AHRQ Patient Safety Network

The Collection > Quality and Safety Professionals

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Safety Target

•Device-related Complications (112)

•Diagnostic Errors (98)

•Identification Errors (83)

•Discontinuities, Gaps, and Hand-Off Problems (255)

•Fatigue and Sleep Deprivation (50)

•Medication Safety (725)

•Medical Complications (267)

•Nonsurgical Procedural Complications (68)

•Surgical Complications (275)

•Transfusion Complications (10)

•Psychological and Social Complications (64)

Origin/Sponsor

•Asia (31)

•Australia and New Zealand (82)

•Central and South America (5)

•Europe (282)

•North America (1805)

Resource Types

•Audiovisual (8)

•Award (4)

•Book/Report (76)

•Clinical Guideline (3)

•Journal Article (1874)

•Legislation/Regulation (30)

•Meeting/Conference (11)

•Newsletter/Journal (3)

•Newspaper/Magazine Article (132)

•Press Release/Announcement (14)

•Special or Theme Issue (31)

•Tools/Toolkit (18)

•Web Resource (33)

•Grant (4)

Error Types

•Epidemiology of Errors and Adverse Events (603)

•Active Errors (409)

•Latent Errors (150)

•Near Miss (47)

Approach to Improving Safety

•Quality Improvement Strategies (595)

•Legal and Policy Approaches (113)

•Error Reporting and Analysis (648)

•Communication Improvement (488)

•Human Factors Engineering (389)

•Teamwork (215)

•Specialization of Care (154)

•Logistical Approaches (171)

•Culture of Safety (282)

•Technologic Approaches (460)

•Education and Training (425)

Clinical Areas

•Allied Health Services (7)

Target Audience
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Quality and Safety Professionals

Setting of Care

•Hospitals (1499)

•Psychiatric Facilities (8)

•Residential Facilities (36)

•Ambulatory Care (153)

•Outpatient Surgery (18)

•Patient Transport (17)

1 - 20 of 2241

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NEWSPAPER/MAGAZINE ARTICLE

Design for reliability: barcoded medication administration.

Hayden AC, Lanoue ET, Still CJ. Patient Saf Qual Healthc. July/August 2011;8:12-20.

NEWSPAPER/MAGAZINE ARTICLE

Scanner beep only means the barcode has been scanned.

ISMP Medication Safety Alert! Acute Care Edition. June 30, 2011;16:1-2.

SPECIAL OR THEME ISSUE

CMS 30-minute rule for drug administration needs revision.

ISMP Medication Safety Alert! Acute Care Edition. September 9, 2010;15:1-6.

COMMENTARY

Implementing a safe and reliable process for medication administration.

Richardson B, Bromirski B, Hayden A. Clin Nurse Spec. 2012;26:169-176.

STUDY

No interruptions please: impact of a no interruption zone on medication safety in intensive care units.

Anthony K, Wiencek C, Bauer C, Daly B, Anthony MK. Crit Care Nurse. 2010;30:21-29.

REVIEW

Medication administration technologies and patient safety: a mixed-method systematic review.

Wulff K, Cummings GG, Marck P, Yurtseven O. J Adv Nurs. 2011;67:2080-2095.

STUDY

Empowering frontline nurses: a structured intervention enables nurses to improve medication administration accuracy.

Kliger J, Blegen MA, Gootee D, O'Neil E. Jt Comm J Qual Patient Saf. 2009;35:604-612.

REVIEW

Fall prevention in hospitals: an integrative review.

Spoelstra SL, Given BA, Given CW. Clin Nurs Res. 2012;21:92-112.

STUDY

Medication Administration Time Study (MATS): nursing staff performance of medication administration.

Elganzouri ES, Standish CA, Androwich I. J Nurs Adm. 2009;39:204-210.

NEWSPAPER/MAGAZINE ARTICLE

Guidelines for timely medication administration: response to the CMS "30-minute rule."

ISMP Medication Safety Alert! Acute Care Edition. January 13, 2011;16:1-4.

STUDY

Designing for distractions: a human factors approach to decreasing interruptions at a centralised medication station.

Colligan L, Guerlain S, Steck SE, Hoke TR. BMJ Qual Saf. 2012;21:939-947.

STUDY

The application of Aronson's taxonomy to medication errors in nursing.

Johnson M, Young H. J Nurs Care Qual. 2011;26:128-135.

STUDY

Nursing care quality and adverse events in US hospitals.

Lucero RJ, Lake ET, Aiken LH. J Clin Nurs. 2010;19:2185-2195.

STUDY

The effect of hospital electronic health record adoption on nurse-assessed quality of care and patient safety.

Kutney-Lee A, Kelly D. J Nurs Adm. 2011;41:466-472.

STUDY

Improving patient safety using the sterile cockpit principle during medication administration: a collaborative, unit-based project.

Fore AM, Sculli GL, Albee D, Neily J. J Nurs Manag. 2013;21:106-111.

STUDY

The impact of traditional and smart pump infusion technology on nurse medication administration performance in a simulated inpatient unit.

Trbovich PL, Pinkney S, Cafazzo JA, Easty AC. Qual Saf Health Care. 2010;19:430-434.

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

Medication safety initiative in reducing medication errors.

Nguyen EE, Connolly PM, Wong V. J Nurs Care Qual. 2010;25:224-230.

COMMENTARY

A model for developing high-reliability teams.

Riley W, Davis SE, Miller KK, McCullough M. J Nurs Manag. 2010;18:556-563.

COMMENTARY

Time to get off this pig's back?: the human factors aspects of the mismatch between device and real-world knowledge in the health care environment.

Nunnally ME, Bitan Y. J Patient Saf. 2006;2:124-131.

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