AHRQ Patient Safety Network

The Collection > Quality and Safety Professionals

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Safety Target

•Device-related Complications (106)

•Diagnostic Errors (117)

•Identification Errors (81)

•Discontinuities, Gaps, and Hand-Off Problems (271)

•Fatigue and Sleep Deprivation (52)

•Medication Safety (691)

•Medical Complications (285)

•Nonsurgical Procedural Complications (72)

•Surgical Complications (315)

•Transfusion Complications (13)

•Psychological and Social Complications (65)

Origin/Sponsor

•Africa (2)

•Asia (34)

•Australia and New Zealand (82)

•Central and South America (5)

•Europe (278)

•North America (1835)

Resource Types

•Audiovisual (8)

•Award (6)

•Book/Report (72)

•Clinical Guideline (3)

•Journal Article (1895)

•Legislation/Regulation (31)

•Meeting/Conference (13)

•Newsletter/Journal (3)

•Newspaper/Magazine Article (129)

•Press Release/Announcement (15)

•Special or Theme Issue (22)

•Tools/Toolkit (21)

•Web Resource (42)

•Grant (5)

Error Types

•Epidemiology of Errors and Adverse Events (630)

•Active Errors (417)

•Latent Errors (135)

•Near Miss (48)

Approach to Improving Safety

•Quality Improvement Strategies (577)

•Legal and Policy Approaches (118)

•Error Reporting and Analysis (645)

•Communication Improvement (533)

•Human Factors Engineering (357)

•Teamwork (227)

•Specialization of Care (178)

•Logistical Approaches (170)

•Culture of Safety (279)

•Technologic Approaches (424)

•Education and Training (454)

Clinical Areas

•Allied Health Services (7)

•Complementary and Alternative Medicine (1)

Target Audience
< All

Quality and Safety Professionals

Setting of Care

•Hospitals (1513)

•Psychiatric Facilities (6)

•Residential Facilities (38)

•Ambulatory Care (169)

•Outpatient Surgery (22)

•Patient Transport (21)

1 - 20 of 2265

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MULTI-USE WEBSITE

The National Report Card on the State of Emergency Medicine.

Dallas, TX: American College of Emergency Physicians.

COMMENTARY

A pediatric medical emergency team manages a complex child with hypoxia and a worried parent.

Shilkofski NA, Hunt EA. Jt Comm J Qual Patient Saf. 2007;33:236-241.

STUDY

Defining the incidence of cardiorespiratory instability in patients in step-down units using an electronic integrated monitoring system.

Hravnak M, Edwards L, Clontz A, Valenta C, DeVita MA, Pinsky MR. Arch Intern Med. 2008;168:1300-1308.

COMMENTARY

Confusion about epinephrine dosing leading to iatrogenic overdose: a life-threatening problem with a potential solution.

Kanwar M, Irvin CB, Frank JJ, Weber K, Rosman H. Ann Emerg Med. 2010;55:341-344.

STUDY

A 5-year analysis of rapid response system activation at an in-hospital haemodialysis unit.

Galhotra S, Devita MA, Dew MA, Simmons RL. Qual Saf Health Care. 2010;19:e38.

STUDY

Rescue me: saving the vulnerable non-ICU patient population.

Bader MK, Neal B, Johnson L, et al. Jt Comm J Qual Patient Saf. 2009;35:199-205.

MULTI-USE WEBSITE

Quality & Safety Research Group.

Johns Hopkins University, Department of Anesthesiology & Critical Care Medicine.

COMMENTARY

Findings of the first consensus conference on medical emergency teams.

Devita MA, Bellomo R, Hillman K, et al. Crit Care Med. 2006;34;2463-2478.

STUDY

The association between EMS workplace safety culture and safety outcomes.

Weaver MD, Wang HE, Fairbanks RJ, Patterson D. Prehosp Emerg Care. 2012;16:43-52.

STUDY

Unplanned transfers to a medical intensive care unit: causes and relationship to preventable errors in care.

Bapoje SR, Gaudiani JL, Narayanan V, Albert RK. J Hosp Med. 2011;6:68-72.

STUDY

Increases in mortality, length of stay, and cost associated with hospital-acquired infections in trauma patients.

Glance LG, Stone PW, Mukamel DB, Dick AW. Arch Surg. 2011;146:794-801.

STUDY

Retrospective review of emergency response activations during a 13-year period at a tertiary care children's hospital.

Wang GS, Erwin N, Zuk J, Henry DB, Dobyns EL. J Hosp Med. 2011;6:131-135.

REVIEW

Rapid response teams: a systematic review and meta-analysis.

Chan PS, Jain R, Nallmothu BK, Berg RA, Sasson C. Arch Intern Med. 2010;170:18-26.

NEWSPAPER/MAGAZINE ARTICLE

Medical errors still claiming many lives.

Weise E. USA Today. May 18, 2005.

STUDY

Rapid response teams and continuous quality improvement.

Dailey MS, Durkin S, Gulczynski B, Kearney M, Loeb B, Pouliot J. Patient Saf Qual Healthc. Nov/Dec 2009;6:28-31.

COMMENTARY

Implementation of a rapid response team: a success story.

Scott SS, Elliott S. Crit Care Nurse. 2009;29:66-75.

STUDY

A prospective controlled trial of the effect of a multi-faceted intervention on early recognition and intervention in deteriorating hospital patients.

Mitchell IA, McKay H, Van Leuvan C, et al. Resuscitation. 2010;81:658-666.

STUDY

Epidemiology and patient outcome after medical emergency team calls triggered by atrial fibrillation.

Schneider A, Calzavacca P, Jones D, Bellomo R. Resuscitation. 2011;82:410-414.

NEWSPAPER/MAGAZINE ARTICLE

Scanning out medication errors: Ohio Valley Hospital's automated IV system provides real-time access to patient data.

Carbasho T. Pittsburgh Business Times. April 25, 2005.

COMMENTARY

Eliminating preventable death at Ascension Health.

Tolchin S, Brush R, Lange P, Bates P, Garbo JJ. Jt Comm J Qual Patient Saf. 2007;33:145-154.

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