AHRQ Patient Safety Network

The Collection > Safety Scientists

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Safety Target

•Device-related Complications (36)

•Diagnostic Errors (13)

•Identification Errors (4)

•Discontinuities, Gaps, and Hand-Off Problems (20)

•Fatigue and Sleep Deprivation (3)

•Medication Safety (73)

•Medical Complications (33)

•Nonsurgical Procedural Complications (3)

•Surgical Complications (19)

•Transfusion Complications (2)

•Psychological and Social Complications (8)

Origin/Sponsor

•Australia and New Zealand (7)

Resource Types

•Journal Article (264)

•Legislation/Regulation (5)

•Meeting/Conference (8)

•Newspaper/Magazine Article (18)

•Press Release/Announcement (6)

•Special or Theme Issue (13)

•Tools/Toolkit (1)

•Web Resource (8)

•Grant (8)

Error Types

•Epidemiology of Errors and Adverse Events (73)

•Active Errors (25)

•Latent Errors (24)

•Near Miss (4)

Approach to Improving Safety

•Quality Improvement Strategies (98)

•Legal and Policy Approaches (46)

•Error Reporting and Analysis (131)

•Communication Improvement (39)

•Human Factors Engineering (98)

•Teamwork (29)

•Specialization of Care (7)

•Logistical Approaches (15)

•Culture of Safety (56)

•Technologic Approaches (70)

•Education and Training (40)

Clinical Areas

•Medicine (180)

•Nursing (11)

•Pharmacy (11)

Target Audience
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Safety Scientists

Setting of Care

•Hospitals (156)

•Psychiatric Facilities (2)

•Residential Facilities (5)

•Ambulatory Care (28)

•Outpatient Surgery (3)

•Patient Transport (3)

1 - 20 of 360

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NEWSPAPER/MAGAZINE ARTICLE

Right tech dose helps medicine go down.

Patton S. CIO Magazine. December 7, 2006.

COMMENTARY

Smart pumps: advanced capabilities and continuous quality improvement.

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

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

Decision support for sensible dosing in electronic prescribing systems.

Coleman JJ, Nwulu U, Ferner RE. J Clin Pharm Ther. 2012;37:415-419.

STUDY

A cognitive task analysis of information management strategies in a computerized provider order entry environment.

Weir CR, Hicken BL, Nebeker J, et al. J Am Med Inform Assoc. 2007;14:65-75.

COMMENTARY

The science of human factors: separating fact from fiction.

Russ AL, Fairbanks RJ, Karsh BT, Militello LG, Saleem JJ, Wears RL. BMJ Qual Saf. 2013 Apr 16; [Epub ahead of print].

BOOK/REPORT

Through the Eyes of the Workforce: Creating Joy, Meaning, and Safer Health Care.

Roundtable on Joy and Meaning in Work and Workforce Safety, The Lucian Leape Institute. Boston, MA: National Patient Safety Foundation; 2013.

NEWSPAPER/MAGAZINE ARTICLE

Doctors see flaw in device recalls.

Kerber R. The Boston Globe. June 23, 2005;Business section:E1.

NEWSPAPER/MAGAZINE ARTICLE

Technological methods used to prevent errors aren't infallible.

Santell JP. Mater Manage Health Care. December 19, 2006;15:26-28, 30.

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

Safety climate and medical errors in 62 US emergency departments.

Camargo CA Jr, Tsai CL, Sullivan AF, et al. Ann Emerg Med. 2012;60:555-563.e20.

STUDY

Simulation-based trial of surgical-crisis checklists.

Arriaga AF, Bader AM, Wong JM, et al. N Engl J Med. 2013;368:246-253.

STUDY

25-Year summary of US malpractice claims for diagnostic errors 1986–2010: an analysis from the National Practitioner Data Bank.

Tehrani ASS, Lee HW, Mathews SC, et al. BMJ Qual Saf. 2013 Apr 22; [Epub ahead of print].

COMMENTARY

Intravenous medication safety and smart infusion systems: lessons learned and future opportunities.

Keohane CA, Hayes J, Saniuk C, Rothschild JM, Bates DW. J Infus Nurs. 2005;28:321-328.

STUDY

Effect of the 2011 vs 2003 duty hour regulation-compliant models on sleep duration, trainee education, and continuity of patient care among internal medicine house staff: a randomized trial.

Desai SV, Feldman L, Brown L, et al. JAMA Intern Med. 2013;173:649-655.

STUDY

Parent perceptions of children's hospital safety climate.

Cox ED, Carayon P, Hansen KW, et al. BMJ Qual Saf. 2013 Mar 29; [Epub ahead of print].

STUDY

Recalls and safety alerts affecting automated external defibrillators.

Shah JS, Maisel WH. JAMA. 2006;296:655-660.

UPCOMING MEETING/CONFERENCE

Measuring Safety Culture in a Medical Office: a Primer on the AHRQ Medical Office Survey on Patient Safety Culture.

National Patient Safety Foundation. May 22, 2013; 1:00–2:00 PM (Eastern).

COMMENTARY classic

Defining health information technology–related errors: new developments since To Err Is Human.

Sittig DF, Singh H. Arch Intern Med. 2011;171:1281-1284.

COMMENTARY

Best-practice protocols: Preventing adverse drug events.

Weir VL. Nurs Manage. 2005;36:24-30.

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