AHRQ Patient Safety Network

The Collection > Quality and Safety Professionals

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Safety Target

•Device-related Complications (73)

•Diagnostic Errors (109)

•Identification Errors (68)

•Discontinuities, Gaps, and Hand-Off Problems (150)

•Fatigue and Sleep Deprivation (50)

•Medication Safety (466)

•Medical Complications (119)

•Nonsurgical Procedural Complications (53)

•Surgical Complications (241)

•Transfusion Complications (7)

•Psychological and Social Complications (50)

Origin/Sponsor

•Asia (34)

•Australia and New Zealand (54)

•Central and South America (5)

Resource Types

•Clinical Guideline (3)

•Journal Article (1300)

•Legislation/Regulation (17)

•Meeting/Conference (6)

•Newsletter/Journal (3)

•Newspaper/Magazine Article (96)

•Press Release/Announcement (14)

•Special or Theme Issue (17)

•Tools/Toolkit (13)

•Web Resource (15)

•Grant (2)

Error Types

•Epidemiology of Errors and Adverse Events (449)

•Active Errors (435)

•Latent Errors (163)

•Near Miss (42)

Approach to Improving Safety

•Quality Improvement Strategies (374)

•Legal and Policy Approaches (84)

•Error Reporting and Analysis (515)

•Communication Improvement (308)

•Human Factors Engineering (263)

•Teamwork (158)

•Specialization of Care (65)

•Logistical Approaches (108)

•Culture of Safety (329)

•Technologic Approaches (241)

•Education and Training (279)

Clinical Areas

•Allied Health Services (5)

•Complementary and Alternative Medicine (1)

Target Audience
< All

Quality and Safety Professionals

Setting of Care

•Hospitals (951)

•Psychiatric Facilities (6)

•Residential Facilities (23)

•Ambulatory Care (106)

•Outpatient Surgery (20)

•Patient Transport (14)

1 - 20 of 1540

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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

Can an electronic prescribing system detect doctors who are more likely to make a serious prescribing error?

Coleman JJ, Hemming K, Nightingale PG, et al. J R Soc Med. 2011;104:208-218.

COMMENTARY

A 60-year-old man with delayed care for a renal mass.

Schiff GD. JAMA. 2011;305:1890-1898.

COMMENTARY

Profiles in patient safety: misplaced femoral line guidewire and multiple failures to detect the foreign body on chest radiography.

Lum TE, Fairbanks RJ, Pennington EC, Zwemer FL. Acad Emerg Med. 2005;12:658-662.

REVIEW

Overriding of drug safety alerts in computerized physician order entry.

van der Sijs H, Aarts J, Vulto A, Berg M. J Am Med Inform Assoc. 2006;13:138-147.

STUDY

'Skating on thin ice?' Consultant surgeon's contemporary experience of adverse surgical events.

Skevington SM, Langdon JE, Giddins G. Psychol Health Med. 2012;17:1-16.

STUDY

Nature, causes and consequences of unintended events in surgical units.

van Wagtendonk I, Smits M, Merten H, Heetveld MJ, Wagner C. Br J Surg. 2010;97:1730-1740.

COMMENTARY

Passing the "Yo' Mama" test.

Blair R. Health Manage Tech. June 2006;27:16.

COMMENTARY

Unintended transplantation of three organs from an HIV-positive donor: report of the analysis of an adverse event in a regional health care service in Italy.

Bellandi T, Albolino S, Tartaglia R, Filipponi F. Transplant Proc. 2010;42:2187-2189.

STUDY

The influence of 'Tall Man' lettering on errors of visual perception in the recognition of written drug names.

Darker IT, Gerret D, Filik R, Purdy KJ, Gale AG. Ergonomics. 2011;54:21-33.

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.

COMMENTARY

Embedding quality improvement and patient safety at Liverpool Women's NHS Foundation Trust.

Scholefield H. Best Pract Res Clin Obstet Gynaecol. 2007;21:593-607.

TOOLKIT

Manchester Patient Safety Framework (MaPSaF).

Manchester, UK: University of Manchester; 2006.

REVIEW

Understanding factors that impact on health care professionals' risk perceptions and responses toward Clostridium difficile and methicillin-resistant Staphylococcus aureus: a structured literature review.

Burnett E, Kearney N, Johnston B, Corlett J, Macgillivray S. Am J Infect Control. 2013;41:394-400.

STUDY

Adverse events and near miss reporting in the NHS.

Shaw R, Drever F, Hughes H, Osborn S, Williams S. Qual Saf Health Care. 2005;14:279-283.

COMMENTARY

Wrong site surgery.

Fraser SG, Adams W. Br J Ophthalmol. 2006;90:814-816.

PRESS RELEASE/ANNOUNCEMENT

CT brain perfusion scans safety investigation: initial notification.

MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; October 9, 2009.

COMMENTARY

ISMP medication error report analysis.

Cohen MR, Smetzer JL. Hosp Pharm. 2010;45:191-195.

NEWSPAPER/MAGAZINE ARTICLE

Neuromuscular blocking agents: reducing associated wrong-drug errors.

PA-PSRS Patient Saf Advis. December 2009;6:109-114.

STUDY

The nurse's role in the causation of compensable injury.

Painter LM, Dudjak LA, Kidwell KM, Simmons RL, Kidwell RP. J Nurs Care Qual. 2011;4:311-319.

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