AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (6)

•Diagnostic Errors (7)

•Discontinuities, Gaps, and Hand-Off Problems (13)

•Fatigue and Sleep Deprivation (2)

•Medication Safety (22)

•Medical Complications (8)

•Surgical Complications (8)

•Psychological and Social Complications (9)

Origin/Sponsor

•Australia and New Zealand (10)

•Central and South America (1)

•North America (78)

Resource Types

•Book/Report (10)

•Journal Article (135)

•Meeting/Conference (2)

•Newspaper/Magazine Article (5)

•Special or Theme Issue (10)

•Web Resource (3)

Error Types

•Epidemiology of Errors and Adverse Events (23)

•Active Errors (16)

•Latent Errors (16)

•Near Miss (3)

Approach to Improving Safety

•Quality Improvement Strategies (38)

•Legal and Policy Approaches (16)

•Error Reporting and Analysis (87)

•Communication Improvement (32)

•Human Factors Engineering (34)

•Teamwork (37)

•Specialization of Care (3)

•Logistical Approaches (9)

•Culture of Safety (43)

•Technologic Approaches (23)

•Education and Training (17)

Clinical Areas

•Allied Health Services (1)

•Dentistry (1)

•Medicine (88)

•Nursing (10)

•Pharmacy (2)

Target Audience
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Safety Scientists

Setting of Care

•Hospitals (71)

•Psychiatric Facilities (1)

•Residential Facilities (3)

•Ambulatory Care (13)

•Outpatient Surgery (1)

•Patient Transport (2)

1 - 20 of 168

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REVIEW

Ensuring patient safety through effective leadership behaviour: a literature review.

Künzle B, Kolbe M, Grote G. Safety Sci. 2010;48:1-17.

REVIEW

Effectiveness of patient care teams and the role of clinical expertise and coordination: a literature review.

Bosch M, Faber MJ, Cruijsberg J, et al. Med Care Res Rev. 2009;66(suppl 6):5S-35S.

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

COMMENTARY

Multilayered approach to patient safety culture.

Reiman T, Pietikäinen E, Oedewald P. Qual Saf Health Care. 2010;19:e20.

STUDY

Impact of organizational culture on preventability assessment of selected adverse events in the ICU: evaluation of morbidity and mortality conferences.

Pelieu I, Djadi-Prat J, Consoli SM, et al. Intensive Care Med. 2013 Apr 12; [Epub ahead of print].

STUDY

'Tempos' management in primary care: a key factor for classifying adverse events, and improving quality and safety.

Amalberti R, Brami J. BMJ Qual Saf. 2012;21:729-736.

REVIEW

The clinical safety of disabled patients: proposal for a methodology for analysis of health care risks and specific measures for improvement.

Perea-Pérez B, Labajo-González E, Bratos-Murillo M, Santiago-Sáez A, Albarrán-Juan E, Villa-Vigil A. Med Oral Patol Oral Cir Bucal. 2013;18:e251-e256.

COMMENTARY

Adverse events in medicine: easy to count, complicated to understand, and complex to prevent.

Amalberti R, Benhamou D, Auroy Y, Degos L. J Biomed Inform. 2011;44:390-394.

COMMENTARY

Just culture: who gets to draw the line?

Dekker SWA. Cogn Technol Work. 2009;11:177-185.

BOOK/REPORT

Improving Healthcare Team Communication: Building on Lessons from Aviation and Aerospace.

Nemeth CP, ed. Burlington, VT: Ashgate Publishing; 2008. ISBN: 9780754670254.

STUDY

How improving practice relationships among clinicians and nonclinicians can improve quality in primary care.

Lanham HJ, McDaniel RR, Crabtree BF, et al. Jt Comm J Qual Patient Saf. 2009;35:457-466.

COMMENTARY

MRI suites: safety outside the bore.

Gilk T. Patient Saf Qual Healthc. September/October 2006;3:16-18, 20-21.

COMMENTARY classic

classic

Human error and the problem of causality in analysis of accidents.

Rasmussen J. Philos Trans R Soc Lond B Biol Sci. 1990;327:449-460.

COMMENTARY

Human and organizational biases affecting the management of safety.

Reiman T, Rollenhagen C. Reliab Eng Syst Saf. 2011;96:1263-1274.

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.

STUDY

Assessing the quality of patient handoffs at care transitions.

Manser T, Foster S, Gisin S, Jaeckel D, Ummenhofer W. Qual Saf Health Care. 2010;19:e44.

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.

COMMENTARY

Safety cultural preconditions for organizational learning in high-risk organizations.

Nævestad T-O. J Contin Crisis Manag. 2008;16:154-163.

COMMENTARY

Risk, society and system failure.

Scalliet P. Radiother Oncol. 2006;80:275-281.

REVIEW

Intimidation: a concept analysis.

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

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