AHRQ Patient Safety Network

The Collection > Quality and Safety Professionals

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Safety Target

•Device-related Complications (120)

•Diagnostic Errors (131)

•Identification Errors (91)

•Discontinuities, Gaps, and Hand-Off Problems (290)

•Fatigue and Sleep Deprivation (58)

•Medication Safety (789)

•Medical Complications (314)

•Nonsurgical Procedural Complications (81)

•Surgical Complications (373)

•Transfusion Complications (12)

•Psychological and Social Complications (80)

Origin/Sponsor

•Africa (2)

•Asia (50)

•Australia and New Zealand (99)

•Central and South America (8)

•Europe (532)

•North America (1913)

Resource Types

•Audiovisual (8)

•Award (5)

•Book/Report (80)

•Clinical Guideline (3)

•Journal Article (2229)

•Legislation/Regulation (31)

•Meeting/Conference (12)

•Newsletter/Journal (3)

•Newspaper/Magazine Article (136)

•Press Release/Announcement (15)

•Special or Theme Issue (33)

•Tools/Toolkit (21)

•Web Resource (43)

•Grant (5)

Error Types

•Epidemiology of Errors and Adverse Events (758)

•Active Errors (467)

•Latent Errors (164)

•Near Miss (55)

Approach to Improving Safety

•Quality Improvement Strategies (664)

•Legal and Policy Approaches (131)

•Error Reporting and Analysis (804)

•Communication Improvement (579)

•Human Factors Engineering (409)

•Teamwork (262)

•Specialization of Care (180)

•Logistical Approaches (183)

•Culture of Safety (331)

•Technologic Approaches (462)

•Education and Training (502)

Clinical Areas

•Allied Health Services (8)

•Complementary and Alternative Medicine (1)

Target Audience
< All

Quality and Safety Professionals

Setting of Care

•Hospitals (1735)

•Psychiatric Facilities (8)

•Residential Facilities (37)

•Ambulatory Care (185)

•Outpatient Surgery (23)

•Patient Transport (20)

1 - 20 of 2624

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STUDY

Supratherapeutic dosing of acetaminophen among hospitalized patients.

Zhou L, Maviglia SM, Mahoney LM, et al. Arch Intern Med. 2012;172:1721-1728.

STUDY

An observational study of the frequency, severity, and etiology of failures in postoperative care after major elective general surgery.

Symons NR, Almoudaris AM, Nagpal K, Vincent CA, Moorthy K. Ann Surg. 2013;257:1-5.

STUDY

Factors contributing to all-cause 30-day readmissions: a structured case series across 18 hospitals.

Feigenbaum P, Neuwirth E, Trowbridge L, et al. Med Care. 2012;50:599-605.

NEWSPAPER/MAGAZINE ARTICLE

Events associated with the prescribing, dispensing, and administering of medication loading doses.

Carson SL, Gaunt MJ. PA-PSRS Patient Saf Advis. 2012;9:82-88.

STUDY

Measuring handoff quality in labor and delivery: development, validation, and application of the Coordination of Handoff Effectiveness Questionnaire (CHEQ).

Block M, Ehrenworth JF, Cuce VM, et al. Jt Comm J Qual Patient Saf. 2013;39:213-220.

STUDY

Comprehensive stroke centers overcome the weekend versus weekday gap in stroke treatment and mortality.

McKinney JS, Deng Y, Kasner SE, Kostis JB; Myocardial Infarction Data Acquisition System (MIDAS 15) Study Group. Stroke. 2011;42:2403-2409.

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.

STUDY

Seven hundred and fifty-nine (759) chances to learn: a 3-year pilot project to analyse transfusion-related near-miss events in the Republic of Ireland.

Lundy D, Laspina S, Kaplan H, Rabin Fastman B, Lawlor E. Vox Sang. 2007;92:233-241.

STUDY

Using prospective clinical surveillance to identify adverse events in hospital.

Forster AJ, Worthington JR, Hawken S, et al. BMJ Qual Saf. 2011;20:756-763.

STUDY

Determining a patient's comfort in inquiring about healthcare providers' hand-washing behavior.

Clare CA, Afzal O, Knapp K, Viola D. J Patient Saf. 2013;9:68-74.

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.

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

Medication reconciliation accuracy and patient understanding of intended medication changes on hospital discharge.

Ziaeian B, Araujo KLB, Van Ness PH, Horwitz LI. J Gen Intern Med. 2012;27:1513-1520.

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.

STUDY

Can we rely on patients' reports of adverse events?

Zhu J, Stuver SO, Epstein AM, Schneider EC, Weissman JS, Weingart SN. Med Care. 2011;49:948-955.

STUDY

Identifying causes of adverse events detected by an automated trigger tool through in-depth analysis.

Muething SE, Conway PH, Kloppenborg E, et al. Qual Saf Health Care. 2010;19:435-439.

COMMENTARY

Medication reconciliation in the hospital: what, why, where, when, who and how?

Fernandes O, Shojania KG. Healthc Q. 2012;15:42-49.

STUDY

Using the patient safety indicators to detect potential safety events among US veterans with psychotic disorders: clinical and research implications.

Smith EG, Zhao S, Rosen AK. Int J Qual Health Care. 2012;24:321-329.

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.

STUDY

Prevalence of error-prone abbreviations used in medication prescribing for hospitalised patients: multi-hospital evaluation.

Dooley MJ, Wiseman M, Gu G. Intern Med J. 2012;42:e19-e22.

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