AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (21)

•Diagnostic Errors (3)

•Identification Errors (15)

•Discontinuities, Gaps, and Hand-Off Problems (59)

•Fatigue and Sleep Deprivation (22)

•Medication Safety (226)

•Medical Complications (71)

•Nonsurgical Procedural Complications (11)

•Surgical Complications (50)

•Transfusion Complications (1)

•Psychological and Social Complications (32)

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•Asia (20)

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•Clinical Guideline (1)

•Journal Article (544)

•Legislation/Regulation (4)

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•Newspaper/Magazine Article (30)

•Press Release/Announcement (1)

•Special or Theme Issue (14)

•Tools/Toolkit (4)

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Error Types

•Epidemiology of Errors and Adverse Events (107)

•Active Errors (84)

•Latent Errors (42)

•Near Miss (19)

Approach to Improving Safety

•Quality Improvement Strategies (105)

•Legal and Policy Approaches (26)

•Error Reporting and Analysis (128)

•Communication Improvement (130)

•Human Factors Engineering (92)

•Teamwork (71)

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•Logistical Approaches (113)

•Culture of Safety (105)

•Technologic Approaches (84)

•Education and Training (149)

Clinical Areas
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Nursing

•Medical/Surgical/Psychiatric Nursing (74)

•Critical Care Nursing (71)

•Anesthesia Nursing (14)

•Obstetrical Nursing (7)

•Emergency Nursing (24)

•Home Nursing (13)

Target Audience

•Health Care Providers (552)

•Health Care Executives and Administrators (589)

•Non-Health Care Professionals (193)

•Patients (11)

Setting of Care

•Hospitals (394)

•Psychiatric Facilities (6)

•Residential Facilities (17)

•Ambulatory Care (28)

•Outpatient Surgery (4)

•Patient Transport (2)

1 - 20 of 623

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SPECIAL OR THEME ISSUE

Risk, Safety and Reliability Special Issue.

Newbold D, Attree M, eds. J Nurs Manag. 2009;17:145-266.

COMMENTARY

Medication room madness: calming the chaos.

Conrad C, Fields W, McNamara T, Cone M. J Nurs Care Qual. 2009;25:137-144.

COMMENTARY

Interruptions and medication errors: part I.

Flanders S, Clark AP. Clin Nurse Spec. 2010;24:281-285.

STUDY

No interruptions please: impact of a no interruption zone on medication safety in intensive care units.

Anthony K, Wiencek C, Bauer C, Daly B, Anthony MK. Crit Care Nurse. 2010;30:21-29.

COMMENTARY

Smart pumps: implications for nurse leaders.

Kirkbride G, Vermace B. Nurs Adm Q. 2011;35:110-118.

REVIEW

Nurses' role in medication safety.

Choo J, Hutchinson A, Bucknall T. J Nurs Manag. 2010;18:853-861.

STUDY

Track, trigger and teamwork: communication of deterioration in acute medical and surgical wards.

Donohue LA, Endacott R. Intensive Crit Care Nurs. 2010;26:10-17.

STUDY

Association of interruptions with an increased risk and severity of medication administration errors.

Westbrook JI, Woods A, Rob MI, Dunsmuir WTM, Day RO. Arch Intern Med. 2010;170:683-690.

STUDY

Implementing a fatigue countermeasures program for nurses: a focus group analysis.

Scott LD, Hofmeister N, Rogness N, Rogers AE. J Nurs Adm. 2010;40:233-240.

STUDY

Expanding what we know about off-peak mortality in hospitals.

Hamilton P, Mathur S, Gemeinhardt G, Eschiti V, Campbell M. J Nurs Admin. 2010;40:124-128.

STUDY

Going blank: factors contributing to interruptions to nurses' work and related outcomes.

Hall LM, Ferguson-Paré M, Peter E, et al. J Nurs Manag. 2010;18:1040-1047.

SPECIAL OR THEME ISSUE

Positive Working Relationships Matter for Better Nurse and Patient Outcomes.

Spence Laschinger HK, ed. J Nurs Manag. 2010;18:875-1086.

STUDY

Medication Administration Time Study (MATS): nursing staff performance of medication administration.

Elganzouri ES, Standish CA, Androwich I. J Nurs Adm. 2009;39:204-210.

REVIEW

Work interruptions and their contribution to medication administration errors: an evidence review.

Biron AD, Loiselle CG, Lavoie-Tremblay M. Worldviews Evid Based Nurs. 2009;6:70-86.

STUDY

Fatigue, performance and the work environment: a survey of registered nurses.

Barker LM, Nussbaum MA. J Adv Nurs. 2011;67:1370-1382.

COMMENTARY

Using technology to promote perinatal patient safety.

McCartney PR. J Obstet Gynecol Neonatal Nurs. 2006;35:424-431.

STUDY

The application of Aronson's taxonomy to medication errors in nursing.

Johnson M, Young H. J Nurs Care Qual. 2011;26:128-135.

STUDY

Challenges in posthospital care: nurses as coaches for medication management.

Costa LL, Poe SS, Lee MC. J Nurs Care Qual. 2011;26:243-251.

NEWSPAPER/MAGAZINE ARTICLE

Guidelines for timely medication administration: response to the CMS "30-minute rule."

ISMP Medication Safety Alert! Acute Care Edition. January 13, 2011;16:1-4.

COMMENTARY

A nurse-driven system for improving patient quality outcomes.

Johnson K, Hallsey D, Meredith RL, Warden E. J Nurs Care Qual. 2006;21:168-175.

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