AHRQ Patient Safety Network

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•Device-related Complications (11)

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•Identification Errors (37)

•Discontinuities, Gaps, and Hand-Off Problems (225)

•Fatigue and Sleep Deprivation (11)

•Medication Safety (191)

•Medical Complications (43)

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•Epidemiology of Errors and Adverse Events (114)

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Approach to Improving Safety
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Communication Improvement

•Communication between Providers (499)

•Provider-Patient Communication (185)

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•Allied Health Services (1)

Target Audience

•Health Care Providers (646)

•Health Care Executives and Administrators (661)

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Setting of Care

•Hospitals (480)

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1 - 20 of 812

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NEWSPAPER/MAGAZINE ARTICLE

What pilots can teach hospitals about patient safety.

Murphy K. New York Times. October 31, 2006:F5.

COMMENTARY

Putting power into patient safety interventions. Part two: 99% is not good enough.

Astion M. Laboratory Errors & Patient Safety. July-August 2005;2:1-4.

REVIEW

Communication and teamwork in patient care: how much can we learn from aviation?

Lyndon A. J Obset Gynol Neonatal Nurs. 2006;35:538-546.

BOOK/REPORT

Different roles, same goal: risk and quality management partnering for patient safety. By the ASHRM Monographs Task Force.

Perry DG, Bokar V. J Healthc Risk Manag. 2007:27;17-25.

STUDY

Surgical specimen identification errors: a new measure of quality in surgical care.

Makary MA, Epstein J, Pronovost PJ, Millman EA, Hartmann EC, Freischlag JA. Surgery. 2007;141:450-455.

STUDY

Unit-based care teams and the frequency and quality of physician–nurse communications.

Gordon MB, Melvin P, Graham D, et al. Arch Pediatr Adolesc Med. 2011;165:424-428.

NEWSPAPER/MAGAZINE ARTICLE

Our long journey towards a safety-minded just culture. Part I: Where we've been.

ISMP Medication Safety Alert! Acute Care Edition. September 7, 2006;11:1-3.

COMMENTARY

Radiology reporting—where does the radiologist's duty end?

Garvey CJ, Connolly S. Lancet. 2006;367:443-445.

COMMENTARY

Pharmacy clarification of prescriptions ordered in primary care: a report from the Applied Strategies for Improving Patient Safety (ASIPS) collaborative.

Hansen LB, Fernald D, Araya-Guerra R, Westfall JM, West D, Pace W. J Am Board Fam Med. 2006;19:24-30.

COMMENTARY

Crew resource management: applications in healthcare organizations.

Oriol MD. J Nurs Adm. 2006;36:402-406.

STUDY

A relational leadership perspective on unit-level safety climate.

Thompson DN, Hoffman LA, Sereika SM, et al. J Nurs Adm. 2011;41:479-487.

COMMENTARY

Making it easier to do the right thing: a modern communication QI agenda.

Wynia MK. Patient Educ Couns. 2012;88:364-366.

STUDY

Creating safety culture on nursing units: human performance and organizational system factors that make a difference.

Moody RF, Pesut DJ, Harrington CF. J Patient Saf. 2006;2:198-206.

STUDY

"Out of sight, out of mind": housestaff perceptions of quality-limiting factors in discharge care at teaching hospitals.

Greysen SR, Schiliro D, Horwitz LI, Curry L, Bradley EH. J Hosp Med. 2012;7:376-381.

STUDY

Understanding communication during hospitalist service changes: a mixed methods study.

Hinami K, Farnan JM, Meltzer DO, Arora VM. J Hosp Med. 2009;4:535-540.

NEWSPAPER/MAGAZINE ARTICLE

Error rate greatest in hospital radiology.

Stein R. The Washington Post. January 18, 2006:A03.

REVIEW

What is patient safety culture? A review of the literature.

Sammer CE, Lykens K, Singh KP, Mains DA, Lackan NA. J Nurs Scholarsh. 2010;42:156-165.

STUDY

Predictors of likelihood of speaking up about safety concerns in labour and delivery.

Lyndon A, Sexton JB, Simpson KR, Rosenstein A, Lee KA, Wachter RM. BMJ Qual Saf. 2012;21;791-799.

STUDY

The emotional impact of medical errors on practicing physicians in the United States and Canada.

Waterman AD, Garbutt J, Hazel E, et al. Jt Comm J Qual Patient Saf. 2007;33:467-476.

STUDY

Risk of medication errors at hospital discharge and barriers to problem resolution.

Enguidanos SM, Brumley RD. Home Health Care Serv Q. 2005;24:123-135.

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