AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (6)

•Diagnostic Errors (34)

•Identification Errors (3)

•Discontinuities, Gaps, and Hand-Off Problems (66)

•Fatigue and Sleep Deprivation (60)

•Medication Safety (90)

•Medical Complications (37)

•Nonsurgical Procedural Complications (16)

•Surgical Complications (66)

•Psychological and Social Complications (39)

Origin/Sponsor

•Asia (8)

•Australia and New Zealand (14)

•Central and South America (1)

Resource Types

•Journal Article (560)

•Legislation/Regulation (2)

•Meeting/Conference (2)

•Newsletter/Journal (1)

•Newspaper/Magazine Article (25)

•Press Release/Announcement (1)

•Special or Theme Issue (17)

•Tools/Toolkit (5)

•Web Resource (20)

•Grant (2)

Error Types

•Epidemiology of Errors and Adverse Events (93)

•Active Errors (88)

•Latent Errors (27)

•Near Miss (8)

Approach to Improving Safety

•Quality Improvement Strategies (87)

•Legal and Policy Approaches (27)

•Error Reporting and Analysis (109)

•Communication Improvement (167)

•Human Factors Engineering (40)

•Teamwork (127)

•Specialization of Care (19)

•Logistical Approaches (88)

•Culture of Safety (96)

•Technologic Approaches (38)

•Education and Training (558)

Clinical Areas

•Allied Health Services (3)

•Complementary and Alternative Medicine (1)

Target Audience
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Educators

Setting of Care

•Hospitals (368)

•Residential Facilities (4)

•Ambulatory Care (36)

•Outpatient Surgery (1)

1 - 20 of 659

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COMMENTARY

A leadership initiative to improve communication and enhance safety.

Donahue M, Miller M, Smith L, Dykes P, Fitzpatrick JJ. Am J Med Qual. 2011;26:206-211.

STUDY

Can teaching medical students to investigate medication errors change their attitudes towards patient safety?

Dudas RA, Bundy DG, Miller MR, Barone M. BMJ Qual Saf. 2011;20:319-325.

STUDY

Patient safety attitudes of paediatric trainee physicians.

Parry G, Horowitz L, Goldmann D. Qual Saf Health Care. 2009;18:462-466.

STUDY

Structured interdisciplinary rounds in a medical teaching unit: improving patient safety.

O’Leary KJ, Buck R, Fligiel HM, et al. Arch Intern Med. 2011;171:678-684.

STUDY

Impact of a comprehensive patient safety strategy on obstetric adverse events.

Pettker CM, Thung SF, Norwitz ER, et al. Am J Obstet Gynecol. 2009 May;200:492.e1-8.

STUDY

Factors associated with disclosure of medical errors by housestaff.

Kronman AC, Paasche-Orlow M, Orlander JD. BMJ Qual Saf. 2012;21:271-278.

STUDY

The relationship of the emotional climate of work and threat to patient outcome in a high-volume thoracic surgery operating room team.

Nurok M, Evans LA, Lipsitz S, Satwicz P, Kelly A, Frankel A. BMJ Qual Saf. 2011;20:237-242.

STUDY

Reducing inappropriate diagnostic practice through education and decision support.

Bairstow PJ, Persaud J, Mendelson R, Nguyen L. Int J Qual Health Care. 2010;22:194-200.

COMMENTARY

Description and evaluation of an interprofessional patient safety course for health professions and related sciences students.

Galt KA, Paschal KA, O'Brien RL, et al. J Patient Saf. 2006;2:207-216.

NEWSPAPER/MAGAZINE ARTICLE

First, protect the patient from harm: applying adult learning principles to patient safety.

Duffy B. Patient Saf Qual Healthc. July/August 2010;7:32-36.

STUDY

Assessing controlled substance prescribing errors in a pediatric teaching hospital: an analysis of the safety of analgesic prescription practice in the transition from the hospital to home.

Lee BH, Lehmann CU, Jackson EV, et al. J Pain. 2009;10:160-166.

STUDY

Improving teamwork: impact of structured interdisciplinary rounds on a medical teaching unit.

O'Leary KJ, Wayne DB, Haviley C, Slade ME, Lee J, Williams MV. J Gen Intern Med. 2010;25:826-832.

STUDY

Crew resource management improved perception of patient safety in the operating room.

Gore DC, Powell JM, Baer JG, et al. Am J Med Qual. 2010;25:60-63.

STUDY

The efficacy of medical team training: improved team performance and decreased operating room delays: a detailed analysis of 4863 cases.

Wolf FA, Way LW, Stewart L. Ann Surg. 2010;252:477-485.

STUDY

A novel method for reproducibly measuring the effects of interventions to improve emotional climate, indices of team skills and communication, and threat to patient outcome in a high-volume thoracic surgery center.

Nurok M, Lipsitz S, Satwicz P, Kelly A, Frankel A. Arch Surg. 2010;145:489-495.

COMMENTARY

A review of educational philosophies as applied to radiation safety training at medical institutions.

Dauer LT, St Germain J. Health Phys. 2006;90(suppl 5):S67-S72.

COMMENTARY

Patient safety in obstetrics and gynecology: an agenda for the future.

Pearlman MD. Obstet Gynecol. 2006;108:1266-1271.

STUDY

Does teamwork improve performance in the operating room? A multilevel evaluation.

Weaver SJ, Rosen MA, DiazGranados D, et al. Jt Comm J Qual Patient Saf. 2010;36:133-142.

STUDY

Rethinking resident supervision to improve safety: from hierarchical to interprofessional models.

Tamuz M, Giardina TD, Thomas EJ, Menon S, Singh H. J Hosp Med. 2011;6:448-456.

STUDY

Medical error disclosure training: evidence for values-based ethical environments.

Rathert C, Phillips W. J Bus Ethics. 2010;97:491-503.

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