AHRQ Patient Safety Network

The Collection > Quality and Safety Professionals

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Safety Target

•Device-related Complications (120)

•Diagnostic Errors (122)

•Identification Errors (85)

•Discontinuities, Gaps, and Hand-Off Problems (272)

•Fatigue and Sleep Deprivation (47)

•Medication Safety (735)

•Medical Complications (301)

•Nonsurgical Procedural Complications (75)

•Surgical Complications (370)

•Transfusion Complications (12)

•Psychological and Social Complications (70)

Origin/Sponsor

•Africa (2)

•Asia (38)

•Australia and New Zealand (85)

•Central and South America (8)

•Europe (411)

•North America (1849)

Resource Types

•Audiovisual (8)

•Award (6)

•Book/Report (71)

•Clinical Guideline (3)

•Journal Article (2044)

•Legislation/Regulation (30)

•Meeting/Conference (14)

•Newsletter/Journal (3)

•Newspaper/Magazine Article (126)

•Press Release/Announcement (15)

•Special or Theme Issue (31)

•Tools/Toolkit (18)

•Web Resource (41)

•Grant (5)

Error Types

•Epidemiology of Errors and Adverse Events (749)

•Active Errors (440)

•Latent Errors (144)

•Near Miss (51)

Approach to Improving Safety

•Quality Improvement Strategies (611)

•Legal and Policy Approaches (122)

•Error Reporting and Analysis (704)

•Communication Improvement (540)

•Human Factors Engineering (391)

•Teamwork (247)

•Specialization of Care (174)

•Logistical Approaches (166)

•Culture of Safety (291)

•Technologic Approaches (438)

•Education and Training (469)

Clinical Areas

•Allied Health Services (6)

Target Audience
< All

Quality and Safety Professionals

Setting of Care

•Hospitals (1605)

•Psychiatric Facilities (7)

•Residential Facilities (37)

•Ambulatory Care (179)

•Outpatient Surgery (22)

•Patient Transport (18)

1 - 20 of 2415

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STUDY

Risk factors and outcomes for foreign body left during a procedure: analysis of 413 incidents after 1,946,831 operations in children.

Camp M, Chang DC, Zhang Y, Chrouser K, Colombani PM, Abdullah F. Arch Surg. 2010;145:1085-1090.

STUDY

Implementing a surgical checklist: more than checking a box.

Levy SM, Senter CE, Hawkins RB, et al. Surgery. 2012;152:331-336.

STUDY

Validity of selected patient safety indicators: opportunities and concerns.

Kaafarani HM, Borzecki AM, Itani KM, et al. J Am Coll Surg. 2011; 212:924-934.

STUDY

Safety on an inpatient pediatric otolaryngology service: many small errors, few adverse events.

Shah RK, Lander L, Forbes P, Jenkins K, Healy GB, Roberson DW. Laryngoscope. 2009;119:871-879.

STUDY

Implementation of a surgical comprehensive unit-based safety program to reduce surgical site infections.

Wick EC, Hobson DB, Bennett JL, et al. J Am Coll Surg. 2012;215;193-200.

STUDY

Identifying opportunities for quality improvement in surgical site infection prevention.

Gagliardi AR, Eskicioglu C, McKenzie M, Fenech D, Nathens A, McLeod R. Am J Infect Control. 2009;37:398-402.

STUDY

Standardized multidisciplinary protocol improves handover of cardiac surgery patients to the intensive care unit.

Joy BF, Elliott E, Hardy C, Sullivan C, Backer CL, Kane JM. Pediatr Crit Care Med. 2011;12:304-308.

COMMENTARY

What happens when things go wrong?

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

STUDY

Quality improvement project to reduce perioperative opioid oversedation events in a paediatric hospital.

Vermaire D, Caruso MC, Lesko A, et al. BMJ Qual Saf. 2011;20:895-902.

STUDY

Evaluating an evidence-based bundle for preventing surgical site infection.

Anthony T, Murray BW, Sum-Ping JT, et al. Arch Surg. 2011;146:263-269.

STUDY

How best to measure surgical quality? Comparison of the Agency for Healthcare Research and Quality Patient Safety Indicators (AHRQ-PSI) and the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) postoperative adverse events at a single institution.

Cima RR, Lackore KA, Nehring SA, et al. Surgery. 2011;150:943-949.

STUDY

The influence of resident involvement on surgical outcomes.

Raval MV, Wang X, Cohen ME, et al. J Am Coll Surg. 2011;212:889-898.

STUDY

Patient characteristics and the occurrence of never events.

Fry DE, Pine M, Jones BL, Meimban RJ. Arch Surg. 2010;145:148-151.

STUDY

Wrong-site sinus surgery in otolaryngology.

Shah RK, Nussenbaum B, Kienstra M, et al. Otolaryngol Head Neck Surg. 2010;143:37-41.

STUDY

Preprinted order sets as a safety intervention in pediatric sedation.

Broussard M, Bass PF 3rd, Arnold CL, McLarty JW, Bocchini JA Jr. J Pediatr. 2009;154:865-868.

STUDY

Methicillin-resistant Staphylococcus aureus central line–associated bloodstream infections in US intensive care units, 1997-2007.

Burton DC, Edwards JR, Horan TC, Jernigan JA, Fridkin SK. JAMA. 2009;301:727-736.

BOOK/REPORT

Reducing Colorectal Surgical Site Infections.

Oakbrook Terrace, IL: Joint Commission Center for Transforming Health Care. Chicago, IL: American College of Surgeons. November 2012.

STUDY

Cardiac surgery errors: results from the UK National Reporting and Learning System.

Martinez EA, Shore A, Colantuoni E, et al. Int J Qual Health Care. 2011;23:151-158.

STUDY

Resident participation does not affect surgical outcomes, despite introduction of new techniques.

Patel SP, Gauger PG, Brown DL, Englesbe MJ, Cederna PS. J Am Coll Surg. 2010;211:540-545.

STUDY

The impact of resident duty hour reform on hospital readmission rates among Medicare beneficiaries.

Press MJ, Silber JH, Rosen AK, et al. J Gen Intern Med. 2011;26:405-411.

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