AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (16)

•Diagnostic Errors (26)

•Identification Errors (7)

•Discontinuities, Gaps, and Hand-Off Problems (27)

•Fatigue and Sleep Deprivation (3)

•Medication Safety (98)

•Medical Complications (48)

•Nonsurgical Procedural Complications (9)

•Surgical Complications (27)

•Transfusion Complications (1)

•Psychological and Social Complications (3)

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•Asia (8)

•Australia and New Zealand (5)

•Central and South America (1)

Resource Types

•Journal Article (222)

•Legislation/Regulation (2)

•Newspaper/Magazine Article (25)

•Special or Theme Issue (3)

•Tools/Toolkit (5)

•Web Resource (2)

Error Types

•Epidemiology of Errors and Adverse Events (106)

•Active Errors (55)

•Latent Errors (19)

•Near Miss (5)

Approach to Improving Safety
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Audit and Feedback

Clinical Areas

•Allied Health Services (1)

•Medicine (197)

•Nursing (13)

•Pharmacy (33)

Target Audience

•Health Care Providers (186)

•Health Care Executives and Administrators (239)

•Non-Health Care Professionals (91)

•Patients (11)

Setting of Care

•Hospitals (199)

•Residential Facilities (4)

•Ambulatory Care (29)

•Outpatient Surgery (5)

•Patient Transport (1)

1 - 20 of 275

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STUDY

Exploring the causes of adverse events in hospitals and potential prevention strategies.

Smits M, Zegers M, Groenewegen PP, et al. Qual Saf Health Care. 2010;19:e5.

STUDY

Consequences of inadequate sign-out for patient care.

Horwitz LI, Moin T, Krumholz HM, Wang L, Bradley EH. Arch Intern Med. 2008;168:1755-1760.

STUDY

Structured interdisciplinary rounds in a medical teaching unit: improving patient safety.

O’Leary KJ, Buck R, Fligiel HM, et al. Arch Intern Med. 2011;171:678-684.

STUDY

'Global Trigger Tool' shows that adverse events in hospitals may be ten times greater than previously measured.

Classen DC, Resar R, Griffin F, et al. Health Aff (Millwood). 2011;30:581-589.

STUDY

A safety culture transformation: its effects at a children's hospital.

Peterson TH, Teman SF, Connors RH. J Patient Saf. 2012;8:125-130.

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

National estimates of adverse events during nonpsychiatric hospitalizations for persons with schizophrenia.

Khaykin E, Ford DE, Pronovost PJ, Dixon L, Daumit GL. Gen Hosp Psychiatry. 2010;32:419-425.

STUDY

The objective impact of clinical peer review on hospital quality and safety.

Edwards MT. Am J Med Qual. 2011;26:110-119.

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

Implementing peer evaluation of handoffs: associations with experience and workload.

Arora VM, Greenstein EA, Woodruff JN, Staisiunas PG, Farnan JM. J Hosp Med. 2013;8:132-136.

STUDY

Using prospective clinical surveillance to identify adverse events in hospital.

Forster AJ, Worthington JR, Hawken S, et al. BMJ Qual Saf. 2011;20:756-763.

STUDY

Identifying causes of adverse events detected by an automated trigger tool through in-depth analysis.

Muething SE, Conway PH, Kloppenborg E, et al. Qual Saf Health Care. 2010;19:435-439.

STUDY

Patient Safety Dialogue: evaluation of an intervention aimed at achieving an improved patient safety culture.

Öhrn A, Rutberg H, Nilsen P. J Patient Saf. 2011;7:185-192.

STUDY

Temporal trends in rates of patient harm resulting from medical care.

Landrigan CP, Parry GJ, Bones CB, Hackbarth AD, Goldmann DA, Sharek PJ. N Engl J Med. 2010;363:2124-2134.

STUDY

Development of a core drug list towards improving prescribing education and reducing errors in the UK.

Baker E, Roberts AP, Wilde K, et al. Br J Clin Pharmacol. 2011;71:190-198.

STUDY

Impact of system-level activities and reporting design on the number of incident reports for patient safety.

Fukuda H, Imanaka Y, Hirose M, Hayashida K. Qual Saf Health Care. 2010;19:122-127.

COMMENTARY

Medication reconciliation in a community, nonteaching hospital.

Wortman SB. Am J Health Syst Pharm. 2008;65:2047-2054.

STUDY

Rethinking resident supervision to improve safety: from hierarchical to interprofessional models.

Tamuz M, Giardina TD, Thomas EJ, Menon S, Singh H. J Hosp Med. 2011;6:448-456.

STUDY

Saving lives by studying deaths: using standardized mortality reviews to improve inpatient safety.

Lau H, Litman KC. Jt Comm J Qual Patient Saf. 2011;37:400-408.

STUDY

Resident fatigue: is there a patient safety issue?

Mitchell CD, Mooty CR, Dunn EL, Ramberger KC, Mangram AJ. Am J Surg. 2009;198:811-816.

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