AHRQ Patient Safety Network

The Collection > Quality and Safety Professionals

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Safety Target

•Device-related Complications (109)

•Diagnostic Errors (108)

•Identification Errors (81)

•Discontinuities, Gaps, and Hand-Off Problems (260)

•Fatigue and Sleep Deprivation (47)

•Medication Safety (680)

•Medical Complications (286)

•Nonsurgical Procedural Complications (74)

•Surgical Complications (329)

•Transfusion Complications (13)

•Psychological and Social Complications (75)

Origin/Sponsor

•Africa (2)

•Asia (38)

•Australia and New Zealand (71)

•Central and South America (8)

•Europe (335)

•North America (1822)

Resource Types

•Audiovisual (7)

•Award (6)

•Book/Report (67)

•Clinical Guideline (3)

•Journal Article (1933)

•Legislation/Regulation (30)

•Meeting/Conference (13)

•Newsletter/Journal (4)

•Newspaper/Magazine Article (125)

•Press Release/Announcement (14)

•Special or Theme Issue (27)

•Tools/Toolkit (22)

•Web Resource (41)

•Grant (5)

Error Types

•Epidemiology of Errors and Adverse Events (619)

•Active Errors (409)

•Latent Errors (141)

•Near Miss (48)

Approach to Improving Safety

•Quality Improvement Strategies (587)

•Legal and Policy Approaches (112)

•Error Reporting and Analysis (629)

•Communication Improvement (546)

•Human Factors Engineering (365)

•Teamwork (267)

•Specialization of Care (173)

•Logistical Approaches (169)

•Culture of Safety (343)

•Technologic Approaches (407)

•Education and Training (460)

Clinical Areas

•Allied Health Services (7)

•Complementary and Alternative Medicine (1)

Target Audience
< All

Quality and Safety Professionals

Setting of Care

•Hospitals (1518)

•Psychiatric Facilities (6)

•Residential Facilities (38)

•Ambulatory Care (166)

•Outpatient Surgery (22)

•Patient Transport (18)

1 - 20 of 2297

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STUDY

Improving patient safety in intensive care units in Michigan.

Pronovost PJ, Berenholtz SM, Goeschel C, et al. J Crit Care. 2008;23:207-221.

STUDY

The impact of a tele-ICU on provider attitudes about teamwork and safety climate.

Chu-Weininger MYL, Wueste L, Lucke JF, Weavind L, Mazabob J, Thomas EJ. Qual Saf Health Care. 2010;19:e39.

STUDY

Using evidence, rigorous measurement, and collaboration to eliminate central catheter-associated bloodstream infections.

Sawyer M, Weeks K, Goeschel CA, et al. Crit Care Med. 2010;38(suppl 8):S292-S298.

REVIEW

Patient safety in the NICU: a comprehensive review.

Samra HA, McGrath JM, Rollins W. J Perinat Neonatal Nurs. 2011;25:123-132.

REVIEW

Quality and safety in the intensive care unit.

Stockwell DC, Slonim AD. J Intensive Care Med. 2006;21:199-210.

STUDY

Teamwork behaviours and errors during neonatal resuscitation.

Williams AL, Lasky RE, Dannemiller JL, Andrei AM, Thomas EJ. Qual Saf Health Care. 2010;19:60-64.

STUDY

The effect of multidisciplinary care teams on intensive care unit mortality.

Kim MM, Barnato AE, Angus DC, Fleisher LF, Kahn JM. Arch Intern Med. 2010;170:369-376.

STUDY

Neonatal intensive care unit safety culture varies widely.

Profit J, Etchegaray J, Petersen LA, et al. Arch Dis Child Fetal Neonatal Ed. 2012;97:F120-F126.

STUDY

The value of adding a verbal report to written handoffs on early readmission following prolonged respiratory failure.

Hess DR, Tokarczyk A, O’Malley M, Gavaghan S, Sullivan J, Schmidt U. Chest. 2010;138:1475-1479.

SPECIAL OR THEME ISSUE

Infection Control in the Intensive Care Unit.

Crit Care Med. 2010;38:S265-S404.

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

Is there a benefit to multidisciplinary rounds in an open trauma intensive care unit regarding ventilator-associated pneumonia?

Johnson V, Mangram A, Mitchell C, Lorenzo M, Howard D, Dunn E. Am Surg. 2009;75:1171-1174.

STUDY

Statewide NICU central-line–associated bloodstream infection rates decline after bundles and checklists.

Schulman J, Stricof R, Stevens TP, et al; New York State Regional Perinatal Care Centers. Pediatrics. 2011;127:436-444.

STUDY

Evaluating efforts to optimize TeamSTEPPS implementation in surgical and pediatric intensive care units.

Mayer CM, Cluff L, Lin WT, et al. Jt Comm J Qual Patient Saf. 2011;37:365-374.

STUDY

What’s past is prologue: organizational learning from a serious patient injury.

Tamuz M, Franchois KE, Thomas EJ. Safety Sci. 2011;49:75-82.

STUDY

Collaborative cohort study of an intervention to reduce ventilator-associated pneumonia in the intensive care unit.

Berenholtz SM, Pham JC, Thompson DA, et al. Infect Control Hosp Epidemiol. 2011;32:305-314.

STUDY

Improving safety culture results in Rhode Island ICUs: lessons learned from the development of action-oriented plans.

Vigorito MC, McNicoll L, Adams L, Sexton B. Jt Comm J Qual Patient Saf. 2011;37:509-514.

STUDY

Increasing medication error reporting rates while reducing harm through simultaneous cultural and system-level interventions in an intensive care unit.

Abstoss KM, Shaw BE, Owens TA, Juno JL, Commiskey EL, Niedner MF. BMJ Qual Saf. 2011;914-922.

REVIEW

What is the value and impact of quality and safety teams? A scoping review.

White DE, Straus SE, Stelfox HT, et al. Implement Sci. 2011;6:97.

REVIEW

Team working in intensive care: current evidence and future endeavors.

Richardson J, West MA, Cuthbertson BH. Curr Opin Crit Care. 2010;16:643-648.

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