AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (7)

•Diagnostic Errors (34)

•Identification Errors (3)

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

•Fatigue and Sleep Deprivation (60)

•Medication Safety (88)

•Medical Complications (39)

•Nonsurgical Procedural Complications (16)

•Surgical Complications (73)

•Psychological and Social Complications (39)

Origin/Sponsor

•Australia and New Zealand (15)

•Central and South America (1)

•North America (534)

Resource Types

•Audiovisual (4)

•Book/Report (22)

•Journal Article (566)

•Legislation/Regulation (2)

•Meeting/Conference (2)

•Newsletter/Journal (1)

•Newspaper/Magazine Article (24)

•Press Release/Announcement (2)

•Special or Theme Issue (18)

•Tools/Toolkit (7)

•Web Resource (19)

Error Types

•Epidemiology of Errors and Adverse Events (101)

•Active Errors (81)

•Latent Errors (20)

•Near Miss (7)

Approach to Improving Safety

•Quality Improvement Strategies (85)

•Legal and Policy Approaches (29)

•Error Reporting and Analysis (108)

•Communication Improvement (172)

•Human Factors Engineering (38)

•Teamwork (134)

•Specialization of Care (20)

•Logistical Approaches (92)

•Culture of Safety (90)

•Technologic Approaches (36)

•Education and Training (564)

Clinical Areas

•Allied Health Services (3)

•Complementary and Alternative Medicine (1)

•Dentistry (1)

•Medicine (406)

•Nursing (71)

•Pharmacy (28)

Target Audience
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Educators

Setting of Care

•Hospitals (378)

•Residential Facilities (4)

•Ambulatory Care (34)

•Outpatient Surgery (1)

•Patient Transport (1)

1 - 20 of 669

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STUDY

Complications and death at the start of the new academic year: is there a July phenomenon?

Inaba K, Recinos G, Teixeira PGR, et al. J Trauma. 2010;68:19-22.

STUDY

Inadequate health literacy among paid caregivers of seniors.

Lindquist LA, Jain N, Tam K, Martin GJ, Baker DW. J Gen Intern Med. 2011;26:474-479.

STUDY

Medication safety initiative in reducing medication errors.

Nguyen EE, Connolly PM, Wong V. J Nurs Care Qual. 2010;25:224-230.

STUDY

A "back to basics" approach to reduce ED medication errors.

Blank FSJ, Tobin J, Macomber S, Jaouen M, Dinoia M, Visintainer P. J Emerg Nurs. 2011;37:141-147.

COMMENTARY

For whom the Bell Commission tolls: unintended effects of limiting residents' hours.

Millard WB. Ann Emerg Med. 2009;54:A25-A29.

STUDY

Safety of using a computerized rounding and sign-out system to reduce resident duty hours.

Van Eaton EG, McDonough K, Lober WB, Johnson EA, Pellegrini CA, Horvath KD. Acad Med. 2010;85:1189-1195.

STUDY

The effects of resident level of training on the rate of pediatric prescription errors in an academic emergency department.

Pacheco GS, Viscusi C, Hays DP, Woolridge DP. J Emerg Med. 2012;43:e343-e348.

COMMENTARY

Handoffs and communication: the underappreciated roles of situational awareness and inattentional blindness.

Gosbee J. Clin Obstet Gynecol. 2010;53:545-558.

STUDY

The "July phenomenon": is trauma the exception?

Schroeppel TJ, Fischer PE, Magnotti LJ, Croce MA, Fabian TC. J Am Coll Surg. 2009;209:378-384.

STUDY

Medication administration errors in assisted living: scope, characteristics, and the importance of staff training.

Zimmerman S, Love K, Sloane PD, Cohen LW, Reed D, Carder PC; Center for Excellence in Assisted Living-University of North Carolina Collaborative. J Am Geriatr Soc. 2011;59:1060-1068.

STUDY

Parents' medication administration errors: role of dosing instruments and health literacy.

Yin HS, Mendelsohn AL, Wolf MS, et al. Arch Pediatr Adolesc Med. 2010;164:181-186.

COMMENTARY

Toward a definition of teamwork in emergency medicine.

Fernandez R, Kozlowski SWJ, Shapiro MJ, Salas E. Acad Emerg Med. 2008;15:1104-1112.

STUDY

Randomized controlled trial of a pictogram-based intervention to reduce liquid medication dosing errors and improve adherence among caregivers of young children.

Yin HS, Dreyer BP, van Schaick L, et al. Arch Pediatr Adolesc Med. 2008;162:814-822.

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.

SPECIAL OR THEME ISSUE

Symposium on Simulation Science in Health and Medicine.

J Emerg Trauma Shock. 2010;3:348-394.

REVIEW

Developing expert medical teams: toward an evidence-based approach.

Fernandez R, Vozenilek JA, Hegarty CB, et al. Acad Emerg Med. 2008;15:1025-1036.

STUDY

Video registration of trauma team performance in the emergency department: the results of a 2-year analysis in a Level 1 trauma center.

Lubbert PHW, Kaasschieter EG, Hoorntje LE, Leenen LPH. J Trauma. 2009;67:1412-1420.

STUDY

Internal medicine trainees' views of training adequacy and duty hours restrictions in 2009.

Shea JA, Weissman A, McKinney S, Silber JH, Volpp KG. Acad Med. 2012;87:889-894.

REVIEW

Teamwork and patient safety in dynamic domains of healthcare: a review of the literature.

Manser T. Acta Anaesthesiol Scand. 2009;53:143-151.

STUDY

Helping patients simplify and safely use complex prescription regimens.

Wolf MS, Curtis LM, Waite K, et al. Arch Intern Med. 2011;171:300-305.

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