AHRQ Patient Safety Network

The Collection > Risk Managers

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Safety Target

•Device-related Complications (40)

•Diagnostic Errors (66)

•Identification Errors (35)

•Discontinuities, Gaps, and Hand-Off Problems (82)

•Fatigue and Sleep Deprivation (43)

•Medication Safety (222)

•Medical Complications (47)

•Nonsurgical Procedural Complications (25)

•Surgical Complications (108)

•Transfusion Complications (6)

•Psychological and Social Complications (24)

Origin/Sponsor

•Asia (14)

•Australia and New Zealand (22)

•Central and South America (1)

Resource Types

•Journal Article (595)

•Legislation/Regulation (9)

•Meeting/Conference (2)

•Newsletter/Journal (2)

•Newspaper/Magazine Article (67)

•Press Release/Announcement (6)

•Special or Theme Issue (5)

•Tools/Toolkit (6)

•Web Resource (7)

•Grant (1)

Error Types

•Epidemiology of Errors and Adverse Events (235)

•Active Errors (137)

•Latent Errors (46)

•Near Miss (21)

Approach to Improving Safety

•Quality Improvement Strategies (166)

•Legal and Policy Approaches (94)

•Error Reporting and Analysis (317)

•Communication Improvement (150)

•Human Factors Engineering (97)

•Teamwork (43)

•Specialization of Care (30)

•Logistical Approaches (69)

•Culture of Safety (57)

•Technologic Approaches (112)

•Education and Training (93)

Clinical Areas

•Allied Health Services (3)

•Medicine (493)

•Nursing (42)

•Pharmacy (74)

Target Audience
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Risk Managers

Setting of Care

•Hospitals (393)

•Psychiatric Facilities (4)

•Residential Facilities (12)

•Ambulatory Care (47)

•Outpatient Surgery (10)

•Patient Transport (10)

1 - 20 of 732

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STUDY

Effects of teamwork training on adverse outcomes and process of care in labor and delivery: a randomized controlled trial.

Nielsen PE, Goldman MB, Mann S, et al. Obstet Gynecol. 2007;109:48-55.

STUDY

Speaking up and sharing information improves trainee neonatal resuscitations.

Katakam LI, Trickey AW, Thomas EJ. J Patient Saf. 2012;8:202-209.

STUDY

Liability associated with obstetric anesthesia: a closed claims analysis.

Davies JM, Posner KL, Lee LA, Cheney FW, Domino KB. Anesthesiology. 2009;110:131-139.

NEWSPAPER/MAGAZINE ARTICLE

What pilots can teach hospitals about patient safety.

Murphy K. New York Times. October 31, 2006:F5.

COMMENTARY

A multifaceted approach to improve patient safety, prevent medical errors and resolve the professional liability crisis.

Weinstein L. Am J Obstet Gynecol. 2006;194:1160-1165; discussion 1165-1167.

COMMENTARY

Medical liability and patient safety: setting the proper course.

Pearlman MD, Gluck PA. Obstet Gynecol. 2005;105:941-943.

COMMENTARY

One intensive care nursery's experience with enhancing patient safety.

Alton M, Mericle J, Brandon D. Adv Neonatal Care. 2006;6:112-119.

STUDY

Intralipid medication errors in the neonatal intensive care unit.

Chuo J, Lambert G, Hicks RW. Jt Comm J Qual Patient Saf. 2007;33:104-111.

STUDY

Communication in critical care environments: mobile telephones improve patient care.

Soto RG, Chu LF, Goldman JM, Rampil IJ, Ruskin KJ. Anesth Analg. 2006;102:535-541.

COMMENTARY

Right? Left? Neither!

Howell EA, Chassin MR. AHRQ WebM&M [serial online]. May 2006.

STUDY

Governing the surgical count through communication interactions: implications for patient safety.

Riley R, Manias E, Polglase A. Qual Saf Health Care. 2006;15:369-374.

NEWSPAPER/MAGAZINE ARTICLE

Promethazine conundrum: IV can hurt more than IM injection!

ISMP Medication Safety Alert! Acute Care Edition. November 2, 2006;11:1-3.

STUDY

Mobile in situ obstetric emergency simulation and teamwork training to improve maternal–fetal safety in hospitals.

Guise J, Lowe NK, Deering S, et al. Jt Comm J Qual Patient Saf. 2010;36:443-453:AP1-AP2.

STUDY

Effect of a comprehensive obstetric patient safety program on compensation payments and sentinel events.

Grunebaum A, Chervenak F, Skupski D. Am J Obstet Gynecol. 2011;204:97-105.

NEWSPAPER/MAGAZINE ARTICLE

Safety in ASCs: putting patients first.

Dix K. Today's Surgicenter. December 1, 2006.

STUDY

Operating room briefings and wrong-site surgery.

Makary MA, Mukherjee A, Sexton BJ, et al. J Am Coll Surg. 2007;204:236-243.

STUDY

Wrong-side/wrong-site, wrong-procedure, and wrong-patient adverse events: are they preventable?

Seiden SC, Barach P. Arch Surg. 2006;141:931-939.

NEWSPAPER/MAGAZINE ARTICLE

Patient safety in the ED.

Scalise D, Lazar C. Hosp Health Netw. May 2006:80:5,48,2.

STUDY

Observational assessment of surgical teamwork: a feasibility study.

Undre S, Healey AN, Darzi A, Vincent CA. World J Surg. 2006;30:1774-1783.

NEWSPAPER/MAGAZINE ARTICLE

Costly issues of an uncommunicative OR.

Neil R. Mat Manage Health Care. March 2006;15:30-33.

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