AHRQ Patient Safety Network

The Collection > Health Care Executives and Administrators

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Safety Target

•Device-related Complications (97)

•Diagnostic Errors (92)

•Identification Errors (68)

•Discontinuities, Gaps, and Hand-Off Problems (332)

•Fatigue and Sleep Deprivation (103)

•Medication Safety (680)

•Medical Complications (278)

•Nonsurgical Procedural Complications (41)

•Surgical Complications (292)

•Transfusion Complications (8)

•Psychological and Social Complications (124)

Origin/Sponsor

•Asia (17)

•Australia and New Zealand (40)

•Europe (136)

•North America (2535)

Resource Types

•Clinical Guideline (1)

•Journal Article (1993)

•Legislation/Regulation (35)

•Meeting/Conference (21)

•Newsletter/Journal (6)

•Newspaper/Magazine Article (320)

•Press Release/Announcement (11)

•Special or Theme Issue (60)

•Tools/Toolkit (33)

•Web Resource (50)

•Grant (7)

Error Types

•Epidemiology of Errors and Adverse Events (453)

•Active Errors (264)

•Latent Errors (143)

•Near Miss (49)

Approach to Improving Safety

•Quality Improvement Strategies (726)

•Legal and Policy Approaches (338)

•Error Reporting and Analysis (738)

•Communication Improvement (778)

•Human Factors Engineering (304)

•Teamwork (403)

•Specialization of Care (213)

•Logistical Approaches (265)

•Culture of Safety (537)

•Technologic Approaches (461)

•Education and Training (543)

Clinical Areas

•Allied Health Services (8)

•Medicine (1657)

•Nursing (451)

•Pharmacy (232)

Target Audience
< All

Health Care Executives and Administrators

•Facility and Group Administrators (180)

•Nurse Managers (451)

•Risk Managers (236)

•Quality and Safety Professionals (764)

Setting of Care

•Hospitals (1744)

•Psychiatric Facilities (9)

•Residential Facilities (45)

•Ambulatory Care (153)

•Outpatient Surgery (21)

•Patient Transport (12)

1 - 20 of 2765

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SPECIAL OR THEME ISSUE

2009 Doctor-Nurse Behavior Survey.

Physician Exec. Nov-Dec 2009;5-22.

STUDY

Voluntary electronic reporting of medical errors and adverse events.

Milch CE, Salem DN, Pauker SG, Lundquist TG, Kumar S, Chen J. J Gen Intern Med. 2006;21:165-170.

STUDY

Nurse-physician communication during labor and birth: implications for patient safety.

Simpson KR, James DC, Knox GE. J Obset Gynol Neonatal Nurs. 2006;35:547-556.

STUDY

Discovering healthcare cognition: the use of cognitive artifacts to reveal cognitive work.

Nemeth C, O’Connor M, Klock PA, Cook R. Org Stud. 2006;27:1011-1035.

COMMENTARY

Medication orders are written clearly and transcribed accurately – implementing Medication Management Standard 3.20 and National Patient Safety Goal 2b.

Laselle TJ,May SK. Hosp Pharm. 2006;41:82-87.

COMMENTARY classic

A 38-year-old woman with fetal loss and hysterectomy.

Sachs BP. JAMA. 2005;294:833-840.

STUDY

Evaluation of a redesign initiative in an internal-medicine residency.

McMahon GT, Katz JT, Thorndike ME, Levy BD, Loscalzo J. N Engl J Med. 2010;362:1304-1311.

STUDY

"Did I do as best as the system would let me?" Healthcare professional views on hospital to home care transitions.

Davis MM, Devoe M, Kansagara D, Nicolaidis C, Englander H. J Gen Intern Med. 2012;27:1649-1656.

COMMENTARY

A theory-based instrument to evaluate team communication in the operating room: balancing measurement authenticity and reliability.

Lingard L, Regehr G, Espin S, Whyte S. Qual Saf Health Care. 2006;15:422-426.

COMMENTARY

Medical emergency team calls: the need to communicate a resuscitation plan.

MacPartlin M, Hillman KM. Jt Comm J Qual Patient Saf. 2007;33:54-56.

STUDY

Computerized provider order entry implementation: no association with increased mortality rates in an intensive care unit.

Del Beccaro MA, Jeffries HE, Eisenberg MA, Harry ED. Pediatrics. 2006;118:290-295.

COMMENTARY

System errors in intrapartum electronic fetal monitoring: a case review.

Miller LA. J Midwifery Womens Health. 2005;50:507-516.

STUDY

Discharge rounds in the 80-hour workweek: importance of the trauma nurse practitioner.

Haan JM, Dutton RP, Willis M, Leone S, Kramer ME, Scalea TM. J Trauma. 2007;63:339-343.

BOOK/REPORT

Silence Kills: The Seven Crucial Conversations for Healthcare.

Maxfield D, Grenny J, McMillan R, Patterson K, Switzler A. VitalSmarts; 2005.E45

STUDY

Errors associated with medications removed from automated dispensing machines using override functions.

Kester K, Baxter J, Freudenthal K. Hosp Pharm. 2006;41:535-537.

BOOK/REPORT

Recommendations for Safe Use of Insulin in Hospitals.

Bethesda, MD: American Society of Health-System Pharmacists; 2006.

REVIEW

Coordinating care across diseases, settings, and clinicians: a key role for the generalist in practice.

Stille CJ, Jerant A, Bell D, Meltzer D, Elmore JG. Ann Intern Med. 2005;142:700-708.

STUDY

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

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

COMMENTARY

Safety huddles in the PACU: when a patient self-medicates.

Setaro J, Connolly M. J Perianesth Nurs. 2011;26:96-102.

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.

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