AHRQ Patient Safety Network

The Collection > Quality and Safety Professionals

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Safety Target

•Device-related Complications (110)

•Diagnostic Errors (94)

•Identification Errors (70)

•Discontinuities, Gaps, and Hand-Off Problems (245)

•Fatigue and Sleep Deprivation (37)

•Medication Safety (692)

•Medical Complications (304)

•Nonsurgical Procedural Complications (70)

•Surgical Complications (281)

•Transfusion Complications (11)

•Psychological and Social Complications (56)

Origin/Sponsor

•Africa (2)

•Asia (48)

•Australia and New Zealand (87)

•Central and South America (8)

•Europe (483)

•North America (1477)

Resource Types

•Audiovisual (6)

•Award (6)

•Book/Report (67)

•Clinical Guideline (3)

•Journal Article (1821)

•Legislation/Regulation (26)

•Meeting/Conference (11)

•Newsletter/Journal (3)

•Newspaper/Magazine Article (99)

•Press Release/Announcement (13)

•Special or Theme Issue (25)

•Tools/Toolkit (19)

•Web Resource (34)

•Grant (4)

Error Types

•Epidemiology of Errors and Adverse Events (632)

•Active Errors (396)

•Latent Errors (130)

•Near Miss (43)

Approach to Improving Safety

•Quality Improvement Strategies (554)

•Legal and Policy Approaches (106)

•Error Reporting and Analysis (639)

•Communication Improvement (503)

•Human Factors Engineering (342)

•Teamwork (224)

•Specialization of Care (166)

•Logistical Approaches (143)

•Culture of Safety (336)

•Technologic Approaches (374)

•Education and Training (401)

Clinical Areas

•Allied Health Services (7)

•Complementary and Alternative Medicine (1)

Target Audience
< All

Quality and Safety Professionals

Setting of Care

•Hospitals (1534)

•Psychiatric Facilities (7)

•Residential Facilities (36)

•Ambulatory Care (160)

•Outpatient Surgery (15)

•Patient Transport (15)

1 - 20 of 2137

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STUDY

Multiple component patient safety intervention in English hospitals: controlled evaluation of second phase.

Benning A, Dixon-Woods M, Nwulu U, et al. BMJ. 2011;342:d199.

NEWSPAPER/MAGAZINE ARTICLE

5 sure-fire methods: complying with NPSG.03.04.01.

Joint Commission: The Source. January 2012;10:5-6.

STUDY

Improving situation awareness to reduce unrecognized clinical deterioration and serious safety events.

Brady PW, Muething S, Kotagal U, et al. Pediatrics. 2013;131:e298-e308.

STUDY

Retrospective analysis of medication incidents reported using an on-line reporting system.

Ashcroft DM, Cooke J. Pharm World Sci. 2006;28:359-65.

STUDY

Identifying, understanding and overcoming barriers to medication error reporting in hospitals: a focus group study.

Hartnell N, MacKinnon N, Sketris I, Fleming M. BMJ Qual Saf. 2012;21:361-368.

STUDY

Perceptions of hospital safety climate and incidence of readmission.

Hansen LO, Williams MV, Singer SJ. Health Serv Res. 2011;46:596-616.

STUDY

What do hospital staff in the UK think are the causes of penicillin medication errors?

Wilcock M, Harding G, Moore L, Nicholls I, Powell N, Stratton J. Int J Clin Pharm. 2013;35:72-78.

TOOLKIT

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

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

STUDY

Effect of illness severity and comorbidity on patient safety and adverse events.

Naessens J, Campbell CR, Shah N, et al. Am J Med Qual. 2012;27:48-57.

COMMENTARY

ISMP medication error report analysis.

Cohen MR. Hosp Pharm. 2009;44:654-657.

STUDY

Medication errors: how reliable are the severity ratings reported to the National Reporting and Learning System?

Williams SD, Ashcroft DM. Int J Qual Health Care. 2009;21:316-320.

STUDY

A July spike in fatal medication errors: a possible effect of new medical residents.

Phillips DP, Barker GEC. J Gen Intern Med. 2010;25:774-779.

STUDY

An exploratory study measuring verbal order content and context.

Wakefield DS, Brokel J, Ward MM, Schwichtenberg T, Groath D, Kolb M, Davis JW, Crandall D. Qual Saf Health Care. 2009;18:169-173.

COMMENTARY

Why patients need leaders: introducing a ward safety checklist.

Amin Y, Grewcock D, Andrews S, Halligan A. J R Soc Med. 2012;105:377-383.

REVIEW

What is patient safety culture? A review of the literature.

Sammer CE, Lykens K, Singh KP, Mains DA, Lackan NA. J Nurs Scholarsh. 2010;42:156-165.

COMMENTARY

Reducing methicillin-resistant Staphylococcus aureus (MRSA) infections.

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

STUDY

Does the implementation of an electronic prescribing system create unintended medication errors? A study of the sociotechnical context through the analysis of reported medication incidents.

Redwood S, Rajakumar A, Hodson J, Coleman JJ. BMC Med Inform Decis Mak. 2011;11:29.

STUDY

Relationship of safety climate and safety performance in hospitals.

Singer S, Lin S, Falwell A, Gaba D, Baker L. Health Serv Rev. 2009;44:399-421.

COMMENTARY

Achieving a high-reliability organization through implementation of the ARCC model for systemwide sustainability of evidence-based practice.

Melnyk BM. Nurs Adm Q. 2012;36:127-135.

COMMENTARY

Increasing the use of 'smart' pump drug libraries by nurses: a continuous quality improvement project.

Harding AD. Am J Nurs. 2012;112:26-35.

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