AHRQ Patient Safety Network

The Collection > Quality and Safety Professionals

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Safety Target

•Device-related Complications (84)

•Diagnostic Errors (72)

•Identification Errors (33)

•Discontinuities, Gaps, and Hand-Off Problems (180)

•Fatigue and Sleep Deprivation (47)

•Medication Safety (360)

•Medical Complications (173)

•Nonsurgical Procedural Complications (33)

•Surgical Complications (181)

•Transfusion Complications (4)

•Psychological and Social Complications (50)

Origin/Sponsor

•Africa (1)

•Asia (22)

•Australia and New Zealand (72)

•Central and South America (6)

Resource Types

•Clinical Guideline (2)

•Journal Article (1089)

•Legislation/Regulation (12)

•Meeting/Conference (3)

•Newsletter/Journal (1)

•Newspaper/Magazine Article (69)

•Press Release/Announcement (5)

•Special or Theme Issue (20)

•Tools/Toolkit (8)

•Web Resource (14)

•Grant (2)

Error Types

•Epidemiology of Errors and Adverse Events (327)

•Active Errors (226)

•Latent Errors (69)

•Near Miss (22)

Approach to Improving Safety

•Quality Improvement Strategies (287)

•Legal and Policy Approaches (59)

•Error Reporting and Analysis (333)

•Communication Improvement (361)

•Human Factors Engineering (194)

•Teamwork (232)

•Specialization of Care (118)

•Logistical Approaches (127)

•Culture of Safety (161)

•Technologic Approaches (182)

•Education and Training (248)

Clinical Areas

•Allied Health Services (2)

•Medicine (952)

•Nursing (259)

•Pharmacy (87)

Target Audience
< All

Quality and Safety Professionals

Setting of Care

•Hospitals (921)

•Psychiatric Facilities (3)

•Residential Facilities (9)

•Ambulatory Care (57)

•Outpatient Surgery (7)

•Patient Transport (13)

1 - 20 of 1255

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COMMENTARY

Right? Left? Neither!

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

REVIEW

Failure mode and effects analysis application to critical care medicine.

Duwe B, Fuchs BD, Hansen-Flaschen J. Crit Care Clin. 2005;21:21-30, vii.

STUDY

A multicenter, phased, cluster-randomized controlled trial to reduce central line–associated bloodstream infections in intensive care units.

Marsteller JA, Sexton JB, Hsu YJ, et al. Crit Care Med. 2012;40:2933-2939.

STUDY

Developing and testing a tool to measure nurse/physician communication in the intensive care unit.

Manojlovich M, Saint S, Forman J, Fletcher CE, Keith R, Krein S. J Patient Saf. 2011;7:72-76.

STUDY

Worries and concerns experienced by nurse specialists during inter-hospital transports of critically ill patients: a critical incident study.

Gustafsson M, Wennerholm S, Fridlund B. Intensive Crit Care Nurs. 2010;26:138-145.

STUDY

Predictors of likelihood of speaking up about safety concerns in labour and delivery.

Lyndon A, Sexton JB, Simpson KR, Rosenstein A, Lee KA, Wachter RM. BMJ Qual Saf. 2012;21;791-799.

STUDY

Design and trial of a new ambulance-to-emergency department handover protocol: 'IMIST-AMBO.'

Iedema R, Ball C, Daly B, et al. BMJ Qual Saf. 2012;21:627-633.

STUDY

Medical error identification, disclosure, and reporting: do emergency medicine provider groups differ?

Hobgood C, Weiner B, Tamayo-Sarver JH. Acad Emerg Med. 2006;13:443-451.

NEWSPAPER/MAGAZINE ARTICLE

How to master the new art of training: teamwork on the fly.

Edmondson AC. Harv Bus Rev. April 2012;90:72-80.

STUDY

Unplanned transfers to a medical intensive care unit: causes and relationship to preventable errors in care.

Bapoje SR, Gaudiani JL, Narayanan V, Albert RK. J Hosp Med. 2011;6:68-72.

REVIEW

Communication and teamwork in patient care: how much can we learn from aviation?

Lyndon A. J Obset Gynol Neonatal Nurs. 2006;35:538-546.

STUDY

Design and implementation of an ICU incident registry.

van der Veer S, Cornet R, de Jonge E. Int J Med Inform. 2007;76:103-108.

MEETING/CONFERENCE PROCEEDINGS

Safety in the NICU: preventing medical errors.

Stokowski LA. Highlights of the National Association of Neonatal Nurses 22nd Annual Conference [Medscape.com]. March 8, 2007.

STUDY

Teamwork in the operating theatre: cohesion or confusion?

Undre S, Sevdalis N, Healey AN, Darzi A, Vincent CA. J Eval Clin Pract. 2006;12:182-189.

REVIEW

Coordinating care across diseases, settings, and clinicians: a key role for the generalist in practice.

Stille CJ, Jerant A, Bell D, Meltzer D, Elmore JG. Ann Intern Med. 2005;142:700-708.

STUDY

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

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

NEWSPAPER/MAGAZINE ARTICLE

Costly issues of an uncommunicative OR.

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

REVIEW

Patient safety in the NICU: a comprehensive review.

Samra HA, McGrath JM, Rollins W. J Perinat Neonatal Nurs. 2011;25:123-132.

STUDY

Observational assessment of surgical teamwork: a feasibility study.

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

STUDY

Checklists change communication about key elements of patient care.

Newkirk M, Pamplin JC, Kuwamoto R, Allen DA, Chung KK. J Trauma Acute Care Surg. 2012;73(2 suppl 1):S75-S82.

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