AHRQ Patient Safety Network

PATIENT SAFETY PRIMERS
Safety Culture

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Safety Culture: High-reliability organizations consistently minimize adverse events despite carrying out intrinsically hazardous work... Read Full Glossary Entry >

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Safety Target

•Device-related Complications (32)

•Diagnostic Errors (19)

•Identification Errors (18)

•Discontinuities, Gaps, and Hand-Off Problems (48)

•Fatigue and Sleep Deprivation (7)

•Medication Safety (149)

•Medical Complications (111)

•Nonsurgical Procedural Complications (22)

•Surgical Complications (105)

•Transfusion Complications (3)

•Psychological and Social Complications (38)

Origin/Sponsor

•Africa (1)

•Asia (9)

•Australia and New Zealand (19)

•Central and South America (3)

Resource Types

•Clinical Guideline (1)

•Journal Article (617)

•Legislation/Regulation (11)

•Meeting/Conference (17)

•Newsletter/Journal (1)

•Newspaper/Magazine Article (95)

•Press Release/Announcement (4)

•Special or Theme Issue (34)

•Tools/Toolkit (18)

•Web Resource (30)

•Grant (7)

Error Types

•Epidemiology of Errors and Adverse Events (95)

•Active Errors (69)

•Latent Errors (67)

•Near Miss (13)

Approach to Improving Safety
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Culture of Safety

•Learning Organization (35)

•Red Rules (3)

•Institutional Patient Safety Plan (21)

•Just Culture (24)

Clinical Areas

•Allied Health Services (4)

•Complementary and Alternative Medicine (1)

Target Audience

•Health Care Providers (595)

•Health Care Executives and Administrators (822)

•Non-Health Care Professionals (433)

•Patients (59)

Setting of Care

•Hospitals (536)

•Psychiatric Facilities (3)

•Residential Facilities (23)

•Ambulatory Care (63)

•Outpatient Surgery (5)

•Patient Transport (8)

1 - 20 of 953

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SPECIAL OR THEME ISSUE

Quality of Anesthesia Care.

Neuman MD, Martinez EA, eds. Anesthesiol Clin. 2011;29:1-178.

BOOK/REPORT classic

Patient Safety in Emergency Medicine.

Croskerry P, Cosby KS, Schenkel SM, Wears RL, eds. Philadelphia, PA: Lippincott Williams & Wilkins; 2009. ISBN: 9780781777278.

AUDIOVISUAL

Chasing Zero: Winning the War on Healthcare Harm.

Austin, TX: Texas Medical Institute for Technology and the Quaid Foundation; 2010.

SPECIAL OR THEME ISSUE

Safety in EMS.

Brice JH, Patterson PD, eds. Prehosp Emerg Care. 2012;16:1-108.

BOOK/REPORT classic

Safe Practices for Better Healthcare—2010 Update.

National Quality Forum. Washington, DC: National Quality Forum; 2010.

SPECIAL OR THEME ISSUE

Building Bridges Between Radiology and Emergency Medicine: Consensus Conference on Imaging Safety and Quality for Children in the Emergency Setting.

Pediatr Radiol. 2008;38(suppl 4):625-734.

REVIEW

Pediatric patient safety in the prehospital/emergency department setting.

Barata IA, Benjamin LS, Mace SE, Herman MI, Goldman RD. Pediatr Emerg Care. 2007;23:412-418.

REVIEW

Overview of progress on patient safety.

Pronovost PJ, Holzmueller CG, Ennen CS, Fox HE. Am J Obstet Gynecol. 2011;204:5-10.

COMMENTARY

An implementation strategy for a multicenter pediatric rapid response system in Ontario.

Lobos A, Costello J, Gilleland J, Gaiteiro R, Kotsakis A; The Ontario Pediatric Critical Care Response Team Collaborative. Jt Comm J Qual Patient Saf. 2010;36:271-280.

SPECIAL OR THEME ISSUE

The English Patient Safety Programme.

J Health Serv Research Pol. 2010;15(suppl 1):S1-S91.

SPECIAL OR THEME ISSUE

Medical errors and safety systems.

Pearlman MD, ed. Clin Obstet Gynecol. 2010;53:471-585.

NEWSPAPER/MAGAZINE ARTICLE

A hospital races to learn lessons of Ferrari pit stop.

Naik G. Wall Street Journal. November 14, 2006:A1. [reprinted on Post-gazette.com].

STUDY

A comprehensive obstetrics patient safety program improves safety climate and culture.

Pettker CM, Thung SF, Raab CA, et al. Am J Obstet Gynecol. 2011;204:216.e1-e6.