AHRQ Patient Safety Network

The Collection > Quality and Safety Professionals

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Safety Target

•Device-related Complications (105)

•Diagnostic Errors (105)

•Identification Errors (82)

•Discontinuities, Gaps, and Hand-Off Problems (262)

•Fatigue and Sleep Deprivation (59)

•Medication Safety (665)

•Medical Complications (270)

•Nonsurgical Procedural Complications (68)

•Surgical Complications (287)

•Transfusion Complications (9)

•Psychological and Social Complications (68)

Origin/Sponsor

•Asia (37)

•Australia and New Zealand (62)

•Central and South America (4)

•Europe (287)

•North America (1798)

Resource Types

•Audiovisual (11)

•Award (5)

•Book/Report (74)

•Clinical Guideline (3)

•Journal Article (1869)

•Legislation/Regulation (27)

•Meeting/Conference (10)

•Newsletter/Journal (4)

•Newspaper/Magazine Article (129)

•Press Release/Announcement (14)

•Special or Theme Issue (23)

•Tools/Toolkit (20)

•Web Resource (30)

•Grant (2)

Error Types

•Epidemiology of Errors and Adverse Events (620)

•Active Errors (379)

•Latent Errors (140)

•Near Miss (51)

Approach to Improving Safety

•Quality Improvement Strategies (565)

•Legal and Policy Approaches (110)

•Error Reporting and Analysis (682)

•Communication Improvement (494)

•Human Factors Engineering (332)

•Teamwork (212)

•Specialization of Care (156)

•Logistical Approaches (173)

•Culture of Safety (342)

•Technologic Approaches (383)

•Education and Training (415)

Clinical Areas

•Allied Health Services (7)

•Complementary and Alternative Medicine (1)

Target Audience
< All

Quality and Safety Professionals

Setting of Care

•Hospitals (1497)

•Psychiatric Facilities (6)

•Residential Facilities (35)

•Ambulatory Care (172)

•Outpatient Surgery (21)

•Patient Transport (14)

1 - 20 of 2221

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STUDY

Comparing two safety culture surveys: Safety Attitudes Questionnaire and Hospital Survey on Patient Safety.

Etchegaray JM, Thomas EJ. BMJ Qual Saf. 2012;21:490-498.

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.

STUDY

Enhancing medication use safety: benefits of learning from your peers.

Kazandjian VA, Ogunbo S, Wicker KG, Vaida AJ, Pipesh F. Qual Saf Health Care. 2009;18:331-335.

NEWSPAPER/MAGAZINE ARTICLE

Oops, sorry, wrong patient! A patient verification process is needed everywhere, not just at the bedside.

ISMP Medication Safety Alert! Acute Care Edition. March 10, 2011;16:1-4.

STUDY

Perceptions of hospital safety climate and incidence of readmission.

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

STUDY

Differences in outcomes between ICU attending and senior resident physician led medical emergency team responses.

Morris DS, Schweickert W, Holena D, et al. Resuscitation. 2012;83:1434-1437.

STUDY

Lack of patient knowledge regarding hospital medications.

Cumbler E, Wald H, Kutner J. J Hosp Med. 2010;5-83-86.

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.

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

Outcomes of care by hospitalists, general internists, and family physicians.

Lindenauer PK, Rothberg MB, Pekow PS, Kenwood C, Benjamin EM, Auerbach AD. N Engl J Med. 2007;357:2589-2600.

COMMENTARY

Creating high reliability: a new approach for patient safety.

McGinnis L. AORN J. 2011;94:219-222.

STUDY

Eradicating medical student mistreatment: a longitudinal study of one institution's efforts.

Fried JM, Vermillion M, Parker NH, Uijtdehaage S. Acad Med. 2012;87:1191-1198.

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.

STUDY

Adoption of National Quality Forum safe practices by magnet hospitals.

Jayawardhana J, Welton JM, Lindrooth R. J Nurs Adm. 2011;41:350-356.

NEWSPAPER/MAGAZINE ARTICLE

Under-mined.

Greene J. Hosp Health Netw. December 2006.

STUDY

Adverse drug events among hospitalized Medicare patients: epidemiology and national estimates from a new approach to surveillance.

Classen DC, Jaser L, Budnitz DS. Jt Comm J Qual Patient Saf. 2010;36:12-21, AP1-AP9.

BOOK/REPORT

The Patient Safety Leadership WalkRounds Guide.

Frankel AS, Grillo S, Pittman MA. Chicago, IL: Health Research and Educational Trust; 2006.

STUDY

Adverse-event-reporting practices by US hospitals: results of a national survey.

Farley DO, Haviland A, Champagne S, et al. Qual Saf Health Care. 2008;17:416-423.

MULTI-USE WEBSITE classic

Improving America's Hospitals—The Joint Commission's Annual Report on Quality and Safety.

Oakbrook Terrace, IL: Joint Commission.

STUDY

Multiple patient safety events within a single hospitalization: a national profile in US hospitals.

Yu H, Greenberg MD, Haviland AM, Farley DO. Am J Med Qual. 2012;27:472-479.

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