication in the long-term care setting: perceived barriers and impact on patient safety.

Tjia J, Mazor KM, Field T, Meterko V, Spenard A, Gurwitz JH. J Patient Saf. 2009;5:145-152.

STUDY

Team safety and innovation by learning from errors in long-term care settings.

Buljac-Samardžić M, van Woerkom M, Paauwe J. Health Care Manag Rev. 2012;37:280-291.

STUDY

Development of an instrument to measure seniors' patient safety health beliefs: the Seniors Empowerment and Advocacy in Patient Safety (SEAPS) survey.

Elder NC, Regan SL, Pallerla H, Levin L, Post D, Cegela DJ. Patient Educ Couns. 2007;69:100-107.

COMMENTARY

Utilizing quality improvement methods to prevent falls and injury from falls: enhancing resident safety in long-term care.

MacLaurin A, McConnell H. J Safety Res. 2011;42:525-535.

COMMENTARY

Wrong Route for Nutrients

Scott-Cawiezell JR, AHRQ WebM&M [serial online]. July 2008.

STUDY

Medication administration errors in assisted living: scope, characteristics, and the importance of staff training.

Zimmerman S, Love K, Sloane PD, Cohen LW, Reed D, Carder PC; Center for Excellence in Assisted Living-University of North Carolina Collaborative. J Am Geriatr Soc. 2011;59:1060-1068.

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