AHRQ Patient Safety Network

The Collection > Quality and Safety Professionals

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Safety Target

•Device-related Complications (96)

•Diagnostic Errors (92)

•Identification Errors (73)

•Discontinuities, Gaps, and Hand-Off Problems (235)

•Fatigue and Sleep Deprivation (44)

•Medication Safety (606)

•Medical Complications (241)

•Nonsurgical Procedural Complications (63)

•Surgical Complications (277)

•Transfusion Complications (8)

•Psychological and Social Complications (65)

Origin/Sponsor

•Asia (29)

•Australia and New Zealand (73)

•Central and South America (2)

•Europe (173)

•North America (1746)

Resource Types

•Audiovisual (8)

•Award (4)

•Book/Report (63)

•Clinical Guideline (2)

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•Meeting/Conference (10)

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•Newspaper/Magazine Article (125)

•Press Release/Announcement (10)

•Special or Theme Issue (23)

•Tools/Toolkit (19)

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Error Types

•Epidemiology of Errors and Adverse Events (539)

•Active Errors (342)

•Latent Errors (123)

•Near Miss (46)

Approach to Improving Safety

•Quality Improvement Strategies (520)

•Legal and Policy Approaches (109)

•Error Reporting and Analysis (595)

•Communication Improvement (470)

•Human Factors Engineering (315)

•Teamwork (254)

•Specialization of Care (159)

•Logistical Approaches (166)

•Culture of Safety (276)

•Technologic Approaches (360)

•Education and Training (443)

Clinical Areas

•Allied Health Services (7)

•Complementary and Alternative Medicine (1)

Target Audience
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Quality and Safety Professionals

Setting of Care

•Hospitals (1332)

•Psychiatric Facilities (8)

•Residential Facilities (35)

•Ambulatory Care (137)

•Outpatient Surgery (20)

•Patient Transport (22)

1 - 20 of 2036

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COMMENTARY

Bedside shift report improves patient safety and nurse accountability.

Baker SJ. J Emerg Nurs. 2010;36:355-358.

COMMENTARY

Identified safety risks with splitting and crushing oral medications.

Paparella S. J Emerg Nurs. 2010;36:156-158.

STUDY

How RNs rescue patients: a qualitative study of RNs' perceived involvement in rapid response teams.

Leach LS, Mayo A, O'Rourke M. Qual Saf Health Care. 2010;19:e13.

STUDY

A "back to basics" approach to reduce ED medication errors.

Blank FSJ, Tobin J, Macomber S, Jaouen M, Dinoia M, Visintainer P. J Emerg Nurs. 2011;37:141-147.

STUDY

Nurse decision making in the prearrest period.

Gazarian PK, Henneman EA, Chandler GE. Clin Nurs Res. 2010;19:21-37.

NEWSPAPER/MAGAZINE ARTICLE

How to master the new art of training: teamwork on the fly.

Edmondson AC. Harv Bus Rev. April 2012;90:72-80.

STUDY

Comparing errors in ED computer-assisted vs conventional pediatric drug dosing and administration.

Yamamoto L, Kanemori J. Am J Emerg Med. 2010;28:588-592.

STUDY

Nurses' perceptions of simulation-based interprofessional training program for rapid response and code blue events.

Wehbe-Janek H, Lenzmeier CR, Ogden PE, et al. J Nurs Care Qual. 2012;27:43-50.

STUDY

Are temporary staff associated with more severe emergency department medication errors?

Pham JC, Andrawis M, Shore AD, Fahey M, Morlock L, Pronovost PJ. J Healthc Qual. 2011;33:9-18.

COMMENTARY

Do not put medication safety "on hold" with boarded patients.

Paparella S. J Emerg Nurs. 2010;36:347-349.

COMMENTARY

Rapid response systems: from implementation to evidence base.

Sarani B, Scott S. Jt Comm J Qual Patient Saf. 2010;36:514-517.

COMMENTARY

Rolling out the rapid response team.

Gallagher-Ford L, Fineout-Overholt E, Melnyk BM, Stillwell SB. Am J Nurs. 2011;111:42-47.

REVIEW

Communication and teamwork in patient care: how much can we learn from aviation?

Lyndon A. J Obset Gynol Neonatal Nurs. 2006;35:538-546.

STUDY

Incidence and impact of physician and nurse disruptive behaviors in the emergency department.

Rosenstein AH, Naylor B. J Emerg Med. 2012;43:139-148.

STUDY

The impact of the medical emergency team on the resuscitation practice of critical care nurses.

Santiano N, Young L, Baramy LS, et al; Clinical Analysis Group. BMJ Qual Saf. 2011;20:115-120.

MEETING/CONFERENCE PROCEEDINGS

Safety in the NICU: preventing medical errors.

Stokowski LA. Highlights of the National Association of Neonatal Nurses 22nd Annual Conference [Medscape.com]. March 8, 2007.

COMMENTARY

CPOE: strategies for success.

Manor PJ. Nurs Manage. 2010;41:18-20.

STUDY

Medical emergency teams: a strategy for improving patient care and nursing work environments.

Galhotra S, Scholle CC, Dew MA, Mininni NC, Clermont G, DeVita MA. J Adv Nurs. 2006;55:180-187.

COMMENTARY

Development of a modified early warning score using the electronic medical record.

Albert BL, Huesman L. Dimens Crit Care Nurs. 2011;30:283-292.

COMMENTARY

Clinical nurse specialists as leaders in rapid response.

Jenkins SD, Lindsey PL. Clin Nurse Spec. 2010;24:24-30.

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