AHRQ Patient Safety Network

The Collection > Facility and Group Administrators

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Safety Target

•Device-related Complications (8)

•Diagnostic Errors (17)

•Identification Errors (13)

•Discontinuities, Gaps, and Hand-Off Problems (51)

•Fatigue and Sleep Deprivation (20)

•Medication Safety (110)

•Medical Complications (29)

•Nonsurgical Procedural Complications (1)

•Surgical Complications (31)

•Transfusion Complications (2)

•Psychological and Social Complications (8)

Origin/Sponsor

•Asia (5)

•Australia and New Zealand (20)

Resource Types

•Journal Article (294)

•Legislation/Regulation (6)

•Newspaper/Magazine Article (40)

•Press Release/Announcement (1)

•Special or Theme Issue (4)

•Tools/Toolkit (8)

•Web Resource (10)

Error Types

•Epidemiology of Errors and Adverse Events (85)

•Active Errors (35)

•Latent Errors (24)

•Near Miss (12)

Approach to Improving Safety

•Quality Improvement Strategies (123)

•Legal and Policy Approaches (39)

•Error Reporting and Analysis (143)

•Communication Improvement (88)

•Human Factors Engineering (44)

•Teamwork (30)

•Specialization of Care (28)

•Logistical Approaches (36)

•Culture of Safety (74)

•Technologic Approaches (78)

•Education and Training (61)

Clinical Areas

•Allied Health Services (2)

•Complementary and Alternative Medicine (1)

•Medicine (225)

•Nursing (22)

•Pharmacy (13)

Target Audience
< All

Facility and Group Administrators

Setting of Care

•Hospitals (200)

•Psychiatric Facilities (2)

•Residential Facilities (18)

•Ambulatory Care (52)

•Outpatient Surgery (7)

•Patient Transport (3)

1 - 20 of 386

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STUDY

The influence of formulation and medicine delivery system on medication administration errors in care homes for older people.

Alldred DP, Standage C, Fletcher O, et al. BMJ Qual Saf. 2011;20:397-402.

BOOK/REPORT

The Patients' View: 2004 ISQSH National Survey.

Dublin, Ireland: Irish Society for Quality & Safety in Healthcare; 2005.

STUDY

A prospective hazard and improvement analytic approach to predicting the effectiveness of medication error interventions.

Karnon J, McIntosh A, Dean J, et al. Safety Sci. 2007;45:523-539.

COMMENTARY

Fewer but better auditory alarms will improve patient safety.

Edworthy J, Hellier E. Qual Saf Health Care. 2005;14:212-215.

NEWSPAPER/MAGAZINE ARTICLE

Ounce of prevention: to reduce errors, hospitals prescribe innovative designs.

Naik G. The Wall Street Journal. May 8, 2006:A1.

NEWSPAPER/MAGAZINE ARTICLE

How hospital design saves lives.

Blum A. Business Week. August 15, 2006.

STUDY

The culture of a trauma team in relation to human factors.

Cole E, Crichton N. J Clin Nurs. 2006;15:1257-1266.

ORGANIZATIONAL POLICY/GUIDELINES

Guidelines for Design and Construction of Health Care Facilities.

Washington, DC: The American Institute of Architects; 2006.

STUDY

Improving general practice computer systems for patient safety: qualitative study of key stakeholders.

Avery AJ, Savelyich BSP, Sheikh A, Morris CJ, Bowler I, Teasdale S. Qual Saf Health Care. 2007;16:28-33.

NEWSPAPER/MAGAZINE ARTICLE

The dawn of the robo-docs.

Weber DO. Hosp Health Netw. March 14, 2006.

MULTI-USE WEBSITE

Safer Patients Network.

London, UK: The Health Foundation.

BOOK/REPORT

Safety First: One Year On.

London, UK: National Patient Safety Agency; 2007. ISBN: 9780955634093.

COMMENTARY

The Dangerous Detour.

Gibson J, Taylor D. AHRQ WebM&M [serial online]. June 2003.

BOOK/REPORT

With Safety in Mind: Mental Health Services and Patient Safety.

Scobie S, Minghella E, Dale C, Thomson R, Lelliott P, Hill K. London, UK: National Patient Safety Agency; July 2006.

STUDY

Patient safety in primary care has many aspects: an interview study in primary care doctors and nurses.

Gaal S, van Laarhoven E, Wolters R, Wetzels R, Verstappen W, Wensing M. J Eval Clin Pract. 2010;16:639-643.

TOOLKIT

Engaging Clinicians.

National Patient Safety Agency. London, England: NHS; 2005.

COMMENTARY

Junior doctors' shifts and sleep deprivation.

Murray A, Pounder R. Mather H, Black DC. BMJ. 2005;330:1404.

NEWSPAPER/MAGAZINE ARTICLE

Ambulatory surgery facilities: a comprehensive review of medication error reports in Pennsylvania.

PA-PSRS Patient Saf Advis. September 2011;8:85-93.

STUDY

The reporting of patient safety incidents—first experiences with the chiropractic reporting and learning system (CRLS): a pilot study.

Thiel H, Bolton J. Clin Chiropract. 2006;9:139-149.

STUDY

The impact of the 80-hour resident workweek on surgical residents and attending surgeons.

Hutter MM, Kellogg KC, Ferguson CM, Abbott WM, Warshaw AL. Ann Surg. 2006;243:864-871; discussion 871-875.

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