AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (115)

•Diagnostic Errors (150)

•Identification Errors (80)

•Discontinuities, Gaps, and Hand-Off Problems (356)

•Fatigue and Sleep Deprivation (63)

•Medication Safety (858)

•Medical Complications (334)

•Nonsurgical Procedural Complications (58)

•Surgical Complications (276)

•Transfusion Complications (16)

•Psychological and Social Complications (96)

Origin/Sponsor

•Africa (6)

•Asia (35)

•Australia and New Zealand (98)

•Central and South America (9)

•Europe (525)

•North America (1915)

Resource Types

•Clinical Guideline (3)

•Journal Article (1921)

•Legislation/Regulation (36)

•Meeting/Conference (26)

•Newsletter/Journal (8)

•Newspaper/Magazine Article (206)

•Press Release/Announcement (26)

•Special or Theme Issue (44)

•Tools/Toolkit (49)

•Web Resource (91)

•Grant (9)

Error Types

•Epidemiology of Errors and Adverse Events (907)

•Active Errors (432)

•Latent Errors (186)

•Near Miss (52)

Approach to Improving Safety

•Quality Improvement Strategies (676)

•Legal and Policy Approaches (274)

•Error Reporting and Analysis (768)

•Communication Improvement (728)

•Human Factors Engineering (331)

•Teamwork (197)

•Specialization of Care (213)

•Logistical Approaches (184)

•Culture of Safety (367)

•Technologic Approaches (466)

•Education and Training (511)

Clinical Areas

•Allied Health Services (10)

Target Audience
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Health Care Providers

•Allied Health Professionals (3)

•Clinical Technologists (15)

Setting of Care

•Psychiatric Facilities (16)

•Residential Facilities (50)

•Ambulatory Care (309)

•Outpatient Surgery (26)

•Patient Transport (26)

1 - 20 of 2659

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STUDY

Interpreting adverse drug reaction (ADR) reports as hospital patient safety incidents.

Davies EC, Green CF, Mottram DR, Pirmohamed M. Br J Clin Pharmacol. 2010;70:102-108.

STUDY

Adverse event rates as measures of hospital performance.

Hauck K, Zhao X, Jackson T. Health Policy. 2012;104:146-154.

STUDY

Integrating incident data from five reporting systems to assess patient safety: making sense of the elephant.

Levtzion-Korach O, Frankel A, Alcalai H, et al. Jt Comm J Qual Patient Saf. 2010;36:402-410.

STUDY

Improvement in the detection of adverse drug events by the use of electronic health and prescription records: an evaluation of two trigger tools.

Nwulu U, Nirantharakumar K, Odesanya R, McDowell SE, Coleman JJ. Eur J Clin Pharmacol. 2013;69:255-259.

STUDY

The care transitions intervention: translating from efficacy to effectiveness.

Voss R, Gardner R, Baier R, Butterfield K, Lehrman S, Gravenstein S. Arch Intern Med. 2011;171:1232-1237.

STUDY

Using care bundles to reduce in-hospital mortality: quantitative survey.

Robb E, Jarman B, Suntharalingam G, Higgens C, Tennant R, Elcock K. BMJ. 2010;340:c1234.

STUDY

Explaining ethnic disparities in patient safety: a qualitative analysis.

Suurmond J, Uiters E, De Bruijne MC, Stronks K, Essink-Bot ML. Am J Public Health. 2010;100 (suppl 1):S113-117.

REVIEW

Medication safety in acute care in Australia: where are we now? Part 1: a review of the extent and causes of medication problems 2002-2008.

Roughead EE, Semple SJ. Aust New Zealand Health Policy. 2009;6:18.

BOOK/REPORT

Standing Up for Doctors, Speaking Out for Patients. Final Report.

London, UK: Health Policy & Economic Research Unit, British Medical Association Scotland; May 2010.

STUDY

Challenges and opportunities to prevent transfusion errors: a Qualitative Evaluation for Safer Transfusion (QUEST).

Heddle NM, Fung M, Hervig T, et al; BEST Collaborative. Transfusion. 2012;52:1687-1695.

STUDY

Staff perceptions of quality of care: an observational study of the NHS Staff Survey in hospitals in England.

Pinder RJ, Greaves FE, Aylin PP, Jarman B, Bottle A. BMJ Qual Saf. 2013 Feb 20; [Epub ahead of print].

STUDY

Effects of two commercial electronic prescribing systems on prescribing error rates in hospital in-patients: a before and after study.

Westbrook JI, Reckmann M, Li L, et al. PLoS Med. 2012;9:e1001164.

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

Thomas AN, Panchagnula U. Anaesthesia. 2008;63:726-733.

STUDY

Impact of a statewide intensive care unit quality improvement initiative on hospital mortality and length of stay: retrospective comparative analysis.

Lipitz-Snyderman A, Steinwachs D, Needham DM, Colantuoni E, Morlock LL, Pronovost PJ. BMJ. 2011;342:d219.

BOOK/REPORT

HealthGrades Quality Study: Fourth Annual Patient Safety in American Hospitals Study.

Golden, CO: HealthGrades, Inc.; April 2007.

REVIEW

Adverse events in hospitals: the patient's point of view.

Massó Guijarro P, Aranaz Andrés JM, Mira JJ, Perdiguero E, Aibar C. Qual Saf Health Care. 2010;19:144-147.

STUDY

Introduction of discharge plan to reduce adverse events within 72 hours of discharge from the ICU.

Williams TA, Leslie GD, Elliott N, Brearley L, Dobb GJ. J Nurs Care Qual. 2010;25:73-79.

BOOK/REPORT

Hospital-acquired infections in Pennsylvania.

Harrisburg, PA: Pennsylvania Health Care Cost Containment Council; November 2006.

REVIEW

Inpatient fall prevention programs as a patient safety strategy: a systematic review.

Miake-Lye IM, Hempel S, Ganz DA, Shekelle PG. Ann Intern Med. 2013;158(5 Pt 2):390-396.

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