AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (5)

•Diagnostic Errors (7)

•Identification Errors (6)

•Discontinuities, Gaps, and Hand-Off Problems (42)

•Fatigue and Sleep Deprivation (6)

•Medication Safety (62)

•Medical Complications (35)

•Nonsurgical Procedural Complications (6)

•Surgical Complications (68)

•Psychological and Social Complications (88)

Origin/Sponsor

•Australia and New Zealand (31)

•Europe (114)

•North America (362)

Resource Types

•Audiovisual (1)

•Book/Report (30)

•Journal Article (455)

•Legislation/Regulation (2)

•Meeting/Conference (3)

•Newspaper/Magazine Article (28)

•Press Release/Announcement (1)

•Special or Theme Issue (12)

•Tools/Toolkit (4)

•Web Resource (3)

Error Types

•Epidemiology of Errors and Adverse Events (45)

•Active Errors (45)

•Latent Errors (36)

•Near Miss (9)

Approach to Improving Safety

•Quality Improvement Strategies (122)

•Legal and Policy Approaches (37)

•Error Reporting and Analysis (131)

•Communication Improvement (186)

•Human Factors Engineering (54)

•Teamwork (172)

•Specialization of Care (25)

•Logistical Approaches (34)

•Culture of Safety (230)

•Technologic Approaches (37)

•Education and Training (141)

Clinical Areas

•Allied Health Services (3)

•Dentistry (1)

•Medicine (323)

•Nursing (67)

•Pharmacy (19)

Target Audience
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Organizational Behaviorists

Setting of Care

•Hospitals (326)

•Psychiatric Facilities (1)

•Residential Facilities (5)

•Ambulatory Care (28)

•Outpatient Surgery (1)

•Patient Transport (6)

1 - 20 of 539

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COMMENTARY

The quality and economic impact of disruptive behaviors on clinical outcomes of patient care.

Rosenstein AH. Am J Med Qual. 2011;26:372-379.

STUDY

Managing disruptive behaviors in the health care setting: focus on obstetrics services.

Rosenstein AH. Am J Obstet Gynecol. 2011;204:187-192.

STUDY

Improving patient safety: the comparative views of patient-safety specialists, workforce staff and managers.

Braithwaite J, Westbrook MT, Robinson M, Michael S, Pirone C, Robinson P. BMJ Qual Saf. 2011;20:424-431.

COMMENTARY

"Managing up" can improve teamwork in the OR.

Smith SL. AORN J. 2010;91:576-582.

COMMENTARY

Patient safety in an interprofessional learning environment.

Horsburgh M, Merry AF, Seddon M. Med Educ. 2005;39:512-513.

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

Action research, simulation, team communication, and bringing the tacit into voice. Society for Simulation in Healthcare.

Forsythe L. Simul Healthc. 2009;4:143-148.

COMMENTARY

How to Identify and Manage Problem Behaviors.

Rosenstein AH, O'Daniel M. AHRQ WebM&M [serial online]. December 2009.

STUDY

Worries and concerns experienced by nurse specialists during inter-hospital transports of critically ill patients: a critical incident study.

Gustafsson M, Wennerholm S, Fridlund B. Intensive Crit Care Nurs. 2010;26:138-145.

TOOLKIT

Manchester Patient Safety Framework (MaPSaF).

Manchester, UK: University of Manchester; 2006.

REVIEW

What is patient safety culture? A review of the literature.

Sammer CE, Lykens K, Singh KP, Mains DA, Lackan NA. J Nurs Scholarsh. 2010;42:156-165.

SPECIAL OR THEME ISSUE

Positive Working Relationships Matter for Better Nurse and Patient Outcomes.

Spence Laschinger HK, ed. J Nurs Manag. 2010;18:875-1086.

STUDY

Changes in safety attitude and relationship to decreased postoperative morbidity and mortality following implementation of a checklist-based surgical safety intervention.

Haynes AB, Weiser TG, Berry WR, et al; Safe Surgery Saves Lives Study Group. BMJ Qual Saf. 2011;20:102-107.

STUDY

The impact of a tele-ICU on provider attitudes about teamwork and safety climate.

Chu-Weininger MYL, Wueste L, Lucke JF, Weavind L, Mazabob J, Thomas EJ. Qual Saf Health Care. 2010;19:e39.

BOOK/REPORT

Nursing Home Survey on Patient Safety Culture: 2011 User Comparative Database Report.

Sorra J, Famolaro T, Dyer N, Khanna K, Nelson D. Rockville, MD: Agency for Healthcare Research and Quality; August 2011. AHRQ Publication No. 11-0071.

STUDY

The safety culture in a children's hospital.

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

COMMENTARY

Passing the "Yo' Mama" test.

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

NEWSPAPER/MAGAZINE ARTICLE

The dawn of the robo-docs.

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

TOOLKIT

Professional Conduct Toolkit.

Washington, DC: US Department of Defense, Patient Safety Program.

STUDY

Predictors of likelihood of speaking up about safety concerns in labour and delivery.

Lyndon A, Sexton JB, Simpson KR, Rosenstein A, Lee KA, Wachter RM. BMJ Qual Saf. 2012;21;791-799.

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