AHRQ Patient Safety Network

The Collection > Risk Managers

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Safety Target

•Device-related Complications (44)

•Diagnostic Errors (62)

•Identification Errors (32)

•Discontinuities, Gaps, and Hand-Off Problems (83)

•Fatigue and Sleep Deprivation (44)

•Medication Safety (253)

•Medical Complications (61)

•Nonsurgical Procedural Complications (32)

•Surgical Complications (114)

•Transfusion Complications (6)

•Psychological and Social Complications (27)

Origin/Sponsor

•Asia (25)

•Australia and New Zealand (24)

•Central and South America (1)

Resource Types

•Clinical Guideline (1)

•Journal Article (674)

•Legislation/Regulation (9)

•Meeting/Conference (2)

•Newsletter/Journal (3)

•Newspaper/Magazine Article (68)

•Press Release/Announcement (12)

•Special or Theme Issue (9)

•Tools/Toolkit (6)

•Web Resource (6)

•Grant (1)

Error Types

•Epidemiology of Errors and Adverse Events (278)

•Active Errors (145)

•Latent Errors (47)

•Near Miss (24)

Approach to Improving Safety

•Quality Improvement Strategies (179)

•Legal and Policy Approaches (99)

•Error Reporting and Analysis (369)

•Communication Improvement (153)

•Human Factors Engineering (119)

•Teamwork (40)

•Specialization of Care (33)

•Logistical Approaches (72)

•Culture of Safety (69)

•Technologic Approaches (117)

•Education and Training (91)

Clinical Areas

•Allied Health Services (2)

•Medicine (546)

•Nursing (45)

•Pharmacy (81)

Target Audience
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Risk Managers

Setting of Care

•Hospitals (455)

•Psychiatric Facilities (3)

•Residential Facilities (11)

•Ambulatory Care (51)

•Outpatient Surgery (11)

•Patient Transport (7)

1 - 20 of 828

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STUDY

Effects of technological interventions on the safety of a medication-use system.

Skibinski KA, White BA, Lin LI, Dong Y, Wu W. Am J Health Syst Pharm. 2007;64:90-96.

COMMENTARY

Detection of patient risk by nurses: a theoretical framework.

Despins LA, Scott-Cawiezell J, Rouder JN. J Adv Nurs. 2010;66:465-474.

COMMENTARY

Relationships among teams, culture, safety, and cost outcomes.

Brewer BB. West J Nurs Res. 2006;28:641-653.

STUDY

Hospital staff nurses' shift length associated with safety and quality of care.

Stimpfel AW, Aiken LH. J Nurs Care Qual. 2013;28:122-129.

STUDY

How long and how much are nurses now working?

Trinkoff A, Geiger-Brown J, Brady B, Lipscomb J, Muntaner C. Am J Nurs. April 2006;106:60-71.

STUDY

Detection and prevention of medication errors using real-time bedside nurse charting.

Nelson NC, Evans RS, Samore MH, Gardner RM. J Am Med Inform Assoc. 2005;12:390-397.

NEWSPAPER/MAGAZINE ARTICLE

ALERT: reports of severe harm after intravenous administration of breast milk to infants.

ISMP Canada Safety Bulletin. July 31, 2011;11:1-2.

COMMENTARY

Time to get off this pig's back?: the human factors aspects of the mismatch between device and real-world knowledge in the health care environment.

Nunnally ME, Bitan Y. J Patient Saf. 2006;2:124-131.

STUDY

Patient self-medication--a change in hospital practice.

Grantham G, McMillan V, Dunn SV, Gassner LA, Woodcock P. J Clin Nurs. 2006;15:962-970.

STUDY

Hospital nurse staffing and patient mortality, emotional exhaustion, and job dissatisfaction.

Halm M, Peterson M, Kandels M, et al. Clin Nurse Spec. 2005;19:241-251.

STUDY

Daytime sleepiness, sleep habits and occupational accidents among hospital nurses.

Suzuki K, Ohida T, Kaneita Y, Yokoyama E, Uchiyama M. J Adv Nurs. 2005;52:445-453.

STUDY

The nurse's role in the causation of compensable injury.

Painter LM, Dudjak LA, Kidwell KM, Simmons RL, Kidwell RP. J Nurs Care Qual. 2011;4:311-319.

NEWSPAPER/MAGAZINE ARTICLE

Hospitals cutting nurses' long shifts.

Kowalczyk L. Boston Globe. September 17, 2005:A1.

STUDY

Adverse drug events caused by serious medication administration errors.

Kale A, Keohane CA, Maviglia S, Gandhi TK, Poon EG. BMJ Qual Saf. 2012;21:933-938.

STUDY

The cost of nurse-sensitive adverse events.

Pappas SH. J Nurs Adm. 2008;38:230-236.

STUDY

An examination of technical efficiency, quality, and patient safety in acute care nursing units.

Mark B, Jones C, Lindley L, Ozcan Y. Policy Polit Nurs Pract. 2009;10:180-186.

STUDY

Improving nurse-to-patient staffing ratios as a cost-effective safety intervention.

Rothberg MB, Abraham I, Lindenauer PK, Rose DN. Med Care. 2005;43:785-791.

STUDY

How reliable are clinical systems in the UK NHS? A study of seven NHS organisations.

Burnett S, Franklin BD, Moorthy K, Cooke MW, Vincent C. BMJ Qual Saf. 2012;21:466-472.

NEWSPAPER/MAGAZINE ARTICLE

Soaring to new safety heights.

Ketter P. T&D. January 2006;60:51-54.

STUDY

Triangulating case-finding tools for patient safety surveillance: a cross-sectional case study of puncture/laceration.

Taylor JA, Gerwin D, Morlock L, Miller MR. Inj Prev. 2011;17:388-393.

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