AHRQ Patient Safety Network

The Collection > Safety Scientists

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Safety Target

•Device-related Complications (31)

•Diagnostic Errors (14)

•Identification Errors (4)

•Discontinuities, Gaps, and Hand-Off Problems (27)

•Fatigue and Sleep Deprivation (3)

•Medication Safety (73)

•Medical Complications (37)

•Nonsurgical Procedural Complications (4)

•Surgical Complications (18)

•Transfusion Complications (2)

•Psychological and Social Complications (9)

Origin/Sponsor

•Australia and New Zealand (11)

Resource Types

•Journal Article (265)

•Legislation/Regulation (4)

•Meeting/Conference (8)

•Newspaper/Magazine Article (20)

•Press Release/Announcement (3)

•Special or Theme Issue (10)

•Tools/Toolkit (2)

•Web Resource (6)

•Grant (8)

Error Types

•Epidemiology of Errors and Adverse Events (61)

•Active Errors (30)

•Latent Errors (25)

•Near Miss (5)

Approach to Improving Safety

•Quality Improvement Strategies (87)

•Legal and Policy Approaches (45)

•Error Reporting and Analysis (131)

•Communication Improvement (44)

•Human Factors Engineering (103)

•Teamwork (26)

•Specialization of Care (6)

•Logistical Approaches (17)

•Culture of Safety (58)

•Technologic Approaches (66)

•Education and Training (40)

Clinical Areas

•Allied Health Services (1)

•Medicine (196)

•Nursing (13)

•Pharmacy (12)

Target Audience
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Safety Scientists

Setting of Care

•Hospitals (169)

•Psychiatric Facilities (2)

•Residential Facilities (5)

•Ambulatory Care (36)

•Outpatient Surgery (2)

•Patient Transport (3)

1 - 20 of 348

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STUDY

Multi-professional patterns and methods of communication during patient handoffs.

Benham-Hutchins MM, Effken JA. Int J Med Inform. 2010;79:252-267.

STUDY

Cognitive performance-altering effects of electronic medical records: an application of the human factors paradigm for patient safety.

Holden RJ. Cogn Tech Work. 2011;13:11-29.

COMMENTARY

Smart pumps: advanced capabilities and continuous quality improvement.

Vanderveen T. Patient Saf Quality Healthc. January/February 2007.

REVIEW

The impact of computerized provider order entry systems on inpatient clinical workflow: a literature review.

Niazkhani Z, Pirnejad H, Berg M, Aarts J. J Am Med Inform Assoc. 2009;16:539-549.

STUDY

Using Lean to improve medication administration safety: in search of the "perfect dose."

Ching JM, Long C, Williams BL, Blackmore CC. Jt Comm J Qual Patient Saf. 2013;39:195-204.

STUDY

Paper- and computer-based workarounds to electronic health record use at three benchmark institutions.

Flanagan ME, Saleem JJ, Millitello LG, Russ AL, Doebbeling BN. J Am Med Inform Assoc. 2013 Mar 14; [Epub ahead of print].

COMMENTARY

Patient safety answers require outreach, in-reach, and partnerships.

Burt HA. J Hosp Librariansh. 2011;11:366-378.

COMMENTARY

Utilizing information technology to mitigate the handoff risks caused by resident work hour restrictions.

Bernstein J, MacCourt DC, Jacob DM, Mehta S. Clin Orthop Relat Res. 2010;468:2627-2732.

STUDY

Relationship between medication event rates and the Leapfrog computerized physician order entry evaluation tool.

Leung AA, Keohane C, Lipsitz S, et al. J Am Med Inform Assoc. 2013 Apr 18; [Epub ahead of print].

STUDY

Predictive combinations of monitor alarms preceding in-hospital code blue events.

Hu X, Sapo M, Nenov V, et al. J Biomed Inform. 2012;45:913-921.

STUDY

Problems and solutions arising during a study in visual semantics of the medical emergency team system.

Santiano N, Baramy LS, Young L, et al. Qual Health Res. 2008 ct: 18: 1336-44.

COMMENTARY

A new frontier in patient safety.

McCannon J, Berwick DM. JAMA. 2011;305:2221-2222.

COMMENTARY

The Henry Ford Health System No Harm Campaign: a comprehensive model to reduce harm and save lives.

Conway WA, Hawkins S, Jordan J, Voutt-Goos MJ. Jt Comm J Qual Patient Saf. 2012;38:318-327.

COMMENTARY

A framework for patient safety: a defense nuclear industry-based high-reliability model.

Birnbach DJ, Rosen LF, Williams L, Fitzpatrick M, Lubarsky DA, Menna JD. Jt Comm J Qual Patient Saf. 2013;39:233-240.

COMMENTARY

Duty hour reform in a shifting medical landscape.

Jena AB, Prasad V. J Gen Intern Med. 2013 Apr 9; [Epub ahead of print].

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.

STUDY

Frequency of and risk factors for preventable medication-related hospital admissions in the Netherlands.

Leendertse AJ, Egberts ACG, Stoker LJ, van den Bemt PMLA, for the HARM Study Group. Arch Intern Med. 2008;168:1890-1896.

STUDY

Improving patient safety using the sterile cockpit principle during medication administration: a collaborative, unit-based project.

Fore AM, Sculli GL, Albee D, Neily J. J Nurs Manag. 2013;21:106-111.

STUDY

Failure mode and effects analysis outputs: are they valid?

Shebl NA, Franklin BD, Barber N. BMC Health Serv Res. 2012;12:150.

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.

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