AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (114)

•Diagnostic Errors (153)

•Identification Errors (83)

•Discontinuities, Gaps, and Hand-Off Problems (374)

•Fatigue and Sleep Deprivation (59)

•Medication Safety (816)

•Medical Complications (368)

•Nonsurgical Procedural Complications (56)

•Surgical Complications (311)

•Transfusion Complications (14)

•Psychological and Social Complications (110)

Origin/Sponsor

•Africa (8)

•Asia (39)

•Australia and New Zealand (95)

•Central and South America (8)

•Europe (507)

•North America (2007)

Resource Types

•Clinical Guideline (2)

•Journal Article (1998)

•Legislation/Regulation (34)

•Meeting/Conference (31)

•Newsletter/Journal (8)

•Newspaper/Magazine Article (204)

•Press Release/Announcement (24)

•Special or Theme Issue (50)

•Tools/Toolkit (46)

•Web Resource (90)

•Grant (10)

Error Types

•Epidemiology of Errors and Adverse Events (895)

•Active Errors (429)

•Latent Errors (189)

•Near Miss (51)

Approach to Improving Safety

•Quality Improvement Strategies (747)

•Legal and Policy Approaches (284)

•Error Reporting and Analysis (760)

•Communication Improvement (857)

•Human Factors Engineering (338)

•Teamwork (266)

•Specialization of Care (209)

•Logistical Approaches (190)

•Culture of Safety (517)

•Technologic Approaches (459)

•Education and Training (541)

Clinical Areas

•Allied Health Services (9)

•Complementary and Alternative Medicine (1)

Target Audience
< All

Health Care Providers

•Allied Health Professionals (3)

•Clinical Technologists (12)

Setting of Care

•Psychiatric Facilities (16)

•Residential Facilities (58)

•Ambulatory Care (312)

•Outpatient Surgery (27)

•Patient Transport (30)

1 - 20 of 2731

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STUDY

Veterans Affairs initiative to prevent methicillin-resistant Staphylococcus aureus infections.

Jain R, Kralovic SM, Evans ME, et al. N Engl J Med. 2011;364:1419-1430.

STUDY

Professionalism: a necessary ingredient in a culture of safety.

DuPree E, Anderson R, McEvoy MD, Brodman M. Jt Comm J Qual Patient Saf. 2011;37:447-455.

AWARD RECIPIENT

2006 Quest for Quality Prize.

Runy LA. Hosp Health Netw. September 2006.

STUDY

Variation in safety culture dimensions within and between US and Swiss Hospital units: an exploratory study.

Schwendimann R, Zimmermann N, Küng K, Ausserhofer D, Sexton B. BMJ Qual Saf. 2013;22:32-41.

STUDY

Maintaining and sustaining the On the CUSP: Stop BSI model in Hawaii.

Lin DM, Weeks K, Holzmueller CG, Pronovost PJ, Pham JC. Jt Comm J Qual Patient Saf. 2013;39:51-60.

STUDY

How active resisters and organizational constipators affect health care–acquired infection prevention efforts.

Saint S, Kowalski CP, Banaszak-Holl J, Forman J, Damschroder L, Krein SL. Jt Comm J Qual Patient Saf. 2009;35:239-246.

STUDY

Attitude is everything?: The impact of workload, safety climate, and safety tools on medical errors: a study of intensive care units.

Steyrer J, Schiffinger M, Huber C, Valentin A, Strunk G. Health Care Manage Rev. 2012 Oct 18; [Epub ahead of print].

STUDY

National estimates of adverse events during nonpsychiatric hospitalizations for persons with schizophrenia.

Khaykin E, Ford DE, Pronovost PJ, Dixon L, Daumit GL. Gen Hosp Psychiatry. 2010;32:419-425.

STUDY

Errors and omissions in hospital prescriptions: a survey of prescription writing in a hospital.

Calligaris L, Panzera A, Arnoldo L, et al. BMC Clin Pharmacol. 2009;9:9.

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

Health care workers as second victims of medical errors.

Edrees HH, Paine LA, Feroli ER, Wu AW. Pol Arch Med Wewn. 2011;121:101-108.

BOOK/REPORT

IBEAS: A Pioneer Study on Patient Safety in Latin America: Towards Safer Hospital Care.

Geneva, Switzerland: World Health Organization; 2011.

STUDY

Assessing and improving safety culture throughout an academic medical centre: a prospective cohort study.

Paine LA, Rosenstein BJ, Sexton JB, Kent P, Holzmueller CG, Pronovost PJ. Qual Saf Health Care. 2010;19:547-554.

COMMENTARY

Learning accountability for patient outcomes.

Pronovost PJ. JAMA. 2010;304:204-205.

STUDY

Consequences of inadequate sign-out for patient care.

Horwitz LI, Moin T, Krumholz HM, Wang L, Bradley EH. Arch Intern Med. 2008;168:1755-1760.

STUDY

Structured interdisciplinary rounds in a medical teaching unit: improving patient safety.

O’Leary KJ, Buck R, Fligiel HM, et al. Arch Intern Med. 2011;171:678-684.

STUDY

Implementing a 48 h EWTD-compliant rota for junior doctors in the UK does not compromise patients' safety: assessor-blind pilot comparison.

Cappuccio FP, Bakewell A, Taggart FM, et al; for the Warwick EWTD Working Group. QJM. 2009;102:271-82.

MULTI-USE WEBSITE

African Partnerships for Patient Safety.

Geneva, Switzerland: WHO Patient Safety, World Health Organization.

STUDY

The association between transfer of emergency department boarders to inpatient hallways and mortality: a 4-year experience.

Viccellio A, Santora C, Singer AJ, Thode HC Jr, Henry MC. Ann Emerg Med. 2009;54:511-513.

STUDY

Are opioid dependence and methadone maintenance treatment (MMT) documented in the medical record? A patient safety issue.

Walley AY, Farrar D, Cheng DM, Alford DP, Samet JH. J Gen Intern Med. 2009;24:1007-1011.

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