AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (27)

•Diagnostic Errors (16)

•Identification Errors (4)

•Discontinuities, Gaps, and Hand-Off Problems (21)

•Fatigue and Sleep Deprivation (3)

•Medication Safety (68)

•Medical Complications (37)

•Nonsurgical Procedural Complications (4)

•Surgical Complications (25)

•Transfusion Complications (2)

•Psychological and Social Complications (8)

Origin/Sponsor

•Australia and New Zealand (8)

•Central and South America (1)

•North America (277)

Resource Types

•Audiovisual (2)

•Book/Report (21)

•Journal Article (254)

•Legislation/Regulation (4)

•Meeting/Conference (8)

•Newspaper/Magazine Article (18)

•Press Release/Announcement (4)

•Special or Theme Issue (10)

•Tools/Toolkit (2)

•Web Resource (8)

Error Types

•Epidemiology of Errors and Adverse Events (61)

•Active Errors (30)

•Latent Errors (25)

•Near Miss (4)

Approach to Improving Safety

•Quality Improvement Strategies (87)

•Legal and Policy Approaches (45)

•Error Reporting and Analysis (131)

•Communication Improvement (44)

•Human Factors Engineering (78)

•Teamwork (26)

•Specialization of Care (4)

•Logistical Approaches (17)

•Culture of Safety (55)

•Technologic Approaches (60)

•Education and Training (43)

Clinical Areas

•Dentistry (1)

•Medicine (203)

•Nursing (13)

•Pharmacy (11)

Target Audience
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Safety Scientists

Setting of Care

•Hospitals (169)

•Psychiatric Facilities (3)

•Residential Facilities (5)

•Ambulatory Care (39)

•Outpatient Surgery (4)

•Patient Transport (4)

1 - 20 of 339

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COMMENTARY classic

classic

Refocusing the lens: patient safety in ambulatory chronic disease care.

Sarkar U, Wachter RM, Schroeder SA, Schillinger D. Jt Comm J Qual Patient Saf. 2009;35:377-383.

MEASUREMENT TOOL/INDICATOR

Medical Office Survey on Patient Safety Culture.

Rockville, MD: Agency for Healthcare Research and Quality; November 2010.

STUDY

Medication prescribing and monitoring errors in primary care: a report from the Practice Partner Research Network.

Wessell AM, Litvin C, Jenkins RG, Nietert PJ, Nemeth LS, Ornstein SM. Qual Saf Health Care. 2010;19:e21.

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.

BOOK/REPORT

Patient Safety in Primary Care.

Kingston-Riechers J, Ospina M, Jonsson E, Childs P, McLeod L, Maxted JM. Edmondton, AB, Canada: Canadian Patient Safety Institute; 2010. ISBN: 9781926541273.

STUDY

Are health professionals' perceptions of patient safety related to figures on safety incidents?

Martijn L, Harmsen M, Gaal S, Mettes D, van Dulmen S, Wensing M. J Eval Clin Pract. 2012 Jul 29; [Epub ahead of print].

STUDY

Harm caused by adverse events in primary care: a clinical observational study.

Wetzels R, Wolters R, van Weel C, Wensing M. J Eval Clin Pract. 2009;15:323-327.

COMMENTARY

Global priorities for patient safety research.

Bates DW, Larizgoitia I, Prasopa-Plaizier N, Jha AK; Research Priority Setting Working Group of the WHO World Alliance for Patient Safety. BMJ. 2009;338:b1775.

STUDY

Patient error: a preliminary taxonomy.

Buetow S, Kiata L, Liew T, Kenealy T, Dovey S, Elwyn G. Ann Fam Med. 2009;7:223-231.

REVIEW

Routinely recorded patient safety events in primary care: a literature review.

Tsang C, Majeed A, Aylin P. Fam Pract. 2012;29:8-15.

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.

REVIEW

Quality of medication use in primary care—mapping the problem, working to a solution: a systematic review of the literature.

Garfield S, Barber N, Walley P, Willson A, Eliasson L. BMC Med. 2009;7:50.

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.

STUDY

Signal and noise: applying a laboratory trigger tool to identify adverse drug events among primary care patients.

Brenner S, Detz A, López A, Horton C, Sarkar U. BMJ Qual Saf. 2012;21:670-675.

COMMENTARY

Computer visualisation of patient safety in primary care: a systems approach adapted from management science and engineering.

Singh R, Singh A, Fox C, Seldan Taylor J, Rosenthal T, Singh G. Inform Prim Care. 2005;13:135-144.

STUDY

The development and psychometric evaluation of a safety climate measure for primary care.

de Wet C, Spence W, Mash R, Johnson P, Bowie P. Qual Saf Health Care. 2010;19:578-584.

REVIEW

Patient safety systems in the primary health care of diabetes—a story of missed opportunities?

Taub N, Baker R, Khunti K, et al. Diabet Med. 2010;27:1322-1326.

STUDY

Reasons for not reporting patient safety incidents in general practice: a qualitative study.

Kousgaard MB, Joensen AS, Thorsen T. Scand J Prim Health Care. 2012;30:199-205.

COMMENTARY

A new frontier in patient safety.

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

STUDY

Certain uncertainties: modes of patient safety in healthcare.

Jerak-Zuiderent S. Soc Stud Sci. 2012;42:732-752.

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