AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (5)

•Diagnostic Errors (11)

•Identification Errors (5)

•Discontinuities, Gaps, and Hand-Off Problems (45)

•Fatigue and Sleep Deprivation (10)

•Medication Safety (71)

•Medical Complications (35)

•Nonsurgical Procedural Complications (6)

•Surgical Complications (70)

•Psychological and Social Complications (143)

Origin/Sponsor

•Australia and New Zealand (30)

•North America (480)

Resource Types

•Audiovisual (2)

•Book/Report (40)

•Journal Article (518)

•Legislation/Regulation (3)

•Meeting/Conference (8)

•Newspaper/Magazine Article (42)

•Press Release/Announcement (1)

•Special or Theme Issue (9)

•Tools/Toolkit (4)

•Web Resource (5)

Error Types

•Epidemiology of Errors and Adverse Events (56)

•Active Errors (59)

•Latent Errors (42)

•Near Miss (13)

Approach to Improving Safety

•Quality Improvement Strategies (136)

•Legal and Policy Approaches (57)

•Error Reporting and Analysis (163)

•Communication Improvement (207)

•Human Factors Engineering (61)

•Teamwork (162)

•Specialization of Care (31)

•Logistical Approaches (40)

•Culture of Safety (212)

•Technologic Approaches (47)

•Education and Training (159)

Clinical Areas

•Allied Health Services (3)

•Dentistry (1)

•Medicine (362)

•Nursing (70)

•Pharmacy (22)

Target Audience
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Organizational Behaviorists

Setting of Care

•Hospitals (362)

•Residential Facilities (5)

•Ambulatory Care (36)

•Patient Transport (5)

1 - 20 of 632

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STUDY

Teamwork on inpatient medical units: assessing attitudes and barriers.

O'Leary KJ, Ritter CD, Wheeler H, Szekendi MK, Brinton TS, Williams MV. Qual Saf Health Care. 2010;19:117-121.

COMMENTARY

The Preventable Harm Index: an effective motivator to facilitate the drive to zero.

Brilli RJ, McClead RE Jr, Davis T, Stoverock L, Rayburn A, Berry JC. J Pediatr. 2010;157:681-683.

STUDY

classic

Operating room teamwork among physicians and nurses: teamwork in the eye of the beholder.

Makary MA, Sexton JB, Freischlag JA, et al. J Am Coll Surg. 2006;202:746-752.

COMMENTARY

Disclosing harmful pathology errors to patients.

Dintzis SM, Gallagher TH. Am J Clin Pathol. 2009;131:463-465.

STUDY

Medical error reporting, patient safety, and the physician.

Anderson B, Stumpf PG, Schulkin J. J Patient Saf. 2009;5:176-179.

STUDY

An empirical model to estimate the potential impact of medication safety alerts on patient safety, health care utilization, and cost in ambulatory care.

Weingart SN, Simchowitz B, Padolsky H, et al. Arch Intern Med. 2009;169;1465-1473.

NEWSPAPER/MAGAZINE ARTICLE

Too many abandon the "second victims" of medical errors.

ISMP Medication Safety Alert! Acute Care Edition. July 14, 2011;16:1-3.

COMMENTARY

The heart of health care: parents' perspectives on patient safety.

Micalizzi DA, Bismark MM. Pediatr Clin North Am. 2012;59:1233-1246.

NEWSPAPER/MAGAZINE ARTICLE

Empowering families in emergencies.

Spath PL. Hospital & Health Networks. February 20, 2007.

NEWSPAPER/MAGAZINE ARTICLE

Survive your doctor.

Holt TE. Men's Health. November 3, 2006.

COMMENTARY

Culture, language, and patient safety: making the link.

Johnstone MJ, Kanitsaki O. Int J Qual Health Care. 2006;18:383-8.

COMMENTARY

Disruptive clinician behavior: a persistent threat to patient safety.

Porto G, Lauve R. Patient Safety Qual Healthc. July/August 2006;3:16-24.

STUDY

Failure to engage hospitalized elderly patients and their families in advance care planning.

Heyland DK, Barwich D, Pichora D, et al; ACCEPT (Advance Care Planning Evaluation in Elderly Patients) Study Team; Canadian Researchers at the End of Life Network (CARENET). JAMA Intern Med. 2013 Apr 1; [Epub ahead of print].

STUDY

Professionalism: a necessary ingredient in a culture of safety.

DuPree E, Anderson R, McEvoy MD, Brodman M. Jt Comm J Qual Patient Saf. 2011;37:447-455.

STUDY

Perception of intimidation in a perioperative setting.

Dull DL, Fox L. Am J Med Qual. 2010;25:87-94.

COMMENTARY

Ashamed to admit it: owning up to medical error.

Ofri D. Health Aff (Millwood). 2010;29:1549-1551.

MISSOURI MEETING/CONFERENCE

The Second Victim Experience: Train-the-Trainer Workshop.

Center for Patient Safety. June 11, 2013; University of Missouri Health System Health System, Columbia, MO.

STUDY

Health care workers as second victims of medical errors.

Edrees HH, Paine LA, Feroli ER, Wu AW. Pol Arch Med Wewn. 2011;121:101-108.

REVIEW

Intimidation: a concept analysis.

Lamontagne C. Nurs Forum. 2010;45:54-65.

BOOK/REPORT

Achieving an Exceptional Patient and Family Experience of Inpatient Hospital Care.

Balik B, Conway J, Zipperer L, Watson J. Cambridge, MA: Institute for Healthcare Improvement; 2011.

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