AHRQ Patient Safety Network

The Collection > Quality and Safety Professionals

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Safety Target

•Device-related Complications (111)

•Diagnostic Errors (114)

•Identification Errors (87)

•Discontinuities, Gaps, and Hand-Off Problems (276)

•Fatigue and Sleep Deprivation (48)

•Medication Safety (720)

•Medical Complications (298)

•Nonsurgical Procedural Complications (76)

•Surgical Complications (335)

•Transfusion Complications (13)

•Psychological and Social Complications (78)

Origin/Sponsor

•Africa (2)

•Asia (44)

•Australia and New Zealand (83)

•Central and South America (6)

•Europe (388)

•North America (1854)

Resource Types

•Audiovisual (8)

•Award (6)

•Book/Report (74)

•Clinical Guideline (3)

•Journal Article (2026)

•Legislation/Regulation (30)

•Meeting/Conference (13)

•Newsletter/Journal (4)

•Newspaper/Magazine Article (127)

•Press Release/Announcement (14)

•Special or Theme Issue (26)

•Tools/Toolkit (23)

•Web Resource (41)

•Grant (5)

Error Types

•Epidemiology of Errors and Adverse Events (658)

•Active Errors (429)

•Latent Errors (146)

•Near Miss (48)

Approach to Improving Safety

•Quality Improvement Strategies (618)

•Legal and Policy Approaches (122)

•Error Reporting and Analysis (687)

•Communication Improvement (575)

•Human Factors Engineering (371)

•Teamwork (260)

•Specialization of Care (171)

•Logistical Approaches (171)

•Culture of Safety (347)

•Technologic Approaches (425)

•Education and Training (486)

Clinical Areas

•Allied Health Services (7)

•Complementary and Alternative Medicine (1)

Target Audience
< All

Quality and Safety Professionals

Setting of Care

•Hospitals (1591)

•Psychiatric Facilities (7)

•Residential Facilities (38)

•Ambulatory Care (181)

•Outpatient Surgery (22)

•Patient Transport (19)

1 - 20 of 2400

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STUDY

Structured interdisciplinary rounds in a medical teaching unit: improving patient safety.

O’Leary KJ, Buck R, Fligiel HM, et al. Arch Intern Med. 2011;171:678-684.

STUDY

Improving teamwork: impact of structured interdisciplinary rounds on a medical teaching unit.

O'Leary KJ, Wayne DB, Haviley C, Slade ME, Lee J, Williams MV. J Gen Intern Med. 2010;25:826-832.

STUDY

Rethinking resident supervision to improve safety: from hierarchical to interprofessional models.

Tamuz M, Giardina TD, Thomas EJ, Menon S, Singh H. J Hosp Med. 2011;6:448-456.

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.

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.

STUDY

A novel method for reproducibly measuring the effects of interventions to improve emotional climate, indices of team skills and communication, and threat to patient outcome in a high-volume thoracic surgery center.

Nurok M, Lipsitz S, Satwicz P, Kelly A, Frankel A. Arch Surg. 2010;145:489-495.

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

The efficacy of medical team training: improved team performance and decreased operating room delays: a detailed analysis of 4863 cases.

Wolf FA, Way LW, Stewart L. Ann Surg. 2010;252:477-485.

STUDY

Standardizing hospital discharge planning at the Mayo Clinic.

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

COMMENTARY

An anesthesiology department leads culture change at a hospital system level to improve quality and patient safety.

Fleischut PM, Evans AS, Faggiani SL, Lazar EJ, Kerr GE. Anesthesiol Clin. 2011;29:153-167.

COMMENTARY

Medication reconciliation in a community, nonteaching hospital.

Wortman SB. Am J Health Syst Pharm. 2008;65:2047-2054.

REVIEW

Hospital do-not-resuscitate orders: why they have failed and how to fix them.

Yuen JK, Reid MC, Fetters MD. J Gen Intern Med. 2011;26:791-797.

NEWSPAPER/MAGAZINE ARTICLE

Patient safety: the synergy of technology and behavior.

Yarbrough C, Rypkema S. Patient Safety & Quality Healthcare. January-February 2008;5:32-35.

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

A multidisciplinary team approach to retained foreign objects.

Cima RR, Kollengode A, Storsveen AS, et al. Jt Comm J Qual Patient Saf. 2009;35:123-132.

STUDY

An inpatient fall prevention initiative in a tertiary care hospital.

Weinberg J, Proske D, Szerszen A, et al. Jt Comm J Qual Patient Saf. 2011;37:317-325.

BOOK/REPORT classic

The Silent Treatment: Why Safety Tools and Checklists Aren't Enough to Save Lives.

Maxfield D, Grenny J, Lavandero R, Groah L. Provo, UT: VitalSmarts; 2011.

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.

STUDY

The relationship of the emotional climate of work and threat to patient outcome in a high-volume thoracic surgery operating room team.

Nurok M, Evans LA, Lipsitz S, Satwicz P, Kelly A, Frankel A. BMJ Qual Saf. 2011;20:237-242.

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