AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (18)

•Diagnostic Errors (6)

•Identification Errors (14)

•Discontinuities, Gaps, and Hand-Off Problems (60)

•Fatigue and Sleep Deprivation (22)

•Medication Safety (221)

•Medical Complications (67)

•Nonsurgical Procedural Complications (11)

•Surgical Complications (49)

•Transfusion Complications (1)

•Psychological and Social Complications (28)

Origin/Sponsor

•Australia and New Zealand (31)

•Central and South America (1)

•North America (478)

Resource Types

•Audiovisual (2)

•Book/Report (14)

•Clinical Guideline (1)

•Journal Article (523)

•Legislation/Regulation (5)

•Meeting/Conference (3)

•Newsletter/Journal (1)

•Newspaper/Magazine Article (29)

•Press Release/Announcement (1)

•Special or Theme Issue (18)

•Tools/Toolkit (4)

•Web Resource (4)

Error Types

•Epidemiology of Errors and Adverse Events (98)

•Active Errors (98)

•Latent Errors (54)

•Near Miss (22)

Approach to Improving Safety

•Quality Improvement Strategies (114)

•Legal and Policy Approaches (27)

•Error Reporting and Analysis (129)

•Communication Improvement (129)

•Human Factors Engineering (88)

•Teamwork (66)

•Specialization of Care (26)

•Logistical Approaches (114)

•Culture of Safety (103)

•Technologic Approaches (80)

•Education and Training (149)

Clinical Areas
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Nursing

•Medical/Surgical/Psychiatric Nursing (65)

•Critical Care Nursing (63)

•Anesthesia Nursing (12)

•Obstetrical Nursing (8)

•Emergency Nursing (22)

•Home Nursing (13)

Target Audience

•Health Care Providers (552)

•Health Care Executives and Administrators (557)

•Non-Health Care Professionals (184)

•Patients (9)

Setting of Care

•Hospitals (382)

•Psychiatric Facilities (5)

•Residential Facilities (18)

•Ambulatory Care (28)

•Outpatient Surgery (5)

•Patient Transport (2)

1 - 20 of 605

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STUDY

Understanding the cognitive work of nursing in the acute care environment.

Potter P, Wolf L, Boxerman S, et al. J Nurs Adm. 2005;35:327-335.

STUDY

Paediatric nurses' understanding of the process and procedure of double-checking medications.

Dickinson A, McCall E, Twomey B, James N. J Clin Nurs. 2010;19:728-735.

STUDY

A human factors framework and study of the effect of nursing workload on patient safety and employee quality of working life.

Holden RJ, Scanlon MC, Patel NR, et al. BMJ Qual Saf. 2011;20:15-24.

COMMENTARY

Cups of Error

Blegen MA, Pepper GA. AHRQ WebM&M [serial online]. May 2006.

STUDY

Achieving quality improvement in the nursing home: influence of nursing leadership on communication and teamwork.

Vogelsmeier A, Scott-Cawiezell J. J Nurs Care Qual. 2011;26:236-242.

COMMENTARY

Implementing a systematic response to medication errors.

Larsen D, Cole R, Higton P. Nurs Stand. 2007;21:35-40.

BOOK/REPORT

Measuring Patient Safety.

Newhouse R, Poe S, eds. Sudbury, MA: Jones and Bartlett Publishers; 2005. ISBN: 0763728411.

COMMENTARY

A performance improvement plan to increase nurse adherence to use of medication safety software.

Gavriloff C. J Pediatr Nurs. 2012;27:375-382.

STUDY

Why nurses make medication errors: a simulation study.

Kazaoka T, Ohtsuka K, Ueno K, Mori M. Nurse Educ Today. 2007;27:312-17.

NEWSPAPER/MAGAZINE ARTICLE

Medication errors common for hospital diabetes.

Nursing Times. April 1, 2011.

NEWSPAPER/MAGAZINE ARTICLE

Scanner beep only means the barcode has been scanned.

ISMP Medication Safety Alert! Acute Care Edition. June 30, 2011;16:1-2.

NEWSPAPER/MAGAZINE ARTICLE

Preventing adverse drug events.

Manno MS. Nursing. 2006 Mar;36:56-61.

COMMENTARY

Medication errors in nursing—part 1 and part 2.

Leufer T, Cleary-Holdforth J. Nurse Educ Pract. 2013;13:213-220.

COMMENTARY

Computerized provider order entry: strategies for successful implementation.

Jones S, Moss J. J Nurs Adm. 2006;36:136-139.

STUDY

Medication error reporting and the work environment in a military setting.

Patrician PA, Brosch LR. J Nurs Care Qual. 2009;24:277-286.

ORGANIZATIONAL POLICY/GUIDELINES

AORN Guidance Statement: Safe Medication Practices in Perioperative Settings Across the Life Span.

AORN J. 2006;84:276-278, 280-283.

COMMENTARY

XL or Smaller?

Kozer E. AHRQ WebM&M [serial online]. June 2003.

STUDY

Managing medication errors—a qualitative study.

Stetina P, Groves M, Pafford L. Medsurg Nursing. 2005;14:174-178.

BOOK/REPORT classic

classic

Keeping Patients Safe: Transforming the Work Environment of Nurses.

Committee on the Work Environment for Nurses and Patient Safety, Board on Health Care Services, Page A, ed. Washington, DC: National Academies Press; 2004.

STUDY

Prospective pilot intervention study to prevent medication errors in drugs administered to children by mouth or gastric tube: a programme for nurses, physicians and parents.

Bertsche T, Bertsche A, Krieg EM, et al. Qual Saf Health Care. 2010;19:e26.

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