AHRQ Patient Safety Network

The Collection > Health Care Executives and Administrators

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Safety Target

•Device-related Complications (169)

•Diagnostic Errors (144)

•Identification Errors (109)

•Discontinuities, Gaps, and Hand-Off Problems (375)

•Fatigue and Sleep Deprivation (87)

•Medication Safety (976)

•Medical Complications (500)

•Nonsurgical Procedural Complications (92)

•Surgical Complications (396)

•Transfusion Complications (22)

•Psychological and Social Complications (115)

Origin/Sponsor

•Africa (6)

•Asia (35)

•Australia and New Zealand (104)

•Central and South America (9)

•Europe (367)

•North America (3093)

Resource Types

•Clinical Guideline (3)

•Journal Article (2634)

•Legislation/Regulation (48)

•Meeting/Conference (45)

•Newsletter/Journal (13)

•Newspaper/Magazine Article (332)

•Press Release/Announcement (29)

•Special or Theme Issue (69)

•Tools/Toolkit (46)

•Web Resource (110)

•Grant (15)

Error Types

•Epidemiology of Errors and Adverse Events (1087)

•Active Errors (454)

•Latent Errors (182)

•Near Miss (66)

Approach to Improving Safety

•Quality Improvement Strategies (1121)

•Legal and Policy Approaches (436)

•Error Reporting and Analysis (1113)

•Communication Improvement (806)

•Human Factors Engineering (424)

•Teamwork (323)

•Specialization of Care (305)

•Logistical Approaches (257)

•Culture of Safety (628)

•Technologic Approaches (619)

•Education and Training (644)

Clinical Areas

•Allied Health Services (14)

Target Audience
< All

Health Care Executives and Administrators

•Facility and Group Administrators (223)

•Nurse Managers (193)

•Risk Managers (392)

•Quality and Safety Professionals (1303)

Setting of Care

•Hospitals (2317)

•Psychiatric Facilities (15)

•Residential Facilities (73)

•Ambulatory Care (275)

•Outpatient Surgery (38)

•Patient Transport (34)

1 - 20 of 3672

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STUDY

Eradicating central line–associated bloodstream infections statewide: the Hawaii experience.

Lin DM, Weeks K, Bauer L, et al. Am J Med Qual. 2012;27:124-129.

STUDY

A multifaceted program for improving quality of care in intensive care units: IATROREF study.

Garrouste-Orgeas M, Soufir L, Tabah A, et al; Outcomerea Study Group. Crit Care Med. 2012;40:468-476.

STUDY

Competence and certification of registered nurses and safety of patients in intensive care units.

Kendall-Gallagher D, Blegen MA. Am J Crit Care. 2009;18:106-113.

STUDY

Measuring communication in the surgical ICU: better communication equals better care.

Williams M, Hevelone N, Alban RF, et al. J Am Coll Surg. 2010;210:17-22.

STUDY

Intervention to reduce transmission of resistant bacteria in intensive care.

Huskins WC, Huckabee CM, O'Grady NP, et al; STAR*ICU Trial Investigators. N Engl J Med. 2011;364:1407-1418.

MULTI-USE WEBSITE

Medical Event Data Collection and Analysis Service (MEDCAS).

Cognitive Technologies Laboratory, University of Chicago.

STUDY

Prevalence of adverse events in pediatric intensive care units in the United States.

Agarwal S, Classen D, Larsen G, et al. Pediatr Crit Care Med. 2010;11:568-578.

STUDY

Intensive care unit safety incidents for medical versus surgical patients: a prospective multicenter study.

Sinopoli DJ, Needham DM, Thompson DA, et al. J Crit Care. 2007;22:177-183.

STUDY

Maintaining and sustaining the On the CUSP: Stop BSI model in Hawaii.

Lin DM, Weeks K, Holzmueller CG, Pronovost PJ, Pham JC. Jt Comm J Qual Patient Saf. 2013;39:51-60.

STUDY

Four years' experience with a hospitalist-led medical emergency team: an interrupted time series.

Rothberg MB, Belforti R, Fitzgerald J, Friderici J, Keyes M. J Hosp Med. 2012;7:98-103.

STUDY

Patient safety event reporting in critical care: a study of three intensive care units.

Harris CB, Krauss MJ, Coopersmith CM, et al. Crit Care Med. 2007;35:1068-1076.

STUDY

Using evidence, rigorous measurement, and collaboration to eliminate central catheter-associated bloodstream infections.

Sawyer M, Weeks K, Goeschel CA, et al. Crit Care Med. 2010;38(suppl 8):S292-S298.

COMMENTARY

Critical care checklists, the Keystone Project, and the Office for Human Research Protections: a case for streamlining the approval process in quality-improvement research.

Savel RH, Goldstein EB, Gropper MA. Crit Care Med. 2009;37:725-728.

STUDY

Iatrogenic events resulting in intensive care admission: frequency, cause, and disclosure to patients and institutions.

Lehmann LS, Puopolo AL, Shaykevich S, Brennan TA. Am J Med. 2005;118:409-413.

STUDY

Tracking rates of patient safety indicators over time: lessons from the Veterans Administration.

Rosen AK, Zhao S, Rivard P, et al. Med Care. 2006;44:850-861.

STUDY

Reducing catheter-associated bloodstream infections in the pediatric intensive care unit: business case for quality improvement.

Nowak JE, Brilli RJ, Lake MR, et al. Pediatr Crit Care Med. 2010;11:579-587.

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.

COMMENTARY

Quality: performance improvement, teamwork, information technology and protocols.

Coleman NE, Pon S. Crit Care Clin. 2013;29:129-151.

BOOK/REPORT

Patient Safety in the Intensive Care Unit.

Oak Brook, IL: Joint Commission Resources; 2010. ISBN: 9781599403144.

STUDY

Multiprofessional survey of protocol use in the intensive care unit.

LeBlanc JM, Kane-Gill SL, Pohlman AS, Herr DL. J Crit Care. 2012;27:738.e9-738.e17.

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