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 (29)

•Diagnostic Errors (18)

•Identification Errors (17)

•Discontinuities, Gaps, and Hand-Off Problems (45)

•Fatigue and Sleep Deprivation (7)

•Medication Safety (148)

•Medical Complications (105)

•Nonsurgical Procedural Complications (21)

•Surgical Complications (83)

•Transfusion Complications (3)

•Psychological and Social Complications (36)

Origin/Sponsor

•Africa (1)

•Asia (9)

•Australia and New Zealand (24)

•Central and South America (3)

Resource Types

•Clinical Guideline (1)

•Journal Article (570)

•Legislation/Regulation (12)

•Meeting/Conference (16)

•Newspaper/Magazine Article (90)

•Press Release/Announcement (4)

•Special or Theme Issue (36)

•Tools/Toolkit (20)

•Web Resource (30)

•Grant (7)

Error Types

•Epidemiology of Errors and Adverse Events (88)

•Active Errors (73)

•Latent Errors (75)

•Near Miss (17)

Approach to Improving Safety
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Culture of Safety

•Learning Organization (45)

•Red Rules (2)

•Institutional Patient Safety Plan (22)

•Just Culture (25)

Clinical Areas

•Allied Health Services (6)

•Complementary and Alternative Medicine (1)

Target Audience

•Health Care Providers (565)

•Health Care Executives and Administrators (801)

•Non-Health Care Professionals (410)

•Patients (62)

Setting of Care

•Hospitals (538)

•Psychiatric Facilities (4)

•Residential Facilities (26)

•Ambulatory Care (63)

•Outpatient Surgery (5)

•Patient Transport (7)

1 - 20 of 922

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NEWSPAPER/MAGAZINE ARTICLE

How safe do patients feel?

Wolosin R, Vercler L, Matthews J. Patient Safety & Quality Healthcare. November/December 2005;2:40-44.

NEWSPAPER/MAGAZINE ARTICLE

Q: What scares doctors? A: Being the patient.

Gibbs N, Bower A. Time Magazine. May 1, 2006.

SPECIAL OR THEME ISSUE

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

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

COMMENTARY

Failure to Report

Spath PL. AHRQ WebM&M [serial online]. March 2007.

BOOK/REPORT

Patient-Centered Care Improvement Guide.

Frampton S, Guastello S, Brady C, et al. Derby, CT: Planetree; Camden, ME: Picker Institute; 2008.

NEWSPAPER/MAGAZINE ARTICLE

Saving lives: hospitals have signed on to a six-part plan to avoid a multitude of unnecessary deaths.

Comarow A. US News & World Report. July 18, 2005;139:74,76,79.

AWARD RECIPIENT

2006 Quest for Quality Prize.

Runy LA. Hosp Health Netw. September 2006.

COMMENTARY

Organizational Change in the Face of Highly Public Errors—I. The Dana-Farber Cancer Institute Experience

Conway JB, Weingart SN. AHRQ WebM&M [serial online]. May 2005.

NEWSPAPER/MAGAZINE ARTICLE

Get me out alive.

Feldman R. The Washington Post. May 2, 2006:HE01.

COMMENTARY

In Conversation with…Michael Cohen, RPh, MS, ScD

AHRQ WebM&M [serial online]. April 2006.

TOOLKIT

Implementing a Program of Patient Safety in Small Rural Hospitals.

Omaha, NE: Jones K, Skinner A, Cochran G, Knudson A, Beattie S, Mueller K; for University of Nebraska Medical Center and Nebraska Center for Rural Research; 2007.

AUDIOVISUAL

Chasing Zero: Winning the War on Healthcare Harm.

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

NEWSPAPER/MAGAZINE ARTICLE

Survey shows recession has weakened patient safety net.

ISMP Medication Safety Alert! Acute Care Edition. January 14, 2010;15:1-4.

BOOK/REPORT

Patient Safety in Canada: An Update.

Ottawa, ON, Canada: Canadian Institute for Health Information; August 14, 2007.

COMMENTARY

Developing a medication patient safety program — infrastructure and strategy.

Mark SM, Weber RJ. Hosp Pharm. 2007;42:149-156.