AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (89)

•Diagnostic Errors (170)

•Identification Errors (49)

•Discontinuities, Gaps, and Hand-Off Problems (261)

•Fatigue and Sleep Deprivation (36)

•Medication Safety (767)

•Medical Complications (243)

•Nonsurgical Procedural Complications (45)

•Surgical Complications (208)

•Transfusion Complications (8)

•Psychological and Social Complications (78)

Origin/Sponsor

•Africa (6)

•Asia (30)

•Australia and New Zealand (76)

•Central and South America (8)

•Europe (299)

•North America (1692)

Resource Types

•Clinical Guideline (3)

•Journal Article (1433)

•Legislation/Regulation (34)

•Meeting/Conference (36)

•Newsletter/Journal (10)

•Newspaper/Magazine Article (205)

•Press Release/Announcement (31)

•Special or Theme Issue (54)

•Tools/Toolkit (46)

•Web Resource (91)

•Grant (12)

Error Types

•Epidemiology of Errors and Adverse Events (446)

•Active Errors (341)

•Latent Errors (160)

•Near Miss (35)

Approach to Improving Safety

•Quality Improvement Strategies (608)

•Legal and Policy Approaches (247)

•Error Reporting and Analysis (606)

•Communication Improvement (654)

•Human Factors Engineering (294)

•Teamwork (295)

•Specialization of Care (166)

•Logistical Approaches (123)

•Culture of Safety (498)

•Technologic Approaches (385)

•Education and Training (418)

Clinical Areas

•Allied Health Services (14)

Target Audience
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Health Care Providers

•Allied Health Professionals (4)

•Clinical Technologists (5)

Setting of Care

•Psychiatric Facilities (14)

•Residential Facilities (56)

•Ambulatory Care (247)

•Outpatient Surgery (25)

•Patient Transport (22)

1 - 20 of 2190

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TOOLKIT

Making Strides in Safety.

Chicago, IL: American Medical Association.

STUDY

Applying a multidisciplinary approach to the selection, evaluation, and acquisition of smart infusion pumps.

Namshirin P, Ibey A, Lamsdale A. J Med Bio Eng. 2011;31:93-98.

COMMENTARY

The Canadian interprofessional patient safety competencies: their role in health-care professionals' education.

King J, Anderson CM. J Patient Saf. 2012;8:30-35.

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.

COMMENTARY

Patient safety beyond the hospital.

Gandhi TK, Lee TH. N Engl J Med. 2010;363:1001-1003.

COMMENTARY

Do Not Disturb!

Duffy FD, Cassel CK. AHRQ WebM&M [serial online]. October 2007.

STUDY

The nature and causes of unintended events reported at ten emergency departments.

Smits M, Groenewegen PP, Timmermans DRM, van der Wal G, Wagner C. BMC Emerg Med. 2009;9:16.

STUDY

Communication errors in dispatch of air medical transport.

Vilensky D, Macdonald RD. Prehosp Emerg Care. 2011;15:39-43.

STUDY

Attitudes of health sciences faculty members towards interprofessional teamwork and education.

Curran VR, Sharpe D, Forristall J. Med Educ. 2007;41:892-896.

BOOK/REPORT

Through the Eyes of the Workforce: Creating Joy, Meaning, and Safer Health Care.

Roundtable on Joy and Meaning in Work and Workforce Safety, The Lucian Leape Institute. Boston, MA: National Patient Safety Foundation; 2013.

REVIEW

Frequency, type and clinical importance of medication history errors at admission to hospital: a systematic review.

Tam VC, Knowles SR, Cornish PL, Fine N, Marchesano R, Etchells EE. CMAJ. 2005;173:510-515.

SPECIAL OR THEME ISSUE

Interprofessional Approaches to Patient Safety.

J Interprof Care. 2006;20:455-571.

REVIEW

The effectiveness of integrated health information technologies across the phases of medication management: a systematic review of randomized controlled trials.

McKibbon KA, Lokker C, Handler SM, et al. J Am Med Inform Assoc. 2012;19:22-30.

FACT SHEET/FAQS classic

Preventing Medication Errors: A $21 Billion Opportunity.

Washington, DC: National Priorities Partnership and National Quality Forum; December 2010.

COMMENTARY

On the Other Hand

Henneman EA. AHRQ WebM&M [serial online]. May 2007.

STUDY

Pharmacists' medication reconciliation-related clinical interventions in a children's hospital.

Gardner B, Graner K. Jt Comm J Qual Patient Saf. 2009;35:278-283.

NEWSPAPER/MAGAZINE ARTICLE

How we cut drug errors.

Nicol N, Huminski L. Mod Healthc. August 28, 2006;36:38.

STUDY

How does patient safety culture in the operating room and post-anesthesia care unit compare to the rest of the hospital?

Kaafarani HM, Itani KM, Rosen AK, Zhao S, Hartmann CW, Gaba DM. Am J Surg. 2009;198:70-75.

COMMENTARY

Automated electronic reminders to prevent miscommunication among primary medical, surgical and anaesthesia providers: a root cause analysis.

Freundlich RE, Grondin L, Tremper KK, Saran KA, Kheterpal S. BMJ Qual Saf. 2012;21:850-854.

BOOK/REPORT

Guiding Principles to Achieve Continuity in Medication Management.

Canberra, Australia: Australian Pharmaceutical Advisory Council; July 2005. ISBN: 0642825971.

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