AHRQ Patient Safety Network

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•Device-related Complications (34)

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•Identification Errors (11)

•Discontinuities, Gaps, and Hand-Off Problems (35)

•Fatigue and Sleep Deprivation (7)

•Medication Safety (141)

•Medical Complications (48)

•Nonsurgical Procedural Complications (14)

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•Epidemiology of Errors and Adverse Events (25)

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Approach to Improving Safety
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Practice Guidelines

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•Allied Health Services (2)

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•Health Care Providers (263)

•Health Care Executives and Administrators (199)

•Non-Health Care Professionals (41)

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•Hospitals (168)

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1 - 20 of 292

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STUDY

Infants at risk: when nurse fatigue jeopardizes quality care.

Dean GE, Scott LD, Rogers AE. Adv Neonatal Care. 2006;6:120-126.

STUDY

Effect of antiseptic handwashing vs alcohol sanitizer on health care-associated infections in neonatal intensive care units.

Larson EL, Cimiotti J, Haas J, et al. Arch Pediatr Adolesc Med. 2005;159:377-383.

COMMENTARY

Complying with the 2008 national patient safety goals.

Catalano K, Fickenscher K. AORN J. 2008;87:547-549, 552-556.

COMMENTARY

Improving safety throughout the medication use process in a neonatal intensive care unit.

Asdigha MN. Hosp Pharm. 2006;41:1067-1075.

COMMENTARY

Strategies to improve the patient safety outcome indicator: preventing or reducing falls.

Bright L. Home Healthc Nurse. 2005;23:29-36.

ORGANIZATIONAL POLICY/GUIDELINES

Safe use of opioids in hospitals.

Sentinel Event Alert. August 8, 2012;(49):1-5.

NEWSPAPER/MAGAZINE ARTICLE

Mental slips and lapses: no one is immune.

Nurse Advise-ERR. October 2005;3:1.

COMMENTARY

Implementing AORN recommended practices for medication safety.

Hicks RW, Wanzer LJ, Denholm B. AORN J. 2012;96:605-622.

SPECIAL OR THEME ISSUE

Patient Safety.

Plastic Surg Nurs. 2006;26:111-170.

NEWSPAPER/MAGAZINE ARTICLE

Promethazine conundrum: IV can hurt more than IM injection!

ISMP Medication Safety Alert! Acute Care Edition. November 2, 2006;11:1-3.

REVIEW

Adverse events associated with sedatives, analgesics, and other drugs that provide patient comfort in the intensive care unit.

Riker RR, Fraser GL. Pharmacotherapy. 2005;25:8S-18S.

COMMENTARY

Creating high reliability in health care organizations.

Pronovost PJ, Berenholtz SM, Goeschel CA, et al. Health Serv Res. 2006;41:1599-1617.

STUDY

Safety as a criterion for quality: The Critical Nursing Situation Index in paediatric critical care, an observational study.

de Neef M, Bos AP, Tol D. Intensive Crit Care Nurs. 2009;25:341-347.

COMMENTARY

Counting for patient safety.

Watson DS. AORN J. 2006;84:273-275.

BOOK/REPORT

Measuring Patient Safety.

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

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

Nursing mortality and morbidity and journal club cycles: paving the way for nursing autonomy, patient safety, and evidence-based practice.

Staveski S, Leong K, Graham K, Pu L, Roth S. AACN Adv Crit Care. 2012;23:133-141.

STUDY

Use of a standardized protocol to decrease medication errors and adverse events related to sliding scale insulin.

Donihi AC, DiNardo MM, DeVita MA, Korytkowski MT. Qual Saf Health Care. 2006;15:89-91.

COMMENTARY

JCAHO's safety goals—the clock is ticking, will your ED be compliant?

ED Manag. 2005;17:73-75.

STUDY

Airway carts: a systems-based approach to airway safety.

Kane BG, Bond WF, Worrilow CC, Richardson DM, on behalf of the Lehigh Valley Hospital Airway Task Force. J Patient Saf. 2006;2:154-161.

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