AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (122)

•Diagnostic Errors (80)

•Identification Errors (67)

•Discontinuities, Gaps, and Hand-Off Problems (348)

•Fatigue and Sleep Deprivation (84)

•Medication Safety (775)

•Medical Complications (391)

•Nonsurgical Procedural Complications (56)

•Surgical Complications (210)

•Transfusion Complications (15)

•Psychological and Social Complications (112)

Origin/Sponsor

•Australia and New Zealand (61)

•Central and South America (1)

•Europe (296)

•North America (2681)

Resource Types

•Audiovisual (28)

•Bibliography (2)

•Book/Report (258)

•Clinical Guideline (1)

•Journal Article (2156)

•Legislation/Regulation (44)

•Meeting/Conference (33)

•Newsletter/Journal (6)

•Newspaper/Magazine Article (344)

•Press Release/Announcement (12)

•Special or Theme Issue (68)

•Tools/Toolkit (44)

•Web Resource (84)

Error Types

•Epidemiology of Errors and Adverse Events (609)

•Active Errors (301)

•Latent Errors (196)

•Near Miss (50)

Approach to Improving Safety

•Quality Improvement Strategies (1027)

•Legal and Policy Approaches (444)

•Error Reporting and Analysis (962)

•Communication Improvement (666)

•Human Factors Engineering (314)

•Teamwork (247)

•Specialization of Care (229)

•Logistical Approaches (241)

•Culture of Safety (604)

•Technologic Approaches (531)

•Education and Training (546)

Clinical Areas

•Allied Health Services (7)

•Dentistry (1)

•Medicine (1990)

•Nursing (246)

•Pharmacy (287)

Target Audience
< All

Health Care Executives and Administrators

•Facility and Group Administrators (206)

•Nurse Managers (226)

•Risk Managers (226)

•Quality and Safety Professionals (920)

Setting of Care

•Hospitals (2252)

•Psychiatric Facilities (11)

•Residential Facilities (41)

•Ambulatory Care (215)

•Outpatient Surgery (28)

•Patient Transport (13)

1 - 20 of 3118

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NEWSPAPER/MAGAZINE ARTICLE

AHRQ presses on: no rule yet, but agency taps 10 safety organizations.

DerGurahain J. Mod Healthc. November 10, 2008;38:8.

SPECIAL OR THEME ISSUE

Journal of Quality Improvement in Healthcare, Second Edition.

Heilman J, ed. Albuquerque, NM: University of New Mexico; May 2013.

BOOK/REPORT

The Patient Safety Initiative at America’s Public Hospitals: The Year One Overview.

Research Brief. Washington, DC: National Association of Public Hospitals and Health Systems; January 2011.

NEWSPAPER/MAGAZINE ARTICLE

Patient safety front and center.

Terry K. Hosp Health Netw. July 2011;85:38-40, 42.

NEWSPAPER/MAGAZINE ARTICLE

Fixing relationships, preventing errors.

McGinn P, Chabon R. HHN Magazine Online. November 25, 2008.

STUDY

Hospital governance and the quality of care.

Jha AK, Epstein AM. Health Aff (Millwood). 2010;29:182-187.

BOOK/REPORT

Tennessee Center for Patient Safety Annual Report 2010.

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

NEWSPAPER/MAGAZINE ARTICLE

Hospitals boost patients' power as advisers.

Landro L. Wall Street Journal. August 8, 2007:D1.

COMMENTARY

A framework for patient safety: a defense nuclear industry-based high-reliability model.

Birnbach DJ, Rosen LF, Williams L, Fitzpatrick M, Lubarsky DA, Menna JD. Jt Comm J Qual Patient Saf. 2013;39:233-240.

BOOK/REPORT

Health Care Leaders Action Guide: Hospital Strategies for Reducing Preventable Mortality.

Chicago, IL: Health Research & Educational Trust; March 2011.

REVIEW

Interdisciplinary teamwork in hospitals: a review and practical recommendations for improvement.

O'Leary KJ, Sehgal NL, Terrell G, Williams MV; High Performance Teams and the Hospital of the Future Project Team. J Hosp Med. 2011 Oct 31; [Epub ahead of print].

STUDY

Factors associated with reported preventable adverse drug events: a retrospective, case-control study.

Beckett RD, Sheehan AH, Reddan JG. Ann Pharmacother. 2012;46:634-641.

COMMENTARY

A new frontier in patient safety.

McCannon J, Berwick DM. JAMA. 2011;305:2221-2222.

MULTI-USE WEBSITE

BOOSTing Care Transitions Resource Room.

Project BOOST (Better Outcomes for Older adults through Safe Transitions), Society of Hospital Medicine.

NEWSPAPER/MAGAZINE ARTICLE

Could it happen here? Learning from other organizations' safety errors.

Conway J. Healthc Exec. November/December 2008;23:64-67.

COMMENTARY

Minnesota Hospital Association Statewide Project: SAFE from FALLS.

Apold J, Quigley PA. J Nurs Care Qual. 2012;27:299-306.

BOOK/REPORT

Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2009.

Oakbrook Terrace, IL: The Joint Commission; January 2010.

COMMENTARY

As she lay dying: how I fought to stop medical errors from killing my mom.

Welch JR. Health Aff (Millwood). 2012;31:2817-2820.

BOOK/REPORT

Utah Tenth Anniversary (2001–2011) Patient Safety Report: Identifying Opportunities for Improvement.

Salt Lake City, UT: Utah Department of Health, HealthInsight, Utah Hospital Association; 2012.

BOOK/REPORT

Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2010.

Oakbrook Terrace, IL: The Joint Commission; September 2010.

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