AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (49)

•Diagnostic Errors (57)

•Identification Errors (18)

•Discontinuities, Gaps, and Hand-Off Problems (96)

•Fatigue and Sleep Deprivation (34)

•Medication Safety (198)

•Medical Complications (117)

•Nonsurgical Procedural Complications (40)

•Surgical Complications (132)

•Transfusion Complications (3)

•Psychological and Social Complications (49)

Origin/Sponsor

•Australia and New Zealand (37)

•Central and South America (4)

•Europe (198)

•North America (647)

Resource Types

•Audiovisual (7)

•Book/Report (49)

•Journal Article (692)

•Legislation/Regulation (7)

•Meeting/Conference (9)

•Newsletter/Journal (1)

•Newspaper/Magazine Article (54)

•Press Release/Announcement (11)

•Special or Theme Issue (30)

•Tools/Toolkit (15)

•Web Resource (42)

Error Types

•Epidemiology of Errors and Adverse Events (140)

•Active Errors (199)

•Latent Errors (57)

•Near Miss (17)

Approach to Improving Safety
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Education and Training

•Students (65)

•Residents and Fellows (169)

•Continuing Education (21)

•Online Education (15)

•Simulators (131)

•Teamwork Training (114)

•Patient Education (53)

Clinical Areas

•Allied Health Services (8)

•Complementary and Alternative Medicine (1)

•Dentistry (2)

•Medicine (615)

•Nursing (94)

•Pharmacy (63)

Target Audience

•Health Care Providers (691)

•Health Care Executives and Administrators (726)

•Non-Health Care Professionals (599)

•Patients (42)

Setting of Care

•Hospitals (550)

•Psychiatric Facilities (2)

•Residential Facilities (17)

•Ambulatory Care (61)

•Outpatient Surgery (5)

•Patient Transport (8)

1 - 20 of 926

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ORGANIZATIONAL POLICY/GUIDELINES

Preventing maternal death.

Sentinel Event Alert. January 26, 2010;(44):1-4.

SPECIAL OR THEME ISSUE

Obstetric Issues.

PA-PSRS Patient Saf Advis. December 2009;6(suppl 1):1-32.

STUDY

Content analysis of team communication in an obstetric emergency scenario.

Siassakos D, Draycott T, Montague I, Harris M. J Obstet Gynaecol. 2009;29:499-503.

MULTI-USE WEBSITE

Patient Safety Toolkits & E-learning Packages.

National Patient Safety Agency.

STUDY

Development and usability of a behavioural marking system for performance assessment of obstetrical teams.

Tregunno D, Pittini R, Haley M, Morgan PJ. Qual Saf Health Care. 2009;18:393-396.

COMMENTARY

Building team and technical competency for obstetric emergencies: the mobile obstetric emergencies simulator (MOES) system.

Deering S, Rosen MA, Salas E, King HB. Simul Healthc. 2009;4:166-173.

REVIEW

Multidisciplinary team training in a simulation setting for acute obstetric emergencies: a systematic review.

Merién AER, van de Ven J, Mol BW, Houterman S, Oei SG. Obstet Gynecol. 2010;115:1021-1031.

STUDY

Managing disruptive behaviors in the health care setting: focus on obstetrics services.

Rosenstein AH. Am J Obstet Gynecol. 2011;204:187-192.

STUDY

Qualities and attributes of a safe practitioner: identification of safety skills in healthcare.

Long S, Arora S, Moorthy K, Sevdalis N, Vincent C. BMJ Qual Saf. 2011;20:483-490.

STUDY

A review of significant events analysed in general practice: implications for the quality and safety of patient care.

McKay J, Bradley N, Lough M, Bowie P. BMC Fam Pract. 2009;10:61.

STUDY

A comprehensive perinatal patient safety program to reduce preventable adverse outcomes and costs of liability claims.

Simpson KR, Kortz CC, Knox E. Jt Comm J Qual Patient Saf. 2009;35:565-574.

COMMENTARY

Safer out of hours primary care.

Cosford PA, Thomas JM. BMJ. 2010;340:c3194.

STUDY

Medication administration errors in assisted living: scope, characteristics, and the importance of staff training.

Zimmerman S, Love K, Sloane PD, Cohen LW, Reed D, Carder PC; Center for Excellence in Assisted Living-University of North Carolina Collaborative. J Am Geriatr Soc. 2011;59:1060-1068.

STUDY

classic

Structured interdisciplinary rounds in a medical teaching unit: improving patient safety.

O’Leary KJ, Buck R, Fligiel HM, et al. Arch Intern Med. 2011;171:678-684.

STUDY

Impact of a comprehensive patient safety strategy on obstetric adverse events.

Pettker CM, Thung SF, Norwitz ER, et al. Am J Obstet Gynecol. 2009 May;200:492.e1-8.

COMMENTARY

Failure to Latch

Rodriguez M., Mannel R., Frye D. MN AHRQ WebM&M [serial online]. September 2008.

STUDY

Didactic and simulation nontechnical skills team training to improve perinatal patient outcomes in a community hospital.

Riley W, Davis S, Miller K, Hansen H, Sainfort F, Sweet R. Jt Comm J Qual Patient Saf. 2011;37:357-364.

STUDY

Uncomfortable prescribing decisions in hospitals: the impact of teamwork.

Lewis PJ, Tully MP. J R Soc Med. 2009;102:481-488.

REVIEW

The active components of effective training in obstetric emergencies.

Siassakos D, Crofts J, Winter C, Weiner C, Draycott T. BJOG. 2009;116:1028-1032.

STUDY

Challenges faced in providing safe care in rural perinatal settings.

Jukkala AM, Kirby RS. MCN Am J Matern Child Nurs. 2009;34:365-371.

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