AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (22)

•Diagnostic Errors (5)

•Identification Errors (15)

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

•Fatigue and Sleep Deprivation (20)

•Medication Safety (225)

•Medical Complications (69)

•Nonsurgical Procedural Complications (11)

•Surgical Complications (39)

•Transfusion Complications (1)

•Psychological and Social Complications (27)

Origin/Sponsor

•Asia (21)

•Australia and New Zealand (29)

•Central and South America (1)

Resource Types

•Clinical Guideline (1)

•Journal Article (528)

•Legislation/Regulation (5)

•Meeting/Conference (3)

•Newsletter/Journal (1)

•Newspaper/Magazine Article (32)

•Press Release/Announcement (1)

•Special or Theme Issue (17)

•Tools/Toolkit (5)

•Web Resource (4)

•Grant (1)

Error Types

•Epidemiology of Errors and Adverse Events (103)

•Active Errors (91)

•Latent Errors (51)

•Near Miss (22)

Approach to Improving Safety

•Quality Improvement Strategies (108)

•Legal and Policy Approaches (33)

•Error Reporting and Analysis (130)

•Communication Improvement (131)

•Human Factors Engineering (89)

•Teamwork (66)

•Specialization of Care (30)

•Logistical Approaches (110)

•Culture of Safety (107)

•Technologic Approaches (83)

•Education and Training (160)

Clinical Areas
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Nursing

•Medical/Surgical/Psychiatric Nursing (66)

•Critical Care Nursing (61)

•Anesthesia Nursing (8)

•Obstetrical Nursing (7)

•Emergency Nursing (24)

•Home Nursing (14)

Target Audience

•Health Care Providers (548)

•Health Care Executives and Administrators (571)

•Non-Health Care Professionals (190)

•Patients (11)

Setting of Care

•Hospitals (380)

•Psychiatric Facilities (6)

•Residential Facilities (19)

•Ambulatory Care (28)

•Outpatient Surgery (4)

•Patient Transport (2)

1 - 20 of 614

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COMMENTARY

Medication errors: don't let them happen to you.

Anderson P, Townsend T. Amer Nurs Today. March 2010;5:23-27.

COMMENTARY

Reporting near-miss events in nursing homes.

Wagner LM, Capezuti E, Ouslander JG. Nurs Outlook. 2006;54:85-93.

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.

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

Teaching quality improvement.

Murray ME, Douglas S, Girdley D, Jarzemsky P. J Nurs Educ. 2010;49:466-469.

STUDY

Creating an improvement culture for enhanced patient safety: service improvement learning in pre-registration education.

Christiansen A, Robson L, Griffith-Evans C. J Nurs Manag. 2010;18:782-788.

COMMENTARY

Workaround Error

Pape T. AHRQ WebM&M [serial online]. Febuary 2006.

COMMENTARY

A medication safety education program to reduce the risk of harm caused by medication errors.

Dennison RD. J Contin Educ Nurs. 2007;38:176-184.

STUDY

Nurse staffing and inpatient hospital mortality.

Needleman J, Buerhaus P, Pankratz VS, Leibson CL, Stevens SR, Harris M. N Engl J Med. 2011;364:1037-1045.

STUDY

Errors in the administration of intravenous medications in hospital and the role of correct procedures and nurse experience.

Westbrook JI, Rob MI, Woods A, Parry D. BMJ Qual Saf. 2011;20:1027-1034.

STUDY

Barriers and facilitators to communicating nursing errors in long-term care settings.

Wagner LM, Damianakis T, Pho L, Tourangeau A. J Patient Saf. 2013;9:1-7.

STUDY

Attitudes of health sciences faculty members towards interprofessional teamwork and education.

Curran VR, Sharpe D, Forristall J. Med Educ. 2007;41:892-896.

STUDY

Rural nurses' safeguarding work: reembodying patient safety.

MacKinnon K. ANS Adv Nurs Sci. 2011;34:119-129.

MULTI-USE WEBSITE

Nursing Care Quality at NQF.

National Quality Forum.

STUDY

Nurses' responses to medication errors: suggestions for the development of organizational strategies to improve reporting.

Covell CL, Ritchie JA. J Nurs Care Qual. 2009;24:287-297.

REVIEW

Fall prevention in hospitals: an integrative review.

Spoelstra SL, Given BA, Given CW. Clin Nurs Res. 2012;21:92-112.

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.

COMMENTARY

Wrong Route for Nutrients

Scott-Cawiezell JR, AHRQ WebM&M [serial online]. July 2008.

STUDY

Hospital nurse staffing and patient mortality, nurse burnout, and job dissatisfaction.

Aiken LH, Clarke SP, Sloane DM, Sochalski J, Silber JH. JAMA. 2002;288:1987-1993.

STUDY

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

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

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