AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (5)

•Diagnostic Errors (12)

•Identification Errors (5)

•Discontinuities, Gaps, and Hand-Off Problems (47)

•Fatigue and Sleep Deprivation (12)

•Medication Safety (72)

•Medical Complications (36)

•Nonsurgical Procedural Complications (6)

•Surgical Complications (76)

•Psychological and Social Complications (143)

Origin/Sponsor

•Australia and New Zealand (32)

•North America (478)

Resource Types

•Audiovisual (2)

•Book/Report (38)

•Journal Article (514)

•Legislation/Regulation (3)

•Meeting/Conference (8)

•Newspaper/Magazine Article (42)

•Press Release/Announcement (1)

•Special or Theme Issue (11)

•Tools/Toolkit (3)

•Web Resource (4)

Error Types

•Epidemiology of Errors and Adverse Events (63)

•Active Errors (60)

•Latent Errors (34)

•Near Miss (13)

Approach to Improving Safety

•Quality Improvement Strategies (128)

•Legal and Policy Approaches (52)

•Error Reporting and Analysis (157)

•Communication Improvement (217)

•Human Factors Engineering (57)

•Teamwork (181)

•Specialization of Care (31)

•Logistical Approaches (42)

•Culture of Safety (193)

•Technologic Approaches (47)

•Education and Training (159)

Clinical Areas

•Allied Health Services (3)

•Dentistry (1)

•Medicine (369)

•Nursing (74)

•Pharmacy (21)

Target Audience
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Organizational Behaviorists

Setting of Care

•Hospitals (367)

•Residential Facilities (5)

•Ambulatory Care (33)

•Patient Transport (6)

1 - 20 of 626

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COMMENTARY

Do Not Disturb!

Duffy FD, Cassel CK. AHRQ WebM&M [serial online]. October 2007.

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.

STUDY

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

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

STUDY

Physicians' needs in coping with emotional stressors: the case for peer support.

Hu YY, Fix ML, Hevelone ND, et al. Arch Surg. 2012;147:212-217.

STUDY

Poor resident–attending intraoperative communication may compromise patient safety.

Belyansky I, Martin TR, Prabhu AS, et al. J Surg Res. 2011;171:386-394.

STUDY

Teamwork behaviours and errors during neonatal resuscitation.

Williams AL, Lasky RE, Dannemiller JL, Andrei AM, Thomas EJ. Qual Saf Health Care. 2010;19:60-64.

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

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

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

REVIEW

Intimidation: a concept analysis.

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

STUDY

The Schwartz Center Rounds: evaluation of an interdisciplinary approach to enhancing patient-centered communication, teamwork, and provider support.

Lown BA, Manning CF. Acad Med. 2010;85:1073-1081.

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.

NEWSPAPER/MAGAZINE ARTICLE

The antidote to medical errors.

Price M. Monitor. January 2010;41:50.

STUDY

High performance teamwork training and systems redesign in outpatient oncology.

Bunnell CA, Gross AH, Weingart SN, et al. BMJ Qual Saf. 2013;22:405-413.

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.

COMMENTARY

Danger in Disruption

Fontaine DK. AHRQ WebM&M [serial online]. October 2009.

STUDY

Role of medical students in preventing patient harm and enhancing patient safety.

Seiden SC, Galvan C, Lamm R. Qual Saf Health Care. 2006;15:272-276.

STUDY

Framing family conversation after early diagnosis of iatrogenic injury and incidental findings.

Barrios L, Tsuda S, Derevianko A, et al. Surg Endosc. 2009;23:2535-2542.

COMMENTARY

"Managing up" can improve teamwork in the OR.

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

COMMENTARY

What happens when things go wrong?

Brandom BW, Callahan P, Micalizzi DA. Paediatr Anaesth. 2011;21:730-736.

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].

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