AHRQ Patient Safety Network

The Collection > Quality and Safety Professionals

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Safety Target

•Device-related Complications (38)

•Diagnostic Errors (51)

•Identification Errors (38)

•Discontinuities, Gaps, and Hand-Off Problems (108)

•Fatigue and Sleep Deprivation (41)

•Medication Safety (270)

•Medical Complications (95)

•Nonsurgical Procedural Complications (27)

•Surgical Complications (152)

•Transfusion Complications (3)

•Psychological and Social Complications (83)

Origin/Sponsor

•Asia (26)

•Australia and New Zealand (134)

•Central and South America (1)

Resource Types

•Clinical Guideline (1)

•Journal Article (866)

•Legislation/Regulation (8)

•Meeting/Conference (4)

•Newsletter/Journal (2)

•Newspaper/Magazine Article (65)

•Press Release/Announcement (11)

•Special or Theme Issue (14)

•Tools/Toolkit (9)

•Web Resource (9)

•Grant (2)

Error Types

•Epidemiology of Errors and Adverse Events (265)

•Active Errors (157)

•Latent Errors (69)

•Near Miss (22)

Approach to Improving Safety

•Quality Improvement Strategies (251)

•Legal and Policy Approaches (89)

•Error Reporting and Analysis (380)

•Communication Improvement (272)

•Human Factors Engineering (152)

•Teamwork (125)

•Specialization of Care (61)

•Logistical Approaches (79)

•Culture of Safety (147)

•Technologic Approaches (131)

•Education and Training (187)

Clinical Areas

•Allied Health Services (3)

Target Audience
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Quality and Safety Professionals

Setting of Care

•Hospitals (607)

•Psychiatric Facilities (3)

•Residential Facilities (10)

•Ambulatory Care (65)

•Outpatient Surgery (12)

•Patient Transport (11)

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BOOK/REPORT

Risk Management Pearls on Disclosure of Adverse Events.

Amori G. Chicago, IL: American Society for Healthcare Risk Management; 2006.

STUDY

Assessing residents' communication skills: disclosure of an adverse event to a standardized patient.

Posner G, Nakajima A. J Obstet Gynaecol Can. 2011;33:262-268.

COMMENTARY

In Conversation with...Allan Frankel, MD

AHRQ WebM&M [serial online]. July 2006.

COMMENTARY

Medication errors: immunisation.

Bird S. Aust Fam Physician. 2006;35:735-737.

STUDY

Disclosure of hospital adverse events and its association with patients' ratings of the quality of care.

López L, Weissman JS, Schneider EC, Weingart SN, Cohen AP, Epstein AM. Arch Intern Med. 2009;169:1888-1894.

STUDY

Attitudes and barriers to a medical emergency team system at a tertiary paediatric hospital.

Azzopardi P, Kinney S, Moulden A, Tibballs J. Resuscitation. 2011;82:167-174.

STUDY

Persistent next-day effects of excessive alcohol consumption on laparoscopic surgical performance.

Gallagher AG, Boyle E, Toner P, et al. Arch Surg. 2011;146:419-426.

REVIEW

An empirically derived taxonomy of factors affecting physicians' willingness to disclose medical errors.

Kaldjian LC, Jones EW, Rosenthal GE, Tripp-Reimer T, Hillis SL. J Gen Intern Med. 2006;21:942-948.

STUDY

Patient perspectives of patient–provider communication after adverse events.

Duclos CW, Eichler M, Taylor L, et al. Int J Qual Health Care. 2005;17:479-86.

COMMENTARY

What happens when things go wrong?

Brandom BW, Callahan P, Micalizzi DA. Paediatr Anaesth. 2011;21:730-736.

COMMENTARY

Successful remediation of patient safety incidents: a tale of two medication errors.

Helmchen LA, Richards MR, McDonald TB. Health Care Manage Rev. 2011;36:1-10.

STUDY

Improving the patient, family, and clinician experience after harmful events: the "When Things Go Wrong" curriculum.

Bell SK, Moorman DW, Delbanco T. Acad Med. 2010;85:1010-1017.

STUDY

Putting the 'patient' in patient safety: a qualitative study of consumer experiences.

Rathert C, Brandt J, Williams ES. Health Expect. 2012;15:327-336.

STUDY

Patient education to prevent falls among older hospital inpatients: a randomized controlled trial.

Haines TP, Hill A-M, Hill KD, et al. Arch Intern Med. 2011;171:516-524.

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

Ambulance personnel perceptions of near misses and adverse events in pediatric patients.

Cushman JT, Fairbanks RJ, O'Gara KG, et al. Prehosp Emerg Care. 2010;14:477-484.

COMMENTARY

How to discuss errors and adverse events with cancer patients.

Yardley IE, Yardley SJ, Wu AW. Curr Oncol Rep. 2010;12:253-260.

COMMENTARY

The patient safety battles—put on your armor.

Denham CR. J Patient Saf. 2006;2:97-101.

COMMENTARY

Right? Left? Neither!

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

COMMENTARY

Managing the adverse event occurring during elective, ambulatory pediatric surgery.

Skarsgard ED. Semin Pediatr Surg. 2009;18:122-124.

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