AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (53)

•Diagnostic Errors (27)

•Identification Errors (26)

•Discontinuities, Gaps, and Hand-Off Problems (226)

•Fatigue and Sleep Deprivation (35)

•Medication Safety (298)

•Medical Complications (227)

•Nonsurgical Procedural Complications (16)

•Surgical Complications (73)

•Transfusion Complications (9)

•Psychological and Social Complications (52)

Origin/Sponsor

•Australia and New Zealand (41)

•Europe (208)

•North America (1038)

Resource Types

•Audiovisual (18)

•Book/Report (106)

•Journal Article (923)

•Legislation/Regulation (11)

•Meeting/Conference (7)

•Newspaper/Magazine Article (175)

•Press Release/Announcement (2)

•Special or Theme Issue (12)

•Tools/Toolkit (19)

•Web Resource (28)

Error Types

•Epidemiology of Errors and Adverse Events (348)

•Active Errors (158)

•Latent Errors (112)

•Near Miss (18)

Approach to Improving Safety

•Quality Improvement Strategies (333)

•Legal and Policy Approaches (160)

•Error Reporting and Analysis (380)

•Communication Improvement (334)

•Human Factors Engineering (133)

•Teamwork (83)

•Specialization of Care (103)

•Logistical Approaches (107)

•Culture of Safety (235)

•Technologic Approaches (202)

•Education and Training (232)

Clinical Areas
< All

Hospital Medicine

Target Audience

•Health Care Providers (703)

•Health Care Executives and Administrators (1065)

•Non-Health Care Professionals (504)

•Patients (122)

Setting of Care

•Hospitals (1289)

•Psychiatric Facilities (4)

•Residential Facilities (7)

•Ambulatory Care (32)

•Outpatient Surgery (4)

•Patient Transport (2)

1 - 20 of 1309

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STUDY

Professionalism: a necessary ingredient in a culture of safety.

DuPree E, Anderson R, McEvoy MD, Brodman M. Jt Comm J Qual Patient Saf. 2011;37:447-455.

STUDY

Patient whiteboards as a communication tool in the hospital setting: A survey of practices and recommendations.

Sehgal NL, Green A, Vidyarthi AR, Blegen MA, Wachter RM. J Hosp Med. 2010;5:234-239.

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

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

Evaluation of a redesign initiative in an internal-medicine residency.

McMahon GT, Katz JT, Thorndike ME, Levy BD, Loscalzo J. N Engl J Med. 2010;362:1304-1311.

NEWSPAPER/MAGAZINE ARTICLE

Disruptive physicians.

Sandrick K. Trustee. November 2009.

STUDY

A multidisciplinary teamwork training program: The Triad for Optimal Patient Safety (TOPS) experience.

Sehgal NL, Fox M, Vidyarthi AR, et al; TOPS Project. J Gen Intern Med. 2008;23:2053-2057.

COMMENTARY

Implementing patient safety initiatives in rural hospitals.

Klingner J, Moscovice I, Tupper J, Coburn A, Wakefield M. J Rural Health. 2009;25:352-357.

COMMENTARY

Integrating CUSP and TRIP to improve patient safety.

Romig M, Goeschel C, Pronovost P, Berenholtz SM. Hosp Pract (Minneap). 2010;38:114-121.

STUDY

Improving safety culture on adult medical units through multidisciplinary teamwork and communication interventions: the TOPS Project.

Blegen MA, Sehgal NL, Alldredge BK, Gearhart S, Auerbach AD, Wachter RM. Qual Saf Health Care. 2010;19:346-350.

STUDY

Organisational culture: variation across hospitals and connection to patient safety climate.

Speroff T, Nwosu S, Greevy R, et al. Qual Saf Health Care. 2010;19:592-596.

MISSOURI MEETING/CONFERENCE

The Second Victim Experience: Train-the-Trainer Workshop.

Center for Patient Safety. June 11, 2013; University of Missouri Health System Health System, Columbia, MO.

STUDY

Health care workers as second victims of medical errors.

Edrees HH, Paine LA, Feroli ER, Wu AW. Pol Arch Med Wewn. 2011;121:101-108.

COMMENTARY

A new frontier in patient safety.

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

MULTI-USE WEBSITE

BOOSTing Care Transitions Resource Room.

Project BOOST (Better Outcomes for Older adults through Safe Transitions), Society of Hospital Medicine.

STUDY

The association between transfer of emergency department boarders to inpatient hallways and mortality: a 4-year experience.

Viccellio A, Santora C, Singer AJ, Thode HC Jr, Henry MC. Ann Emerg Med. 2009;54:511-513.

STUDY

Assessing and improving safety culture throughout an academic medical centre: a prospective cohort study.

Paine LA, Rosenstein BJ, Sexton JB, Kent P, Holzmueller CG, Pronovost PJ. Qual Saf Health Care. 2010;19:547-554.

REVIEW

Interdisciplinary teamwork in hospitals: a review and practical recommendations for improvement.

O'Leary KJ, Sehgal NL, Terrell G, Williams MV; High Performance Teams and the Hospital of the Future Project Team. J Hosp Med. 2011 Oct 31; [Epub ahead of print].

BOOK/REPORT

Tennessee Center for Patient Safety Annual Report 2010.

Nashville, TN: Tennessee Center for Patient Safety; August 2011.

COMMENTARY

Learning accountability for patient outcomes.

Pronovost PJ. JAMA. 2010;304:204-205.

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