AHRQ Patient Safety Network

The Collection > Quality and Safety Professionals

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Safety Target

•Device-related Complications (116)

•Diagnostic Errors (114)

•Identification Errors (88)

•Discontinuities, Gaps, and Hand-Off Problems (270)

•Fatigue and Sleep Deprivation (50)

•Medication Safety (716)

•Medical Complications (301)

•Nonsurgical Procedural Complications (77)

•Surgical Complications (324)

•Transfusion Complications (13)

•Psychological and Social Complications (68)

Origin/Sponsor

•Africa (2)

•Asia (42)

•Australia and New Zealand (83)

•Central and South America (5)

•Europe (349)

•North America (1856)

Resource Types

•Audiovisual (8)

•Award (5)

•Book/Report (77)

•Clinical Guideline (3)

•Journal Article (1973)

•Legislation/Regulation (31)

•Meeting/Conference (13)

•Newsletter/Journal (3)

•Newspaper/Magazine Article (133)

•Press Release/Announcement (17)

•Special or Theme Issue (27)

•Tools/Toolkit (20)

•Web Resource (42)

•Grant (5)

Error Types

•Epidemiology of Errors and Adverse Events (660)

•Active Errors (429)

•Latent Errors (148)

•Near Miss (51)

Approach to Improving Safety

•Quality Improvement Strategies (629)

•Legal and Policy Approaches (117)

•Error Reporting and Analysis (679)

•Communication Improvement (542)

•Human Factors Engineering (372)

•Teamwork (234)

•Specialization of Care (174)

•Logistical Approaches (173)

•Culture of Safety (283)

•Technologic Approaches (424)

•Education and Training (460)

Clinical Areas

•Allied Health Services (7)

Target Audience
< All

Quality and Safety Professionals

Setting of Care

•Hospitals (1607)

•Psychiatric Facilities (5)

•Residential Facilities (37)

•Ambulatory Care (176)

•Outpatient Surgery (21)

•Patient Transport (17)

1 - 20 of 2357

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STUDY

Results of a medication reconciliation survey from the 2006 Society of Hospital Medicine national meeting.

Clay BJ, Halasyamani L, Stucky ER, Greenwald JL, Williams MV. J Hosp Med. 2008;3:465-472.

STUDY

Impact of a hospital-wide hand hygiene initiative on healthcare-associated infections: results of an interrupted time series.

Kirkland KB, Homa KA, Lasky RA, Ptak JA, Taylor EA, Splaine ME. BMJ Qual Saf. 2012;21:1019-1026.

NEWSPAPER/MAGAZINE ARTICLE

Your high-alert medication list—relatively useless without associated risk-reduction strategies.

ISMP Medication Safety Alert! Acute Care Edition. April 4, 2013;18:1-5.

COMMENTARY

Infusing fun into quality and safety initiatives.

Foulk KC, Tocydlowski P, Snow TM, et al. Nursing. 2012;42:14-16.

BOOK/REPORT

Preventing Central Line–Associated Bloodstream Infections: a Global Challenge, a Global Perspective.

The Joint Commission. Oakbrook Terrace, IL: Joint Commission Resources; May 2012.

STUDY

Improving patient safety using the sterile cockpit principle during medication administration: a collaborative, unit-based project.

Fore AM, Sculli GL, Albee D, Neily J. J Nurs Manag. 2013;21:106-111.

REVIEW

Preventing in-facility pressure ulcers as a patient safety strategy: a systematic review.

Sullivan N, Schoelles KM. Ann Intern Med. 2013;158(5 Pt 2):410-416.

STUDY

PCA safety data review after clinical decision support and smart pump technology implementation.

Prewitt J, Schneider S, Horvath M, Hammond J, Jackson J, Ginsberg B. J Patient Saf. 2013;9:103-109.

STUDY

Parenteral nutrition prescribing processes using computerized prescriber order entry: opportunities to improve safety.

Hilmas E, Peoples JD. JPEN J Parenter Enteral Nutr. 2012;36(suppl 2):32S-35S.

STUDY

The impact of resident duty hour reform on hospital readmission rates among Medicare beneficiaries.

Press MJ, Silber JH, Rosen AK, et al. J Gen Intern Med. 2011;26:405-411.

COMMENTARY

ISMP medication error report analysis.

Cohen MR. Hosp Pharm. 2008;43:696–698.

COMMENTARY

Achieving a high-reliability organization through implementation of the ARCC model for systemwide sustainability of evidence-based practice.

Melnyk BM. Nurs Adm Q. 2012;36:127-135.

STUDY

The computerized rounding report: implementation of a model system to support transitions of care.

Wohlauer MV, Rove KO, Pshak TJ, et al. J Surg Res. 2012;172:11-17.

STUDY

Hospital discharge documentation and risk of rehospitalisation.

Hansen LO, Strater A, Smith L, et al. BMJ Qual Saf. 2011;20:773-778.

NEWSPAPER/MAGAZINE ARTICLE

Daily check-in for safety: from best practice to common practice.

Stockmeier C, Clapper C. Patient Saf Qual Healthc. September/October 2011;8:30-31,34-36.

STUDY

A July spike in fatal medication errors: a possible effect of new medical residents.

Phillips DP, Barker GEC. J Gen Intern Med. 2010;25:774-779.

REVIEW

Fall prevention in hospitals: an integrative review.

Spoelstra SL, Given BA, Given CW. Clin Nurs Res. 2012;21:92-112.

COMMENTARY

Reducing methicillin-resistant Staphylococcus aureus (MRSA) infections.

Griffin FA. Jt Comm J Qual Patient Saf. 2007;33:726-731.

MULTI-USE WEBSITE

California Hospital Patient Safety Organization.

1215 K Street, Suite 800, Sacramento, CA 95814.

STUDY

The simulated ward: ideal for training clinical clerks in an era of patient safety.

Mollo EA, Reinke CE, Nelson C, et al. J Surg Res. 2012;177:E1-E6.

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