AHRQ Patient Safety Network

The Collection > Quality and Safety Professionals

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Safety Target

•Device-related Complications (82)

•Diagnostic Errors (80)

•Identification Errors (69)

•Discontinuities, Gaps, and Hand-Off Problems (218)

•Fatigue and Sleep Deprivation (49)

•Medication Safety (557)

•Medical Complications (224)

•Nonsurgical Procedural Complications (56)

•Surgical Complications (247)

•Transfusion Complications (9)

•Psychological and Social Complications (60)

Origin/Sponsor

•Asia (16)

•Australia and New Zealand (39)

•Central and South America (3)

•Europe (133)

•North America (1712)

Resource Types

•Audiovisual (7)

•Award (5)

•Book/Report (67)

•Clinical Guideline (2)

•Journal Article (1599)

•Legislation/Regulation (26)

•Meeting/Conference (12)

•Newsletter/Journal (4)

•Newspaper/Magazine Article (122)

•Press Release/Announcement (7)

•Special or Theme Issue (20)

•Tools/Toolkit (18)

•Web Resource (32)

•Grant (1)

Error Types

•Epidemiology of Errors and Adverse Events (493)

•Active Errors (293)

•Latent Errors (108)

•Near Miss (44)

Approach to Improving Safety

•Quality Improvement Strategies (497)

•Legal and Policy Approaches (105)

•Error Reporting and Analysis (607)

•Communication Improvement (421)

•Human Factors Engineering (273)

•Teamwork (196)

•Specialization of Care (137)

•Logistical Approaches (156)

•Culture of Safety (340)

•Technologic Approaches (341)

•Education and Training (376)

Clinical Areas

•Allied Health Services (6)

•Complementary and Alternative Medicine (1)

Target Audience
< All

Quality and Safety Professionals

Setting of Care

•Hospitals (1220)

•Psychiatric Facilities (6)

•Residential Facilities (38)

•Ambulatory Care (146)

•Outpatient Surgery (21)

•Patient Transport (14)

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COMMENTARY

Using medical-error reporting to drive patient safety efforts.

Stow J. AORN J. 2006;84:406-408, 411-414, 417-420.

COMMENTARY

A plan for achieving significant improvement in patient safety.

Johnson K, Maultsby CC. J Nurs Care Qual. 2007;22:164-171.

STUDY

The effect of the fit between organizational culture and structure on medication errors in medical group practices.

Kaissi A, Kralewski J, Dowd B, Heaton A. Health Care Manage Rev. 2007;32:12-21.

NEWSPAPER/MAGAZINE ARTICLE

If safety is your yardstick, measuring culture from the top down must be a priority.

ISMP Medication Safety Alert! Acute Care Edition. March 22, 2007;12:1-2.

COMMENTARY

Measuring perinatal patient safety: review of current methods.

Simpson KR. J Obstet Gynecol Neonatal Nurs. 2006;35:432-442.

STUDY

The safety culture in a children's hospital.

Grant MJC, Donaldson AE, Larsen GY. J Nurs Care Qual. 2006;21:223-229.

NEWSPAPER/MAGAZINE ARTICLE

Medical errors still claiming many lives.

Weise E. USA Today. May 18, 2005.

STUDY

Medication safety infrastructure in critical-access hospitals in Florida.

Winterstein AG, Hartzema AG, Johns TE, et al. Am J Health Syst Pharm. 2006;63:442-450.

BOOK/REPORT

Improving America's Hospitals: A Report on Quality and Safety.

Oakbrook Terrace, IL: The Joint Commission; March 2007.

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.

COMMENTARY

Passing the "Yo' Mama" test.

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

STUDY

The effect of executive walk rounds on nurse safety climate attitudes: a randomized trial of clinical units.

Thomas EJ, Sexton JB, Neilands TB, Frankel A, Helmreich RL. BMC Health Serv Res. 2005;5:28.

STUDY

Work-hour restrictions as an ethical dilemma for residents.

Carpenter RO, Austin MT, Tarpley JL, Griffin MR, Lomis KD. Amer J Surg. 2006;191:527-532.

STUDY

Evaluation of the culture of safety: survey of clinicians and managers in an academic medical center.

Pronovost PJ, Weast B, Holzmueller CG, et al. Qual Saf Health Care. 2003;12:405-410.

NEWSPAPER/MAGAZINE ARTICLE

The dawn of the robo-docs.

Weber DO. Hosp Health Netw. March 14, 2006.

STUDY

Adopting National Quality Forum medication safe practices: progress and barriers to hospital implementation.

Rask K, Culler S, Scott T, et al. J Hosp Med. 2007;2:212-218.

REVIEW

Assessing patient safety culture: a review and synthesis of the measurement tools.

Singla AK, Kitch BT, Weissman JS, Campbell EG. J Patient Saf. 2006;2:105-115.

AUDIOVISUAL

Web sites compare how hospitals measure up.

Neary L. "Talk of the Nation." National Public Radio. August 26, 2008.

REVIEW

Safety in the academic medical center: transforming challenges into ingredients for improvement.

Blumenthal D, Ferris TG. Acad Med. 2006;81:817-822.

STUDY

The occurrence of wrong-site surgery self-reported by candidates for certification by the American Board of Orthopaedic Surgery.

James MA, Seiler JG 3rd, Harrast JJ, Emery SE, Hurwitz S. J Bone Joint Surg Am. 2012;94:e2(1-12).

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