AHRQ Patient Safety Network

The Collection > Quality and Safety Professionals

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Safety Target

•Device-related Complications (91)

•Diagnostic Errors (112)

•Identification Errors (79)

•Discontinuities, Gaps, and Hand-Off Problems (305)

•Fatigue and Sleep Deprivation (60)

•Medication Safety (638)

•Medical Complications (257)

•Nonsurgical Procedural Complications (61)

•Surgical Complications (303)

•Transfusion Complications (8)

•Psychological and Social Complications (74)

Origin/Sponsor

•Asia (25)

•Australia and New Zealand (70)

•Central and South America (1)

•Europe (276)

•North America (1785)

Resource Types

•Audiovisual (10)

•Award (5)

•Book/Report (66)

•Clinical Guideline (2)

•Journal Article (1863)

•Legislation/Regulation (25)

•Meeting/Conference (10)

•Newsletter/Journal (3)

•Newspaper/Magazine Article (128)

•Press Release/Announcement (6)

•Special or Theme Issue (20)

•Tools/Toolkit (20)

•Web Resource (31)

•Grant (2)

Error Types

•Epidemiology of Errors and Adverse Events (581)

•Active Errors (382)

•Latent Errors (125)

•Near Miss (44)

Approach to Improving Safety

•Quality Improvement Strategies (535)

•Legal and Policy Approaches (102)

•Error Reporting and Analysis (637)

•Communication Improvement (558)

•Human Factors Engineering (333)

•Teamwork (236)

•Specialization of Care (150)

•Logistical Approaches (174)

•Culture of Safety (289)

•Technologic Approaches (393)

•Education and Training (446)

Clinical Areas

•Allied Health Services (5)

Target Audience
< All

Quality and Safety Professionals

Setting of Care

•Hospitals (1480)

•Psychiatric Facilities (6)

•Residential Facilities (32)

•Ambulatory Care (164)

•Outpatient Surgery (19)

•Patient Transport (18)

1 - 20 of 2191

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STUDY

Patient whiteboards as a communication tool in the hospital setting: A survey of practices and recommendations.

Sehgal NL, Green A, Vidyarthi AR, Blegen MA, Wachter RM. J Hosp Med. 2010;5:234-239.

STUDY

Patterns of nurse–physician communication and agreement on the plan of care.

O'Leary KJ, Thompson JA, Landler MP, et al. Qual Saf Health Care. 2010;19:195-199.

STUDY

Hospital readmissions: physician awareness and communication practices.

Roy CL, Kachalia A, Woolf S, et al. J Gen Intern Med. 2009;24:374-380.

STUDY

Improving teamwork on general medical units: when teams do not work face-to-face.

McComb SA, Henneman EA, Hinchey KT, et al. Jt Comm J Qual Patient Saf. 2012;38:471-478.

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

Standardizing hospital discharge planning at the Mayo Clinic.

Holland DE, Hemann MA. Jt Comm J Qual Patient Saf. 2011;37:29-36.

COMMENTARY

Critical conversations: a call for a nonprocedural "time out."

Sehgal NL, Fox M, Sharpe BA, Vidyarthi AR, Blegen M, Wachter RM. J Hosp Med. 2011;6:157-162.

STUDY

A relational leadership perspective on unit-level safety climate.

Thompson DN, Hoffman LA, Sereika SM, et al. J Nurs Adm. 2011;41:479-487.

STUDY

Assessing and improving safety culture throughout an academic medical centre: a prospective cohort study.

Paine LA, Rosenstein BJ, Sexton JB, Kent P, Holzmueller CG, Pronovost PJ. Qual Saf Health Care. 2010;19:547-554.

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

Impact of a pharmacist-facilitated hospital discharge program: a quasi-experimental study.

Walker PC, Bernstein SJ, Tucker Jones JN, et al. Arch Intern Med. 2009;169:2003-2010.

COMMENTARY

Implementing handoff communication.

Ardoin KB, Broussard L. J Nurses Staff Dev. 2011;27:128-135.

COMMENTARY

Academic year-end transfers of outpatients from outgoing to incoming residents: an unaddressed patient safety issue.

Young JQ, Wachter RM. JAMA. 2009;302:1327-1329.

COMMENTARY

Time to sign off on signout.

Stein DM, Stetson PD. Acad Med. 2011;86:804-806.

STUDY

Family-centered rounds on pediatric wards: a PRIS network survey of US and Canadian hospitalists.

Mittal VS, Sigrest T, Ottolini MC, et al. Pediatrics. 2010;126:37-43.

STUDY

Why patient summaries in electronic health records do not provide the cognitive support necessary for nurses' handoffs on medical and surgical units: insights from interviews and observations.

Staggers N, Clark L, Blaz JW, Kapsandoy S. Health Informatics J. 2011;17:209-223.

STUDY

Outcomes of care by hospitalists, general internists, and family physicians.

Lindenauer PK, Rothberg MB, Pekow PS, Kenwood C, Benjamin EM, Auerbach AD. N Engl J Med. 2007;357:2589-2600.

BOOK/REPORT

Improving America's Hospitals: The Joint Commission's Report on Quality and Safety 2008.

Oakbrook Terrace, IL: The Joint Commission; November 2008.

REVIEW

A systematic review of failures in handoff communication during intrahospital transfers.

Ong MS, Coiera E. Jt Comm J Qual Patient Saf. 2011;37:274-284.

COMMENTARY

A leadership initiative to improve communication and enhance safety.

Donahue M, Miller M, Smith L, Dykes P, Fitzpatrick JJ. Am J Med Qual. 2011;26:206-211.

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