AHRQ Patient Safety Network

Skip Navigation

The Collection > Quality Improvement Strategies

Patient Safety Primers icon

PATIENT SAFETY PRIMERS
Detection of Safety Hazards

Narrow By

clear selections

Safety Target

•Device-related Complications (51)

•Diagnostic Errors (38)

•Identification Errors (16)

•Discontinuities, Gaps, and Hand-Off Problems (77)

•Fatigue and Sleep Deprivation (4)

•Medication Safety (230)

•Medical Complications (163)

•Nonsurgical Procedural Complications (17)

•Surgical Complications (75)

•Transfusion Complications (7)

•Psychological and Social Complications (15)

Origin/Sponsor

•Australia and New Zealand (16)

•Central and South America (1)

•Europe (113)

•North America (729)

Resource Types

•Audiovisual (14)

•Bibliography (1)

•Book/Report (116)

•Clinical Guideline (1)

•Journal Article (535)

•Legislation/Regulation (21)

•Meeting/Conference (9)

•Newsletter/Journal (1)

•Newspaper/Magazine Article (121)

•Press Release/Announcement (2)

•Special or Theme Issue (27)

•Tools/Toolkit (21)

•Web Resource (36)

Error Types

•Epidemiology of Errors and Adverse Events (130)

•Active Errors (85)

•Latent Errors (57)

•Near Miss (9)

Approach to Improving Safety
< All

Quality Improvement Strategies

•Audit and Feedback (102)

•Benchmarking (91)

•Continuous Quality Improvement (21)

•Critical Pathways (22)

•Practice Guidelines (113)

•Reminders (14)

•Patient Self-Management (39)

•Six Sigma (4)

Clinical Areas

•Allied Health Services (4)

•Medicine (572)

•Nursing (78)

•Pharmacy (64)

Target Audience

•Health Care Providers (562)

•Health Care Executives and Administrators (817)

•Non-Health Care Professionals (322)

•Patients (79)

Setting of Care

•Hospitals (660)

•Psychiatric Facilities (4)

•Residential Facilities (25)

•Ambulatory Care (61)

•Outpatient Surgery (13)

•Patient Transport (1)

1 - 20 of 916

Show ExcerptDon't Show Excerpt

dropdown

BOOK/REPORT

Meeting the Joint Commission's 2013 National Patient Safety Goals.

Oakbrook Terrace, IL: The Joint Commission; September 2012. ISBN: 9781599407555.

MULTI-USE WEBSITE

Harm Free Care.

National Health Service.

BOOK/REPORT

Inspiring Ideas and Celebrating Successes: A Guidebook to Leading Patient Safety Practices in Ontario Hospitals.

OHA Patient Safety Support Service. Toronto, Ontario, Canada: Ontario Hospital Association; 2006.

REVIEW

Inpatient fall prevention programs as a patient safety strategy: a systematic review.

Miake-Lye IM, Hempel S, Ganz DA, Shekelle PG. Ann Intern Med. 2013;158(5 Pt 2):390-396.

TOOLKIT

Preventing Falls in Hospitals: A Toolkit for Improving Quality of Care.

Ganz DA, Huang C, Saliba D, et al. Rockville, MD: Agency for Healthcare Research and Quality; January 2013. AHRQ Publication No. 13-0015-EF.

MULTI-USE WEBSITE

Project BOOST.

Society of Hospital Medicine.

REVIEW

Fall prevention in hospitals: an integrative review.

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

MULTI-USE WEBSITE

BOOSTing Care Transitions Resource Room.

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

BOOK/REPORT

Patient Safety Authority Annual Reports.

Harrisburg, PA: Patient Safety Authority; April 2013.

NEWSPAPER/MAGAZINE ARTICLE

Hospitals boost patients' power as advisers.

Landro L. Wall Street Journal. August 8, 2007:D1.

BOOK/REPORT

Tennessee Center for Patient Safety Annual Report 2010.

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

NEWSPAPER/MAGAZINE ARTICLE

Could it happen here? Learning from other organizations' safety errors.

Conway J. Healthc Exec. November/December 2008;23:64-67.

STUDY

Is the maturity of hospitals' quality improvement systems associated with measures of quality and patient safety?

Groene O, Mora N, Thompson A, Saez M, Casas M, Suñol R. BMC Health Serv Res. 2011;11:344.

COMMENTARY

As she lay dying: how I fought to stop medical errors from killing my mom.

Welch JR. Health Aff (Millwood). 2012;31:2817-2820.

MULTI-USE WEBSITE

African Partnerships for Patient Safety.

Geneva, Switzerland: WHO Patient Safety, World Health Organization.

COMMENTARY

A framework for patient safety: a defense nuclear industry-based high-reliability model.

Birnbach DJ, Rosen LF, Williams L, Fitzpatrick M, Lubarsky DA, Menna JD. Jt Comm J Qual Patient Saf. 2013;39:233-240.

BOOK/REPORT

Health Care Leaders Action Guide: Hospital Strategies for Reducing Preventable Mortality.

Chicago, IL: Health Research & Educational Trust; March 2011.

STUDY

Has improved hand hygiene compliance reduced the risk of hospital-acquired infections among hospitalized patients in Ontario? Analysis of publicly reported patient safety data from 2008 to 2011.

Didiodato G. Infect Control Hosp Epidemiol. 2013;34:605-610.

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].

STUDY

Improving patient safety using the sterile cockpit principle during medication administration: a collaborative, unit-based project.

Fore AM, Sculli GL, Albee D, Neily J. J Nurs Manag. 2013;21:106-111.

1 2 3 4 5 6 7 8 9 10 11 Next >