{1}
##LOC[OK]##
{1}
##LOC[OK]##
##LOC[Cancel]##
{1}
##LOC[OK]##
##LOC[Cancel]##
Skip Navigation
www.ahrq.gov
search
home
whatsnew
collection
primers
glossary
newsletter
mypsnet
newsletter
The Collection
>
Risk Managers
PATIENT SAFETY PRIMERS
Narrow By
clear selections
Safety Target
•
Device-related Complications (42)
•
Diagnostic Errors (53)
•
Identification Errors (33)
•
Discontinuities, Gaps, and Hand-Off Problems (73)
•
Fatigue and Sleep Deprivation (38)
•
Medication Safety (218)
•
Medical Complications (55)
•
Nonsurgical Procedural Complications (26)
•
Surgical Complications (112)
•
Transfusion Complications (5)
•
Psychological and Social Complications (23)
Origin/Sponsor
•
Asia (22)
•
Australia and New Zealand (27)
•
Central and South America (1)
•
Europe (131)
•
North America (510)
Resource Types
•
Audiovisual (7)
•
Award (2)
•
Book/Report (26)
•
Clinical Guideline (1)
•
Journal Article (589)
•
Legislation/Regulation (8)
•
Meeting/Conference (1)
•
Newsletter/Journal (2)
•
Newspaper/Magazine Article (58)
•
Press Release/Announcement (11)
•
Special or Theme Issue (8)
•
Tools/Toolkit (5)
•
Web Resource (5)
•
Grant (1)
Error Types
•
Epidemiology of Errors and Adverse Events (252)
•
Active Errors (124)
•
Latent Errors (45)
•
Near Miss (21)
Approach to Improving Safety
•
Quality Improvement Strategies (168)
•
Legal and Policy Approaches (70)
•
Error Reporting and Analysis (339)
•
Communication Improvement (123)
•
Human Factors Engineering (106)
•
Teamwork (39)
•
Specialization of Care (29)
•
Logistical Approaches (65)
•
Culture of Safety (72)
•
Technologic Approaches (91)
•
Education and Training (87)
Clinical Areas
•
Allied Health Services (2)
•
Medicine (494)
•
Nursing (33)
•
Pharmacy (65)
Target Audience
< All
Risk Managers
Setting of Care
•
Hospitals (405)
•
Psychiatric Facilities (4)
•
Residential Facilities (11)
•
Ambulatory Care (38)
•
Outpatient Surgery (12)
•
Patient Transport (8)
1 - 20
of 724
Show Excerpt
Don't Show Excerpt
Sort by relevance
Sort by significance
Sort by title
Sort by date
Sort by author
dropdown
NEWSPAPER/MAGAZINE ARTICLE
Leveraging technical and managerial changes to improve safety.
Pronovost P, Heifetz RA. Hosp Health Netw. March 27, 2007.
STUDY
Using system analysis to build a safety culture: improving the reliability of epidural analgesia.
Garnerin P, Huchet-Belouard A, Diby M, Clergue F. Acta Anaesthesiol Scand. 2006;50:1114-1119.
STUDY
A randomised controlled trial of the effect of continuous electronic physiological monitoring on the adverse event rate in high risk medical and surgical patients.
Watkinson PJ, Barber VS, Price JD, et al. Anaesthesia. 2006;61:1031-1039.
STUDY
An intervention to decrease catheter-related bloodstream infections in the ICU.
Pronovost P, Needham D, Berenholtz S, et al. N Engl J Med. 2006;355:2725-2732.
COMMENTARY
Using incident reporting to improve patient safety: a conceptual model.
Pronovost PJ, Holzmueller CG, Young J, et al. J Patient Saf. 2007;3:27-33.
CONGRESSIONAL TESTIMONY
Oversight hearing on recent patient safety issues.
Subcommittee on Oversight and Investigations, 109th Cong, 2nd Sess (June 15, 2006). (Testimony of James P. Bagian, MD, PE; John D. Daigh, Jr., MD; Daniel Schultz, MD; Laurie Ekstrand).
STUDY
Managing clinical failure: a complex adaptive system perspective.
Matthews JI, Thomas PT. Int J Health Care Qual Assur. 2007;20:184-194.
SPECIAL OR THEME ISSUE
Patient Safety Papers.
Baker GR, ed. Healthc Q. 2005;8:1-156.
COMMENTARY
Measuring safety culture in healthcare: a case for accurate diagnosis.
Flin R. Safety Sci. 2007;45:653-667.
NEWSPAPER/MAGAZINE ARTICLE
Naval aviation safety and its application to medicine.
Harmon KT. Patient Safety & Quality Healthcare. March/April 2006;3:20-26.
COMMENTARY
Retrieval medicine: a review and guide for UK practitioners. Part 2: safety in patient retrieval systems.
Hearns S, Shirley PJ. Emerg Med J. 2006;23:943-947.
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.
COMMENTARY
Passing the "Yo' Mama" test.
Blair R. Health Manage Tech. June 2006;27:16.
STUDY
Adverse incidents, patient flow and nursing workforce variables on acute psychiatric wards: the Tompkins Acute Ward Study.
Bowers L, Allan T, Simpson A, Nijman H, Warren J. Int J Soc Psychiatry. 2007;53:75-84.
STUDY
An observational study of changes to long-term medication after admission to an intensive care unit.
Campbell AJ, Bloomfield R, Noble DW. Anaesthesia.
2006;61:1087-1092.
STUDY
Comparison and interpretation of urinalysis performed by a nephrologist versus a hospital-based clinical laboratory.
Tsai JJ, Yeun JY, Kumar VA, Don BR. Am J Kidney Dis. 2005;46:820-829.
STUDY
What can we learn about patient safety from information sources within an acute hospital: a step on the ladder of integrated risk management?
Hogan H, Olsen S, Scobie S, et al. Qual Saf Health Care. 2008;17:209-215.
STUDY
The investigation and analysis of critical incidents and adverse events in healthcare.
Woloshynowych M, Rogers S, Taylor-Adams S, Vincent C. Health Technol Assess. May 2005;9:1-158.
REVIEW
Understanding factors that impact on health care professionals' risk perceptions and responses toward
Clostridium difficile
and methicillin-resistant
Staphylococcus aureus
: a structured literature review.
Burnett E, Kearney N, Johnston B, Corlett J, Macgillivray S. Am J Infect Control. 2013;41:394-400.
COMMENTARY
Unintended transplantation of three organs from an HIV-positive donor: report of the analysis of an adverse event in a regional health care service in Italy.
Bellandi T, Albolino S, Tartaglia R, Filipponi F. Transplant Proc. 2010;42:2187-2189.
1
2
3
4
5
6
7
8
9
10
11
Next >