AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (173)

•Diagnostic Errors (199)

•Identification Errors (118)

•Discontinuities, Gaps, and Hand-Off Problems (566)

•Fatigue and Sleep Deprivation (100)

•Medication Safety (1087)

•Medical Complications (423)

•Nonsurgical Procedural Complications (109)

•Surgical Complications (620)

•Transfusion Complications (16)

•Psychological and Social Complications (162)

Origin/Sponsor

•Africa (6)

•Asia (36)

•Australia and New Zealand (117)

•Central and South America (8)

•Europe (541)

•North America (3179)

Resource Types

•Clinical Guideline (11)

•Journal Article (2899)

•Legislation/Regulation (63)

•Meeting/Conference (35)

•Newsletter/Journal (13)

•Newspaper/Magazine Article (327)

•Press Release/Announcement (38)

•Special or Theme Issue (77)

•Tools/Toolkit (68)

•Web Resource (140)

•Grant (12)

Error Types

•Epidemiology of Errors and Adverse Events (806)

•Active Errors (648)

•Latent Errors (273)

•Near Miss (80)

Approach to Improving Safety

•Quality Improvement Strategies (961)

•Legal and Policy Approaches (371)

•Error Reporting and Analysis (1018)

•Communication Improvement (1159)

•Human Factors Engineering (611)

•Teamwork (428)

•Specialization of Care (290)

•Logistical Approaches (296)

•Culture of Safety (617)

•Technologic Approaches (606)

•Education and Training (805)

Clinical Areas

•Allied Health Services (15)

•Complementary and Alternative Medicine (1)

Target Audience
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Health Care Providers

•Allied Health Professionals (11)

•Clinical Technologists (30)

Setting of Care

•Psychiatric Facilities (18)

•Residential Facilities (72)

•Ambulatory Care (370)

•Outpatient Surgery (45)

•Patient Transport (44)

1 - 20 of 3992

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REVIEW

Teamwork and patient safety in dynamic domains of healthcare: a review of the literature.

Manser T. Acta Anaesthesiol Scand. 2009;53:143-151.

REVIEW

Can we make postoperative patient handovers safer? A systematic review of the literature.

Segall N, Bonifacio AS, Schroeder RA, et al; Durham VA Patient Safety Center of Inquiry. Anesth Analg. 2012;115:102-115.

STUDY

Burns surgery handover study: trainees' assessment of current practice in the British Isles.

Al-Benna S, Al-Ajam Y, Alzoubaidi D. Burns. 2009;35:509-512.

COMMENTARY

All in the History

Fee C. AHRQ WebM&M [serial online]. February/March 2009.

STUDY

Patient handover from surgery to intensive care: using Formula 1 pit-stop and aviation models to improve safety and quality.

Catchpole KR, de Leval MR, McEwan A, et al. Paediatr Anaesth. 2007;17:470-478.

COMMENTARY

On the Other Hand

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

SPECIAL OR THEME ISSUE

Safety in EMS.

Brice JH, Patterson PD, eds. Prehosp Emerg Care. 2012;16:1-108.

STUDY

The Emergency Medical Services Safety Attitudes Questionnaire.

Patterson PD, Huang DT, Fairbanks RJ, Wang HE. Am J Med Qual. 2010;25:109-115.

STUDY

Pilot implementation of a perioperative protocol to guide operating room-to-intensive care unit patient handoffs.

Petrovic MA, Aboumatar H, Baumgartner WA, et al. J Cardiothorac Vasc Anesth. 2012;26:11-16.

BOOK/REPORT classic

Patient Safety in Emergency Medicine.

Croskerry P, Cosby KS, Schenkel SM, Wears RL, eds. Philadelphia, PA: Lippincott Williams & Wilkins; 2009. ISBN: 9780781777278.

STUDY

Error, stress, and teamwork in medicine and aviation: cross sectional surveys.

Sexton JB, Thomas EJ, Helmreich RL. BMJ. 2000;320:745-749.

STUDY

Uncovering system errors using a rapid response team: cross-coverage caught in the crossfire.

Kaplan LJ, Maerz LL, Schuster K, et al. J Trauma. 2009;67:173-179.

STUDY

Surgical team behaviors and patient outcomes.

Mazzocco K, Petitti DB, Fong KT, et al. Am J Surg. 2009;197:678-685.

STUDY

Operating room teamwork among physicians and nurses: teamwork in the eye of the beholder.

Makary MA, Sexton JB, Freischlag JA, et al. J Am Coll Surg. 2006;202:746-752.

REVIEW

Clinical handover of patients arriving by ambulance to the emergency department: a literature review.

Bost N, Crilly J, Wallis M, Patterson E, Chaboyer W. Int Emerg Nurs. 2010;18:210-220.

SPECIAL OR THEME ISSUE

Human Factors in Anaesthesia and Critical Care.

Hardman JG, Moppett IK, eds. Br J Anaesth. 2010;105:1-83.

REVIEW

Information transfer and communication in surgery: a systematic review.

Nagpal K, Vats A, Lamb B, et al. Ann Surg. 2010;252:225-239.

STUDY

'The ABC of Handover': impact on shift handover in the emergency department.

Farhan M, Brown R, Vincent C, Woloshynowych M. Emerg Med J. 2012;29:947-953.

COMMENTARY

Dangerous Shift

Patterson ES. AHRQ WebM&M [serial online]. November 2008.

BOOK/REPORT

Safe Handover: Safe Patients.

Kingston, ACT, Australia: Australian Medical Association; 2006.

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