AHRQ Patient Safety Network

The Collection > Quality and Safety Professionals

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Safety Target

•Device-related Complications (109)

•Diagnostic Errors (112)

•Identification Errors (85)

•Discontinuities, Gaps, and Hand-Off Problems (269)

•Fatigue and Sleep Deprivation (50)

•Medication Safety (706)

•Medical Complications (301)

•Nonsurgical Procedural Complications (77)

•Surgical Complications (314)

•Transfusion Complications (13)

•Psychological and Social Complications (68)

Origin/Sponsor

•Africa (2)

•Asia (40)

•Australia and New Zealand (78)

•Central and South America (5)

•Europe (327)

•North America (1828)

Resource Types

•Audiovisual (8)

•Award (5)

•Book/Report (72)

•Clinical Guideline (3)

•Journal Article (1933)

•Legislation/Regulation (29)

•Meeting/Conference (13)

•Newsletter/Journal (3)

•Newspaper/Magazine Article (130)

•Press Release/Announcement (16)

•Special or Theme Issue (22)

•Tools/Toolkit (20)

•Web Resource (39)

•Grant (6)

Error Types

•Epidemiology of Errors and Adverse Events (650)

•Active Errors (421)

•Latent Errors (140)

•Near Miss (49)

Approach to Improving Safety

•Quality Improvement Strategies (578)

•Legal and Policy Approaches (114)

•Error Reporting and Analysis (666)

•Communication Improvement (538)

•Human Factors Engineering (363)

•Teamwork (228)

•Specialization of Care (175)

•Logistical Approaches (173)

•Culture of Safety (274)

•Technologic Approaches (419)

•Education and Training (451)

Clinical Areas

•Allied Health Services (7)

Target Audience
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Quality and Safety Professionals

Setting of Care

•Hospitals (1577)

•Psychiatric Facilities (5)

•Residential Facilities (36)

•Ambulatory Care (173)

•Outpatient Surgery (21)

•Patient Transport (17)

1 - 20 of 2299

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MULTI-USE WEBSITE

On the CUSP: Stop HAI.

Health Research & Educational Trust, MHA Keystone Center.

STUDY

Impact of a hospital-wide hand hygiene initiative on healthcare-associated infections: results of an interrupted time series.

Kirkland KB, Homa KA, Lasky RA, Ptak JA, Taylor EA, Splaine ME. BMJ Qual Saf. 2012;21:1019-1026.

BOOK/REPORT

Hand Hygiene Project: Best Practices from Hospitals Participating in the Joint Commission Center for Transforming Healthcare Project.

Health Research and Educational Trust. Chicago, IL: American Hospital Association; 2010.

COMMENTARY

Reducing methicillin-resistant Staphylococcus aureus (MRSA) infections.

Griffin FA. Jt Comm J Qual Patient Saf. 2007;33:726-731.

BOOK/REPORT

Preventing Central Line–Associated Bloodstream Infections: a Global Challenge, a Global Perspective.

The Joint Commission. Oakbrook Terrace, IL: Joint Commission Resources; May 2012.

PRESS RELEASE/ANNOUNCEMENT

New 2012 National Patient Safety Goal - catheter-associated urinary tract infection (CAUTI).

Oakbrook Terrace, IL: Joint Commission; May 17, 2011.

STUDY

Potential unintended consequences due to Medicare's "No Pay for Errors Rule"? A randomized controlled trial of an educational intervention with internal medicine residents.

Mookherjee S, Vidyarthi AR, Ranji SR, Maselli J, Wachter RM, Baron RB. J Gen Intern Med. 2010;25:1097-1101.

COMMENTARY

Infusing fun into quality and safety initiatives.

Foulk KC, Tocydlowski P, Snow TM, et al. Nursing. 2012;42:14-16.

COMMENTARY

Using the opportunity estimator tool to improve engagement in a quality and safety intervention.

Duval-Arnould J, Mathews SC, Weeks K, et al. Jt Comm J Qual Patient Saf. 2012;38:41-47.

STUDY

Utilizing improvement science methods to improve physician compliance with proper hand hygiene.

White CM, Statile AM, Conway PH, et al. Pediatrics. 2012;129:e1042-e1050.

STUDY

Racial disparities in the frequency of patient safety events: results from the National Medicare Patient Safety Monitoring System.

Metersky ML, Hunt DR, Kliman R, et al. Med Care. 2011;49:504-510.

BOOK/REPORT

2011 National and State Healthcare–Associated Infections Standardized Infection Ratio Report.

Malpiedi PJ, Peterson KD, Soe MM, et al. Atlanta, GA: Centers for Disease Control and Prevention; February 11, 2013.

TOOLKIT

Partnering to Heal: Teaming-Up Against Healthcare-Associated Infections.

Washington, DC: US Department of Health and Human Services; May 2011.

STUDY

The interrelationship of isolation precautions and adverse events in an acute care facility.

Spence MR, McQuaid M. Am J Infect Control. 2011;39:154-155.

STUDY

Saving lives by studying deaths: using standardized mortality reviews to improve inpatient safety.

Lau H, Litman KC. Jt Comm J Qual Patient Saf. 2011;37:400-408.

COMMENTARY classic

Balancing "no blame" with accountability in patient safety.

Wachter RM, Pronovost PJ. N Engl J Med. 2009;361:1401-1406.

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.

MULTI-USE WEBSITE

Health Care–Associated Infections (HAI) Portal.

The Joint Commission.

NEWSPAPER/MAGAZINE ARTICLE

Follow ISMP guidelines to safeguard the design and use of automated dispensing cabinets (ADCs).

ISMP Medication Safety Alert! Acute Care Edition. February 12, 2009;14:1-4.

STUDY

Physician implicit review to identify preventable errors during in-hospital cardiac arrest.

Jain R, Kuhn L, Repaskey W, et al. Arch Intern Med. 2011;171:89-90.

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