AHRQ Patient Safety Network

The Collection > Safety Scientists

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Safety Target

•Device-related Complications (23)

•Diagnostic Errors (9)

•Identification Errors (3)

•Discontinuities, Gaps, and Hand-Off Problems (15)

•Fatigue and Sleep Deprivation (1)

•Medication Safety (49)

•Medical Complications (30)

•Nonsurgical Procedural Complications (5)

•Surgical Complications (28)

•Transfusion Complications (2)

•Psychological and Social Complications (4)

Origin/Sponsor

•Asia (1)

•Australia and New Zealand (13)

•Central and South America (1)

Resource Types

•Journal Article (202)

•Legislation/Regulation (3)

•Meeting/Conference (4)

•Newspaper/Magazine Article (8)

•Press Release/Announcement (2)

•Special or Theme Issue (13)

•Tools/Toolkit (1)

•Web Resource (4)

•Grant (3)

Error Types

•Epidemiology of Errors and Adverse Events (40)

•Active Errors (25)

•Latent Errors (21)

•Near Miss (2)

Approach to Improving Safety

•Quality Improvement Strategies (72)

•Legal and Policy Approaches (18)

•Error Reporting and Analysis (110)

•Communication Improvement (23)

•Human Factors Engineering (63)

•Teamwork (16)

•Specialization of Care (3)

•Logistical Approaches (11)

•Culture of Safety (39)

•Technologic Approaches (43)

•Education and Training (25)

Clinical Areas

Target Audience
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Safety Scientists

Setting of Care

•Hospitals (108)

•Psychiatric Facilities (2)

•Residential Facilities (3)

•Ambulatory Care (22)

•Outpatient Surgery (2)

•Patient Transport (3)

1 - 20 of 256

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REVIEW

Noise in the operating room—what do we know? A review of the literature.

Hasfeldt D, Laerkner E, Birkelund R. J Perianesth Nurs. 2010;25:380-386.

STUDY

Evaluation of critical incidents in general surgery.

Zingg U, Zala-Mezoe E, Kuenzle B, et al. Br J Surg. 2008;95:1420-1425.

COMMENTARY

Selection of indicators for continuous monitoring of patient safety: recommendations of the project 'safety improvement for patients in Europe.'

Kristensen S, Mainz J, Bartels P. Int J Qual Health Care. 2009;21:169-175.

REVIEW

Classification and detection of errors in minimally invasive surgery.

Rassweiler MC, Mamoulakis C, Kenngott HG, Rassweiler J, de la Rosette J, Laguna MP. J Endourol. 2011;25:1713-1721.

COMMENTARY

Breaking the mould in patient safety.

Degos L, Amalberti R, Bacou J, Carlet J, Bruneau C. BMJ. 2009;338:b2585.

STUDY

Validating the Patient Safety Indicators in the Veterans Health Administration: do they accurately identify true safety events?

Rosen AK, Itani KM, Cevasco M, et al. Med Care. 2012;50:74-85.

MULTI-USE WEBSITE

SmartTots.

Food and Drug Administration and the International Anesthesia Research Society.

STUDY

How best to measure surgical quality? Comparison of the Agency for Healthcare Research and Quality Patient Safety Indicators (AHRQ-PSI) and the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) postoperative adverse events at a single institution.

Cima RR, Lackore KA, Nehring SA, et al. Surgery. 2011;150:943-949.

NEWSPAPER/MAGAZINE ARTICLE

How hospital design saves lives.

Blum A. Business Week. August 15, 2006.

SPECIAL OR THEME ISSUE

Enhancing Surgical Systems.

Healey AN, Catchpole K, Yule S. Cogn Tech Work. 2008;10:249-333.

STUDY

A system analysis of a suboptimal surgical experience.

Lee RC, Cooke DL, Richards M. Patient Saf Surg. 2009;3:1.

COMMENTARY

Wise before the event.

Watts G. BMJ. 2010;340:c1378.

STUDY

Analysis of adverse events in pediatric surgery using criteria validated from the adult population: justifying the need for pediatric-focused outcome measures.

Rice-Townsend S, Hall M, Jenkins KJ, Roberson DW, Rangel SJ. J Pediatr Surg. 2010;45:1126-1136.

STUDY

Quality indicators for implementation of safety promotion: towards valid and reliable global certification of local programmes.

Timpka T, Nordqvist C, Festin K, Lindqvist K. Glob Public Health. 2012;7:588-602.

COMMENTARY

Perspectives in quality: designing the WHO Surgical Safety Checklist.

Weiser TG, Haynes AB, Lashoher A, et al. Int J Qual Health Care. 2010;22:365-370.

COMMENTARY

Organisational safety indicators: some conceptual considerations and a supplementary qualitative approach.

Kongsvik T, Almklov P, Fenstad J. Saf Sci. 2010;48:1402-1411.

STUDY

"Canary measures" among the AHRQ Patient Safety Indicators.

Yu H, Greenberg MD, Haviland AM, Farley DO. Am J Med Qual. 2009;24:465-473.

STUDY

Development and validation of the SURgical PAtient Safety System (SURPASS) checklist.

de Vries EN, Hollmann MW, Smorenburg SM, Gouma DJ, Boermeester MA. Qual Saf Health Care. 2009;18:121-126.

SPECIAL OR THEME ISSUE

The Gift of Failure: New Approaches to Analyzing and Learning from Events and Near-Misses.

Fahlbruch B, Carroll JS, eds. Safety Sci. 2011;49:1-106

STUDY

Patient safety indicators for England from hospital administrative data: case-control analysis and comparison with US data.

Raleigh VS, Cooper J, Bremner SA, Scobie S. BMJ. 2008;337:a1702.

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