AHRQ Patient Safety Network

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•Device-related Complications (7)

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•Identification Errors (13)

•Discontinuities, Gaps, and Hand-Off Problems (46)

•Fatigue and Sleep Deprivation (4)

•Medication Safety (57)

•Medical Complications (40)

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•Epidemiology of Errors and Adverse Events (49)

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Approach to Improving Safety
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Teamwork

•Teamwork Training (32)

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•Allied Health Services (2)

•Medicine (247)

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Target Audience

•Health Care Providers (275)

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•Non-Health Care Professionals (168)

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Setting of Care

•Hospitals (265)

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•Ambulatory Care (23)

•Outpatient Surgery (5)

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1 - 20 of 351

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FACT SHEET/FAQS classic

Preventing Medication Errors: A $21 Billion Opportunity.

Washington, DC: National Priorities Partnership and National Quality Forum; December 2010.

SPECIAL OR THEME ISSUE

The safety and quality of health care: where are we now?

Med J Aust. 2006;184:S37-S72.

COMMENTARY

Eptifibatide Epilogue

Churchill WW, Fiumara K. AHRQ WebM&M [serial online]. April 2009.

STUDY

A multidisciplinary approach to adverse drug events in pediatric trauma patients in an adult trauma center.

Kalina M, Tinkoff G, Gleason W, Veneri P, Fulda G. Pediatr Emerg Care. 2009;25:444-446.

SPECIAL OR THEME ISSUE

Patient Safety Papers 6.

Baker GR, ed. Healthc Q. 2012;15:1-72.

STUDY

Potential drug interactions and duplicate prescriptions among cancer patients.

Riechelmann RP, Tannock IF, Wang L, Saad ED, Taback NA, Krzyzanowska MK. J Natl Cancer Inst. 2007;99:592-600.

COMMENTARY

Operating room briefings: working on the same page.

Makary MA, Holzmueller CG, Thompson D, et al. Jt Comm J Qual Patient Saf. 2006;32:351-355.

STUDY

The nature and causes of unintended events reported at 10 internal medicine departments.

Lubberding S, Zwaan L, Timmermans DR, Wagner C. J Patient Saf. 2011;7:224-231.

TOOLKIT

Making Strides in Safety.

Chicago, IL: American Medical Association.

COMMENTARY

The clinical transformation of Ascension Health: eliminating all preventable injuries and deaths.

Pryor DB, Tolchin SF, Hendrich A, Thomas CS, Tersigni AR. Jt Comm J Qual Patient Saf. 2006;32:299-308.

STUDY

Antecedents of severe and nonsevere medication errors.

Chang YK, Mark BA. J Nurs Scholarsh. 2009;41:70-78.

COMMENTARY

Using simulation to address hierarchy issues during medical crises.

Calhoun AW, Boone MC, Miller KH, Pian-Smith MC. Simul Healthc. 2013;8:13-19.

STUDY

Collaboration between pharmacists, physicians and nurse practitioners: a qualitative investigation of working relationships in the inpatient medical setting.

Makowsky MJ, Schindel TJ, Rosenthal M, Campbell K, Tsuyuki RT, Madill HM. J Interprof Care. 2009;23:169-84.

STUDY

Reconciling medications at admission: safe practice recommendations and implementation strategies.

Rogers G, Alper E, Brunelle D, et al. Jt Comm J Qual Patient Saf. 2006;32:37-50.

STUDY

Intensive care unit safety incidents for medical versus surgical patients: a prospective multicenter study.

Sinopoli DJ, Needham DM, Thompson DA, et al. J Crit Care. 2007;22:177-183.

STUDY

Relationship between systems-level factors and hand hygiene adherence.

Dunn-Navarra AM, Cohen B, Stone PW, Pogorzelska M, Jordan S, Larson E. J Nurs Care Qual. 2011;26:30-38.

STUDY

Interprofessional conflict and medical errors: results of a national multi-specialty survey of hospital residents in the US.

Baldwin DC Jr, Daugherty SR. J Interprof Care. 2008;22:573-586.

STUDY

Preventing wrong site, procedure, and patient events using a common cause analysis.

Mallett R, Conroy M, Saslaw LZ, Moffatt-Bruce S. Am J Med Qual. 2012;27:21-29.

COMMENTARY

In Conversation with...Steven J. Spear, DBA, MS, MS

AHRQ WebM&M [serial online]. August 2009.

COMMENTARY

A Mid-Summer Fog

Braddock CH. AHRQ WebM&M [serial online]. November 2008.

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