AHRQ Patient Safety Network

The Collection > Health Care Providers

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Safety Target

•Device-related Complications (164)

•Diagnostic Errors (198)

•Identification Errors (104)

•Discontinuities, Gaps, and Hand-Off Problems (455)

•Fatigue and Sleep Deprivation (101)

•Medication Safety (1142)

•Medical Complications (444)

•Nonsurgical Procedural Complications (107)

•Surgical Complications (403)

•Transfusion Complications (18)

•Psychological and Social Complications (129)

Origin/Sponsor

•Africa (5)

•Asia (41)

•Australia and New Zealand (87)

•Central and South America (8)

•Europe (393)

•North America (3086)

Resource Types

•Clinical Guideline (10)

•Journal Article (2691)

•Legislation/Regulation (67)

•Meeting/Conference (30)

•Newsletter/Journal (13)

•Newspaper/Magazine Article (314)

•Press Release/Announcement (30)

•Special or Theme Issue (61)

•Tools/Toolkit (59)

•Web Resource (115)

•Grant (7)

Error Types

•Epidemiology of Errors and Adverse Events (847)

•Active Errors (624)

•Latent Errors (240)

•Near Miss (69)

Approach to Improving Safety

•Quality Improvement Strategies (895)

•Legal and Policy Approaches (341)

•Error Reporting and Analysis (964)

•Communication Improvement (974)

•Human Factors Engineering (493)

•Teamwork (315)

•Specialization of Care (276)

•Logistical Approaches (290)

•Culture of Safety (457)

•Technologic Approaches (628)

•Education and Training (726)

Clinical Areas

•Allied Health Services (8)

Target Audience
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Health Care Providers

•Allied Health Professionals (5)

•Clinical Technologists (30)

Setting of Care

•Psychiatric Facilities (16)

•Residential Facilities (63)

•Ambulatory Care (399)

•Outpatient Surgery (41)

•Patient Transport (27)

1 - 20 of 3675

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MULTI-USE WEBSITE

On the CUSP: Stop HAI.

Health Research & Educational Trust, MHA Keystone Center.

BOOK/REPORT

Preventing Central Line–Associated Bloodstream Infections: a Global Challenge, a Global Perspective.

The Joint Commission. Oakbrook Terrace, IL: Joint Commission Resources; May 2012.

AWARD RECIPIENT

Achievements in eliminating healthcare-associated infections awards.

Washington, DC: US Health and Human Services and Critical Care Societies Collaborative. December 7, 2010.

STUDY

Potential unintended consequences due to Medicare's "No Pay for Errors Rule"? A randomized controlled trial of an educational intervention with internal medicine residents.

Mookherjee S, Vidyarthi AR, Ranji SR, Maselli J, Wachter RM, Baron RB. J Gen Intern Med. 2010;25:1097-1101.

BOOK/REPORT

Tennessee Center for Patient Safety Annual Report 2010.

Nashville, TN: Tennessee Center for Patient Safety; August 2011.

COMMENTARY

Reducing methicillin-resistant Staphylococcus aureus (MRSA) infections.

Griffin FA. Jt Comm J Qual Patient Saf. 2007;33:726-731.

NEWSPAPER/MAGAZINE ARTICLE

Rounding to influence.

Reinertsen JL, Johnson KM. Healthc Exec. Sept/Oct 2010;25:72-75.

STUDY

A multidisciplinary approach to reduce central line–associated bloodstream infections.

McMullan C, Propper G, Schuhmacher C, et al. Jt Comm J Qual Patient Saf. 2013;39:61-69.

STUDY

Impact of a hospital-wide hand hygiene initiative on healthcare-associated infections: results of an interrupted time series.

Kirkland KB, Homa KA, Lasky RA, Ptak JA, Taylor EA, Splaine ME. BMJ Qual Saf. 2012;21:1019-1026.

COMMENTARY

Using the opportunity estimator tool to improve engagement in a quality and safety intervention.

Duval-Arnould J, Mathews SC, Weeks K, et al. Jt Comm J Qual Patient Saf. 2012;38:41-47.

BOOK/REPORT

Hand Hygiene Project: Best Practices from Hospitals Participating in the Joint Commission Center for Transforming Healthcare Project.

Health Research and Educational Trust. Chicago, IL: American Hospital Association; 2010.

MEASUREMENT TOOL/INDICATOR

Tubing Misconnections Self Assessment for Healthcare Facilities.

Horsham, PA: Institute for Safe Medication Practices, Deerfield, IL: Baxter Healthcare; 2012.

COMMENTARY

Infusing fun into quality and safety initiatives.

Foulk KC, Tocydlowski P, Snow TM, et al. Nursing. 2012;42:14-16.

AUDIOVISUAL

Battling hospital-acquired infections.

Gross T. "Fresh Air." National Public Radio. January 9, 2008.

STUDY

Utilizing improvement science methods to improve physician compliance with proper hand hygiene.

White CM, Statile AM, Conway PH, et al. Pediatrics. 2012;129:e1042-e1050.

STUDY

Racial disparities in the frequency of patient safety events: results from the National Medicare Patient Safety Monitoring System.

Metersky ML, Hunt DR, Kliman R, et al. Med Care. 2011;49:504-510.

AUDIOVISUAL

How a simple checklist can dramatically reduce medical errors.

Pronovost PJ. On Call. IHI Open School for Health Professionals. November 3, 2008.

STUDY

Saving lives by studying deaths: using standardized mortality reviews to improve inpatient safety.

Lau H, Litman KC. Jt Comm J Qual Patient Saf. 2011;37:400-408.

COMMENTARY classic

Balancing "no blame" with accountability in patient safety.

Wachter RM, Pronovost PJ. N Engl J Med. 2009;361:1401-1406.

ORGANIZATIONAL POLICY/GUIDELINES classic

A Compendium of Strategies to Prevent Healthcare-Associated Infections in Acute Care Hospitals.

Yokoe DS, Mermel LA, Anderson DJ, et al. Infect Control Hosp Epidemiol. 2008;29:901-994.

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