AHRQ Patient Safety Network

The Collection > Quality and Safety Professionals

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Safety Target

•Device-related Complications (104)

•Diagnostic Errors (115)

•Identification Errors (79)

•Discontinuities, Gaps, and Hand-Off Problems (241)

•Fatigue and Sleep Deprivation (48)

•Medication Safety (685)

•Medical Complications (289)

•Nonsurgical Procedural Complications (73)

•Surgical Complications (307)

•Transfusion Complications (11)

•Psychological and Social Complications (67)

Origin/Sponsor

•Africa (1)

•Asia (41)

•Australia and New Zealand (58)

•Central and South America (6)

•Europe (311)

•North America (1781)

Resource Types

•Audiovisual (6)

•Award (5)

•Book/Report (65)

•Clinical Guideline (2)

•Journal Article (1889)

•Legislation/Regulation (25)

•Meeting/Conference (11)

•Newsletter/Journal (4)

•Newspaper/Magazine Article (121)

•Press Release/Announcement (6)

•Special or Theme Issue (21)

•Tools/Toolkit (19)

•Web Resource (34)

•Grant (4)

Error Types

•Epidemiology of Errors and Adverse Events (747)

•Active Errors (388)

•Latent Errors (117)

•Near Miss (45)

Approach to Improving Safety

•Quality Improvement Strategies (576)

•Legal and Policy Approaches (107)

•Error Reporting and Analysis (663)

•Communication Improvement (476)

•Human Factors Engineering (324)

•Teamwork (226)

•Specialization of Care (170)

•Logistical Approaches (162)

•Culture of Safety (340)

•Technologic Approaches (384)

•Education and Training (473)

Clinical Areas

•Allied Health Services (6)

•Complementary and Alternative Medicine (1)

Target Audience
< All

Quality and Safety Professionals

Setting of Care

•Hospitals (1468)

•Psychiatric Facilities (7)

•Residential Facilities (36)

•Ambulatory Care (160)

•Outpatient Surgery (22)

•Patient Transport (17)

1 - 20 of 2212

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STUDY

A comprehensive obstetrics patient safety program improves safety climate and culture.

Pettker CM, Thung SF, Raab CA, et al. Am J Obstet Gynecol. 2011;204:216.e1-e6.

STUDY

Didactic and simulation nontechnical skills team training to improve perinatal patient outcomes in a community hospital.

Riley W, Davis S, Miller K, Hansen H, Sainfort F, Sweet R. Jt Comm J Qual Patient Saf. 2011;37:357-364.

STUDY

Effect of a comprehensive obstetric patient safety program on compensation payments and sentinel events.

Grunebaum A, Chervenak F, Skupski D. Am J Obstet Gynecol. 2011;204:97-105.

COMMENTARY

Building team and technical competency for obstetric emergencies: the mobile obstetric emergencies simulator (MOES) system.

Deering S, Rosen MA, Salas E, King HB. Simul Healthc. 2009;4:166-173.

REVIEW

Multidisciplinary team training in a simulation setting for acute obstetric emergencies: a systematic review.

Merién AER, van de Ven J, Mol BW, Houterman S, Oei SG. Obstet Gynecol. 2010;115:1021-1031.

COMMENTARY

Using in situ simulation to identify and resolve latent environmental threats to patient safety: case study involving a labor and delivery ward.

Hamman WR, Beaudin-Seiler BM, Beaubien JM, et al. J Patient Saf. 2009;5:184-187.

STUDY

Attitudes toward safety and teamwork in a maternity unit with embedded team training.

Siassakos D, Fox R, Hunt L, et al. Am J Med Qual. 2011;26:132-137.

STUDY

Evaluating efforts to optimize TeamSTEPPS implementation in surgical and pediatric intensive care units.

Mayer CM, Cluff L, Lin WT, et al. Jt Comm J Qual Patient Saf. 2011;37:365-374.

STUDY

Interdisciplinary team training identifies discrepancies in institutional policies and practices.

Andreatta P, Frankel J, Smith SB, Bullough A, Marzano D. Am J Obstet Gynecol. 2011;205:298-230.

BOOK/REPORT

Achieving Strong Teamwork Practices in Hospital Labor and Delivery Units.

Farley DO, Sorbero ME, Lovejoy SL, Salisbury M. Santa Monica, CA: Rand Corporation; 2010. ISBN: 9780833050557.

STUDY

Assessing teamwork attitudes in healthcare: development of the TeamSTEPPS teamwork attitudes questionnaire.

Baker DP, Amodeo AM, Krokos KJ, Slonim A, Herrera H. Qual Saf Health Care. 2010;19:e49.

COMMENTARY

Surgical team training: promoting high reliability with nontechnical skills.

Paige JT. Surg Clin North Am. 2010;90:569-581.

ORGANIZATIONAL POLICY/GUIDELINES

Preventing maternal death.

Sentinel Event Alert. January 26, 2010;(44):1-4.

STUDY

Effects of teamwork training on adverse outcomes and process of care in labor and delivery: a randomized controlled trial.

Nielsen PE, Goldman MB, Mann S, et al. Obstet Gynecol. 2007;109:48-55.

COMMENTARY

Improving patient safety with team coordination: challenges and strategies of implementation.

Harris KT, Treanor CM, Salisbury ML. J Obset Gynol Neonatal Nurs. 2006;35:557-566.

STUDY

Content analysis of team communication in an obstetric emergency scenario.

Siassakos D, Draycott T, Montague I, Harris M. J Obstet Gynaecol. 2009;29:499-503.

STUDY

Assessing and improving safety culture throughout an academic medical centre: a prospective cohort study.

Paine LA, Rosenstein BJ, Sexton JB, Kent P, Holzmueller CG, Pronovost PJ. Qual Saf Health Care. 2010;19:547-554.

STUDY

Team training in the neonatal resuscitation program for interns: teamwork and quality of resuscitations.

Thomas EJ, Williams AL, Reichman EF, Lasky RE, Crandell S, Taggart WR. Pediatrics. 2010;125:539-546.

STUDY

Structured interdisciplinary rounds in a medical teaching unit: improving patient safety.

O’Leary KJ, Buck R, Fligiel HM, et al. Arch Intern Med. 2011;171:678-684.

STUDY

Speaking up and sharing information improves trainee neonatal resuscitations.

Katakam LI, Trickey AW, Thomas EJ. J Patient Saf. 2012;8:202-209.

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